Hardin County NH
935 Wayne Road, Savannah, TN 38372 · Hardin County · 73 certified beds · avg 37 residents/day · certified since Apr 1, 1996
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 · Feb 14, 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: Apr 10, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 14, 2024 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
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: Apr 9, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 23, 2025 · 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: Feb 10, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Feb 19, 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. |
| Feb 19, 2026 | 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. |
| Jan 23, 2025 | ▲ 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. |
| Jan 23, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 23, 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. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 14, 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 |
| Feb 14, 2024 | ▲ J · Immediate jeopardy, 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 14, 2024 | 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. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 14, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 2 | J ▲ |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 2 | 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)
2 fines totaling $67,490, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jan 23, 2025 | Fine | $14,505 |
| Feb 14, 2024 | Fine | $52,985 |
| Feb 14, 2024 | Payment Denial | 52 days from Feb 18, 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) | 4.61 | 3.62 | 3.95 | top 10% in Tennessee; top 20% in the U.S. |
| Registered Nurse hours | 0.66 | 0.57 | 0.69 | top 26% in Tennessee; top 41% in the U.S. |
| Weekend total nurse staffing | 3.82 | 3.15 | 3.50 | top 14% in Tennessee; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.39 | 0.48 | bottom 37% in Tennessee; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 48.9 | 45.8 | top 37% in Tennessee; top 48% in the U.S. |
| RN turnover (%) | 50.0 | 43.2 | 42.9 | bottom 37% in Tennessee; bottom 39% 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 4.77, RN 0.68, weekend 3.96. Staffing rating: 4/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hardin County General Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/02/1952 |
| Edmondson, James | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/18/2021 |
| Edmondson, James | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2021 |
| Hughes, Leigh Ann | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2005 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 | Flags |
|---|---|---|---|---|---|
| Hardin Home | 0.6 mi | Savannah, TN | ★★★★☆ | 4/5 | |
| Park Rest Hardin County Health Center | 0.6 mi | Savannah, TN | ★★★★☆ | 4/5 | |
| Savannah Nursing and Rehabilitation | 1.9 mi | Savannah, TN | ★★★★☆ | 4/5 | |
| Adamsville Healthcare and Rehabilitation Center | 8.6 mi | Adamsville, TN | ★★★★☆ | 4/5 | |
| Harbert Hills Academy N H | 9.5 mi | Savannah, TN | ★★★★★ | 5/5 | |
| Selmer Post Acute | 19.6 mi | Selmer, TN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445372.