Cypress Grove Post Acute
45 Forest Cove, Jackson, TN 38301 · Madison County · 170 certified beds · avg 106 residents/day · certified since Jul 1, 2002
Part of chain: LINKS HEALTHCARE GROUP (32 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Jul 14, 2022 · F-0600
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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 8, 2022 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jul 14, 2022 · 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 (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 8, 2022 (Past Non-Compliance)
▲ Actual harm, one-off · Sep 25, 2024 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Oct 11, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 18, 2025 | 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 18, 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. |
| Jun 18, 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. |
| Sep 25, 2024 | ▲ G · Actual 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. · from a complaint |
| Sep 25, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 14, 2022 | ▲ J · Immediate jeopardy, 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. |
| Jul 14, 2022 | ▲ 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. |
| Jul 14, 2022 | E · Potential for harm, repeated | 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. |
| Jul 14, 2022 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Jul 14, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jul 14, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 14, 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. |
| Jul 14, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 14, 2022 | 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. |
| Jul 14, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 14, 2022 | 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. |
| Jul 14, 2022 | 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. |
| Jul 14, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Oct 31, 2019 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 31, 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 31, 2019 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 31, 2019 | D · Potential for harm, one-off | The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained. |
| Oct 31, 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 31, 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 decreased between the last two inspection cycles (13 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | E |
| 2022 | 13 | 2 | J ▲ |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 3 | 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 $17,355.
| Date | Type | Amount / length |
|---|---|---|
| Sep 25, 2024 | Fine | $17,355 |
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) | 3.55 | 3.62 | 3.95 | top 43% in Tennessee; bottom 39% in the U.S. |
| Registered Nurse hours | 0.46 | 0.57 | 0.69 | bottom 39% in Tennessee; bottom 31% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.15 | 3.50 | top 32% in Tennessee; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.39 | 0.48 | top 48% in Tennessee; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 47.4 | 48.9 | 45.8 | top 43% in Tennessee; bottom 43% in the U.S. |
| RN turnover (%) | 33.3 | 43.2 | 42.9 | top 30% in Tennessee; top 33% 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 3.72, RN 0.48, weekend 3.44. 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: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 45 Forest Cove TN LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2025 |
| 45 Forest Cove TN LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/26/2024 |
| Hammond, Jere | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Hammond, Jere | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Links Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/26/2024 |
| Links Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Rodriguez, Curtis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Rodriguez, Curtis | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Sanders, Zabian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Sanders, Zabian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Tilford, Toby | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Tilford, Toby | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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 |
|---|---|---|---|---|---|
| West Tennessee Post Acute | 0.1 mi | Jackson, TN | ★★★★☆ | 4/5 | |
| Mission Convalescent Home | 1.7 mi | Jackson, TN | ★★★☆☆ | 4/5 | |
| Laurelwood Health Care Center | 2.7 mi | Jackson, TN | ★☆☆☆☆ | 1/5 | |
| Maplewood Health Care Center | 3.2 mi | Jackson, TN | ★☆☆☆☆ | 2/5 | |
| Northbrooke Post Acute | 3.8 mi | Jackson, TN | ★☆☆☆☆ | 2/5 | |
| Christian Care Center of Medina | 9.2 mi | Medina, TN | ★☆☆☆☆ | 1/5 | |
| W D Bill Manning Tennessee State Veterans Home | 13.3 mi | Humboldt, TN | ★★★★★ | 5/5 | |
| Avondale Health and Rehabilitation Center, LLC | 14.8 mi | Humboldt, TN | ★★☆☆☆ | 2/5 | |
| Bells Nursing and Rehabilitation Center | 15.0 mi | Bells, TN | ★★★☆☆ | 4/5 | |
| Henderson Health and Rehabilitation Center | 17.5 mi | Henderson, TN | ★☆☆☆☆ | 1/5 | |
| NHC Healthcare, Milan | 18.7 mi | Milan, TN | ★★★★☆ | 3/5 | |
| Alamo Nursing and Rehabilitation Center | 19.1 mi | Alamo, TN | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445453.