Adamsville Healthcare and Rehabilitation Center

Name: Adamsville Healthcare and Rehabilitation Center
Address: 409 PARK AVENUE, Adamsville, TN, 38310, US
Telephone: 7316323301

409 Park Avenue, Adamsville, TN 38310 · Mc Nairy County · 125 certified beds · avg 79 residents/day · certified since Jun 16, 1997

Part of chain: AHAVA HEALTHCARE (16 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 30, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 4, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Aug 4, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 4, 2021	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 4, 2021	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 17, 2019	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Oct 17, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 17, 2019	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 17, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2019	13	E
2021	4	D
2025	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.06	3.62	3.95	top 20% in Tennessee; top 37% in the U.S.
Registered Nurse hours	0.39	0.57	0.69	bottom 24% in Tennessee; bottom 21% in the U.S.
Weekend total nurse staffing	3.47	3.15	3.50	top 21% in Tennessee; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.22	0.39	0.48	bottom 17% in Tennessee; bottom 15% in the U.S.
Total nursing staff turnover (%)	42.0	48.9	45.8	top 29% in Tennessee; top 42% in the U.S.
RN turnover (%)	28.6	43.2	42.9	top 25% in Tennessee; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.18, RN 0.41, weekend 3.57. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Adamsville Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2019
BDV Inv Holdco, LLC	Organization	5% or Greater Indirect Ownership Interest	20%	11/26/2004
Ecm Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	10%	06/01/2019
Eisen, Menashe	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/21/2025
Hardin, Jack	Individual	Operational/Managerial Control	NOT APPLICABLE	02/15/2023
Hardin, Jack	Individual	ADP of the SNF	NOT APPLICABLE	03/21/2025
Niederman, Anshel	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2019
Niederman, Anshel	Individual	Corporate Officer	NOT APPLICABLE	06/01/2019
Treece, Nicholas	Individual	Operational/Managerial Control	NOT APPLICABLE	10/21/2022
Treece, Nicholas	Individual	ADP of the SNF	NOT APPLICABLE	03/21/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Savannah Nursing and Rehabilitation	8.4 mi	Savannah, TN	★★★★☆	4/5
Hardin County NH	8.6 mi	Savannah, TN	★★☆☆☆	3/5
Hardin Home	9.2 mi	Savannah, TN	★★★★☆	4/5
Park Rest Hardin County Health Center	9.2 mi	Savannah, TN	★★★★☆	4/5
Selmer Post Acute	11.5 mi	Selmer, TN	★★★★☆	4/5
Harbert Hills Academy N H	18.1 mi	Savannah, TN	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Adamsville →

Facility data as of CMS processing date 2026-08-01. CCN 445397.

The Care File

Visit checklist — Adamsville Healthcare and Rehabilitation Center

409 Park Avenue, Adamsville, TN 38310 · 7316323301

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445397 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)