Hartsville Convalescent Center
649 McMurry Blvd, Hartsville, TN 37074 · Trousdale County · 95 certified beds · avg 52 residents/day · certified since Aug 20, 1990
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Aug 11, 2025 · 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: Dec 6, 2024 (Past Non-Compliance)
All citations in the current public record (27)
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 |
|---|---|---|
| Aug 11, 2025 | ▲ 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 |
| Jul 18, 2024 | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jul 18, 2024 | 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. |
| Jul 18, 2024 | 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 18, 2024 | 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. |
| Jul 18, 2024 | 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. |
| Jul 18, 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. |
| Jan 15, 2020 | 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. |
| Jan 15, 2020 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 15, 2020 | 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. |
| Jan 15, 2020 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jan 15, 2020 | 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. |
| Jan 15, 2020 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jan 15, 2020 | 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. |
| Dec 12, 2018 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Dec 12, 2018 | F · Potential for harm, facility-wide | 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. |
| Dec 12, 2018 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Dec 12, 2018 | 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. |
| Dec 12, 2018 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 12, 2018 | 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. |
| Dec 12, 2018 | 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. |
| Dec 12, 2018 | 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. |
| Dec 12, 2018 | D · Potential for harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Dec 12, 2018 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Dec 12, 2018 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 12, 2018 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 12 | 0 | F |
| 2020 | 7 | 0 | F |
| 2024 | 7 | 0 | F |
| 2025 | 1 | 1 | J ▲ |
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 $16,796.
| Date | Type | Amount / length |
|---|---|---|
| Aug 11, 2025 | Fine | $8,281 |
| Jul 18, 2024 | Fine | $8,515 |
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) | 5.67 | 3.62 | 3.95 | top 3% in Tennessee; top 6% in the U.S. |
| Registered Nurse hours | 0.00 | 0.57 | 0.69 | bottom 1% in Tennessee; bottom 1% in the U.S. |
| Weekend total nurse staffing | 4.66 | 3.15 | 3.50 | top 4% in Tennessee; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.01 | 0.39 | 0.48 | bottom 1% in Tennessee; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 72.3 | 48.9 | 45.8 | bottom 3% in Tennessee; bottom 4% in the U.S. |
| RN turnover (%) | 0.0 | 43.2 | 42.9 | — |
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 5.64, RN 0.00, weekend 4.64. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Estate of Robert M. Becht | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/17/2026 |
| Becht, Scott | Individual | Corporate Officer | NOT APPLICABLE | 01/01/1990 |
| Becht, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/1990 |
| Hall, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/20/2024 |
| Hall, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
| Hanson, Theresa | Individual | Corporate Officer | NOT APPLICABLE | 04/25/2025 |
| Hanson, Theresa | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
| Midcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2014 |
| Midcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 06/23/2026 |
| Robertson, George | Individual | ADP of the SNF | NOT APPLICABLE | 02/17/2026 |
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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "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 |
|---|---|---|---|---|---|
| Knollwood Manor | 11.3 mi | Lafayette, TN | ★☆☆☆☆ | 1/5 | |
| Smith County Health and Rehabilitation | 12.2 mi | Carthage, TN | ★★★★★ | 5/5 | |
| Westmoreland Care & Rehab Ctr | 13.4 mi | Westmoreland, TN | ★★★☆☆ | 3/5 | |
| Quality Center for Rehabilitation and Healing LLC | 15.0 mi | Lebanon, TN | ★☆☆☆☆ | 2/5 | |
| Lebanon Center for Rehabilitation and Healing, LLC | 15.3 mi | Lebanon, TN | ★★★★★ | 4/5 | |
| Pavilion-Ths, LLC | 15.6 mi | Lebanon, TN | ★★★★★ | 4/5 | |
| The Waters of Gallatin | 16.1 mi | Gallatin, TN | ★★☆☆☆ | 3/5 | |
| Gallatin Center for Rehabilitation and Healing | 16.7 mi | Gallatin, TN | ★★★★☆ | 3/5 | |
| Red Boiling Springs TN Opco LLC | 19.3 mi | Red Boiling Springs, TN | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445256.