Decatur County Healthcare

Name: Decatur County Healthcare
Address: 726 KENTUCKY AVENUE S, Parsons, TN, 38363, US
Telephone: 7318476371

726 Kentucky Avenue S, Parsons, TN 38363 · Decatur County · 125 certified beds · avg 81 residents/day · certified since Jul 1, 2002

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.01

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: 5/5

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 (7)

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
Dec 10, 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.
Dec 10, 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.
Oct 31, 2024	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.
Oct 31, 2024	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, 2024	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 17, 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.
Aug 17, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Worst severity that year
2022	2	F
2024	3	E
2025	2	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)

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)	3.01	3.62	3.95	bottom 17% in Tennessee; bottom 14% in the U.S.
Registered Nurse hours	0.37	0.57	0.69	bottom 17% in Tennessee; bottom 17% in the U.S.
Weekend total nurse staffing	2.49	3.15	3.50	bottom 10% in Tennessee; bottom 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.39	0.48	bottom 6% in Tennessee; bottom 7% in the U.S.
Total nursing staff turnover (%)	40.0	48.9	45.8	top 24% in Tennessee; top 36% 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 3.47, RN 0.42, weekend 2.87. Staffing rating: 2/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Rocky Top Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/12/2024
Albrechtsen, Tyler	Individual	Corporate Officer	NOT APPLICABLE	08/12/2024
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	08/12/2024
Carroll, Loren	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Carroll, Loren	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Smith, Kyle	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Smith, Kyle	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Smith, Kyle	Individual	ADP of the SNF	NOT APPLICABLE	03/04/2025
Thatcher, Brent	Individual	Corporate Officer	NOT APPLICABLE	08/12/2024

Questions to ask on your visit

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

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
Westwood Nursing and Rehabilitation	4.1 mi	Decaturville, TN	★★★★☆	4/5
Lexington Post Acute	14.4 mi	Lexington, TN	★☆☆☆☆	2/5
Briarwood Community Living Center	15.6 mi	Lexington, TN	★★☆☆☆	3/5
Perry County Nursing Home	15.9 mi	Linden, TN	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Parsons →

Facility data as of CMS processing date 2026-08-01. CCN 445451.

The Care File

Visit checklist — Decatur County Healthcare

726 Kentucky Avenue S, Parsons, TN 38363 · 7318476371

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

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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 445451 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)