Standing Stone Care and Rehab

Name: Standing Stone Care and Rehab
Address: 410 W CRAWFORD AVENUE, Monterey, TN, 38574, US
Telephone: 9318392244

410 W Crawford Avenue, Monterey, TN 38574 · Putnam County · 115 certified beds · avg 79 residents/day · certified since Jan 4, 1996

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.11

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · 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 (9)

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
May 14, 2026	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.
Mar 4, 2025	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.
Mar 4, 2025	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.
Mar 4, 2025	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.
Jan 15, 2025	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
Jan 15, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 24, 2019	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Sep 24, 2019	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 24, 2019	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 1).

Year	Citations	Worst severity that year
2019	3	F
2025	5	D
2026	1	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)	3.11	3.62	3.95	bottom 22% in Tennessee; bottom 18% in the U.S.
Registered Nurse hours	0.58	0.57	0.69	top 38% in Tennessee; bottom 49% in the U.S.
Weekend total nurse staffing	2.73	3.15	3.50	bottom 27% in Tennessee; bottom 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.39	0.48	bottom 49% in Tennessee; bottom 41% in the U.S.
Total nursing staff turnover (%)	43.9	48.9	45.8	top 36% in Tennessee; top 47% in the U.S.
RN turnover (%)	41.7	43.2	42.9	top 49% in Tennessee; top 50% 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 3.58, RN 0.67, weekend 3.15. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Agemo Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2016
Jjla LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2007
LP CR Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2007
LPSNF II LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2016
Steier III, Elmer	Individual	5% or Greater Indirect Ownership Interest	—	11/01/2007
Wheaten LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2007
Clabeuax, Dawn	Individual	W-2 Managing Employee	NOT APPLICABLE	12/29/2022
Harrison, John	Individual	Corporate Officer	NOT APPLICABLE	11/01/2007

Questions to ask on your visit

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

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"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
Signature Healthcare of Putnam County	10.4 mi	Cookeville, TN	★☆☆☆☆	1/5
Grandview Post Acute	11.3 mi	Cookeville, TN	★☆☆☆☆	1/5
Wharton Nursing Home	12.6 mi	Pleasant Hill, TN	★☆☆☆☆	1/5
NHC Healthcare, Cookeville	13.4 mi	Cookeville, TN	★★★★★	4/5
Overton County Health and Rehab Center	16.4 mi	Livingston, TN	★★★★☆	4/5
Life Care Center of Sparta	18.3 mi	Sparta, TN	★★★★★	5/5
NHC Healthcare, Sparta	18.9 mi	Sparta, TN	★★★☆☆	3/5
Wyndridge Health and Rehab Ctr	19.2 mi	Crossville, TN	★★☆☆☆	3/5
Life Care Center of Crossville	19.7 mi	Crossville, TN	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Monterey →

Facility data as of CMS processing date 2026-08-01. CCN 445363.

The Care File

Visit checklist — Standing Stone Care and Rehab

410 W Crawford Avenue, Monterey, TN 38574 · 9318392244

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

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "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 445363 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)