Alamo Nursing and Rehabilitation Center

Name: Alamo Nursing and Rehabilitation Center
Address: 580 W MAIN STREET PO BOX 367, Alamo, TN, 38001, US
Telephone: 7316964541

580 W Main Street Po Box 367, Alamo, TN 38001 · Crockett County · 121 certified beds · avg 55 residents/day · certified since Oct 15, 2002

4/5

Health inspection rating (on-site)

Serious findings on record

$12,542

Fines, last 3 years

4.87

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Mar 15, 2024 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 6, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (17)

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
Mar 11, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 11, 2026	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.
Mar 11, 2026	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.
Feb 12, 2025	E · Potential for harm, repeated	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.
Feb 12, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 12, 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.
Feb 12, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 12, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 12, 2025	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.
Feb 12, 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.
Mar 15, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 15, 2024	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.
Mar 15, 2024	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2024	6	1	G ▲
2025	7	0	E
2026	4	0	D

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)

1 fine totaling $12,542, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 15, 2024	Fine	$12,542
Mar 15, 2024	Payment Denial	24 days from Apr 12, 2024

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)	4.87	3.62	3.95	top 8% in Tennessee; top 15% in the U.S.
Registered Nurse hours	0.39	0.57	0.69	bottom 23% in Tennessee; bottom 21% in the U.S.
Weekend total nurse staffing	4.01	3.15	3.50	top 11% in Tennessee; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.39	0.48	bottom 24% in Tennessee; bottom 21% in the U.S.
Total nursing staff turnover (%)	43.8	48.9	45.8	top 36% in Tennessee; top 47% in the U.S.
RN turnover (%)	40.0	43.2	42.9	top 43% in Tennessee; top 46% 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 4.96, RN 0.40, weekend 4.08. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Mann, Joy	Individual	Direct Ownership Interest	NOT APPLICABLE	11/01/2023
Blankenship, Monica	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Blankenship, Monica	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Mann, Joy	Individual	Corporate Officer	NOT APPLICABLE	11/01/2023
Mann, Joy	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2023

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Bells Nursing and Rehabilitation Center	4.6 mi	Bells, TN	★★★☆☆	4/5
Avondale Health and Rehabilitation Center, LLC	11.9 mi	Humboldt, TN	★★☆☆☆	2/5
W D Bill Manning Tennessee State Veterans Home	12.3 mi	Humboldt, TN	★★★★★	5/5
Haywood Post Acute	15.7 mi	Brownsville, TN	★★★☆☆	3/5
Northbrooke Post Acute	16.3 mi	Jackson, TN	★☆☆☆☆	2/5
Trenton Health and Rehabilitation Center, LLC	16.4 mi	Trenton, TN	★★★★★	5/5
Maplewood Health Care Center	17.5 mi	Jackson, TN	★☆☆☆☆	2/5
Christian Care Center of Medina	18.6 mi	Medina, TN	★☆☆☆☆	1/5
West Tennessee Post Acute	19.1 mi	Jackson, TN	★★★★☆	4/5
Cypress Grove Post Acute	19.1 mi	Jackson, TN	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Alamo →

Facility data as of CMS processing date 2026-08-01. CCN 445467.

The Care File

Visit checklist — Alamo Nursing and Rehabilitation Center

580 W Main Street Po Box 367, Alamo, TN 38001 · 7316964541

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $12,542

Most serious findings on record:

▲ Mar 15, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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 445467 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)