Gallatin Center for Rehabilitation and Healing

438 North Water Ave · Gallatin, TN · 37066 · 6154522322

207 certified beds For profit - Limited Liability company Chain: Carerite Centers

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 100
Staffing 20% 65
Federal penalties 15% 100
Trend 10% 45
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.763.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day3.06≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Potential for harm · D April 24, 2025

    Honor the resident's right to manage his or her financial affairs.

    Corrected May 21, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected May 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 24, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 21, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 21, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 21, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 21, 2025 · Pharmacy Service

  • Potential for harm · D April 24, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 21, 2025 · Pharmacy Service

  • Potential for harm · D April 24, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected May 21, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 21, 2025 · Infection Control

  • Potential for harm · D April 28, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected June 2, 2023 · Resident Rights

  • Potential for harm · D April 28, 2023

    Respond appropriately to all alleged violations.

    Corrected June 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 28, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 28, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 2, 2023 · Quality of Life and Care

  • Potential for harm · D April 28, 2023

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected June 2, 2023 · Quality of Life and Care

  • Potential for harm · D April 28, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected June 2, 2023 · Pharmacy Service

  • Potential for harm · D April 28, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 2, 2023 · Infection Control

  • Potential for harm · D March 26, 2019

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 1, 2019 · Quality of Life and Care

  • Potential for harm · D March 26, 2019

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 1, 2019 · Quality of Life and Care

  • Potential for harm · D March 26, 2019

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected May 1, 2019 · Nursing and Physician Services

  • Potential for harm · D March 26, 2019

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 1, 2019 · Pharmacy Service

  • Potential for harm · D March 26, 2019

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 1, 2019 · Pharmacy Service

  • Potential for harm · D March 26, 2019

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected May 1, 2019 · Pharmacy Service

  • Potential for harm · D March 26, 2019

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 1, 2019 · Pharmacy Service

  • Potential for harm · D March 26, 2019

    Provide and implement an infection prevention and control program.

    Corrected May 1, 2019 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445183 · certified since February 27, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.