Buchanan Place
902 Buchanan Rd, New Tazewell, TN 37825 · Claiborne County · 134 certified beds · avg 82 residents/day · certified since Feb 10, 1983
Part of chain: EXCEPTIONAL LIVING CENTERS (10 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · May 10, 2024 · F-0689 · triggered by a complaint
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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| Jun 24, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 24, 2026 | 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. |
| Jun 24, 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. |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 10, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 10, 2024 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| May 10, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 29, 2022 | F · Potential for harm, facility-wide | 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. |
| Jun 29, 2022 | 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. |
| Jun 29, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 29, 2022 | 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. |
| Jun 29, 2022 | 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. |
| Jun 29, 2022 | D · Potential for harm, one-off | The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. |
| Jun 29, 2022 | 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. |
| Jun 25, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jun 25, 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. |
| Jun 25, 2019 | C · Minimal risk, facility-wide | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2022 | 7 | 0 | F |
| 2024 | 3 | 1 | J ▲ |
| 2026 | 5 | 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 $8,021.
| Date | Type | Amount / length |
|---|---|---|
| May 10, 2024 | Fine | $8,021 |
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) | 3.49 | 3.62 | 3.95 | top 49% in Tennessee; bottom 36% in the U.S. |
| Registered Nurse hours | 0.73 | 0.57 | 0.69 | top 20% in Tennessee; top 34% in the U.S. |
| Weekend total nurse staffing | 2.91 | 3.15 | 3.50 | bottom 42% in Tennessee; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.39 | 0.48 | bottom 41% in Tennessee; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 36.7 | 48.9 | 45.8 | top 17% in Tennessee; top 28% in the U.S. |
| RN turnover (%) | 47.1 | 43.2 | 42.9 | bottom 40% in Tennessee; bottom 40% 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 3.65, RN 0.76, weekend 3.04. 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: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lexington Health Management LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2023 |
| Medical Rehabilitation Centers, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2023 |
| Watts, Amy | Individual | 5% or Greater Indirect Ownership Interest | — | 02/01/2023 |
| Watts, Walter | Individual | 5% or Greater Indirect Ownership Interest | — | 02/01/2023 |
| Campbell, Brenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Campbell, Brenda | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Debusk, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2023 |
| Debusk, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Debusk, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Jones, Jodie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/25/2024 |
| Jones, Jodie | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/25/2024 |
| Jones, Jodie | Individual | ADP of the SNF | NOT APPLICABLE | 11/25/2024 |
| Watts, Walter | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Watts, Walter | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
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 identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 | Flags |
|---|---|---|---|---|---|
| Claiborne Health and Rehabilitation Center | 1.0 mi | Tazewell, TN | ★★★☆☆ | 3/5 | |
| Tri State Health and Rehabilitation Center | 9.5 mi | Harrogate, TN | ★☆☆☆☆ | 1/5 | abuse |
| Ridgeview Terrace of Life Care | 12.5 mi | Rutledge, TN | ★★★★☆ | 4/5 | |
| Middlesboro Nursing and Rehabilitation Facility | 14.5 mi | Middlesboro, KY | ★★★★★ | 4/5 | |
| Willow Ridge Center | 17.0 mi | Maynardville, TN | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445156.