Stones River Manor, INC
205 Haynes Drive, Murfreesboro, TN 37129 · Rutherford County · 30 certified beds · avg 26 residents/day · certified since Dec 3, 2018
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 (15)
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 |
|---|---|---|
| Jul 1, 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. |
| Jul 1, 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. |
| Jul 1, 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 18, 2024 | 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 |
| Oct 26, 2022 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Oct 26, 2022 | 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. |
| Oct 26, 2022 | 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 31, 2019 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jul 31, 2019 | 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 31, 2019 | 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. |
| Jul 31, 2019 | D · Potential for 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. |
| Jul 31, 2019 | 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 31, 2019 | D · Potential for harm, one-off | 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 31, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 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 stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 8 | 0 | D |
| 2022 | 3 | 0 | D |
| 2024 | 1 | 0 | D |
| 2025 | 3 | 0 | E |
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) | 6.35 | 3.62 | 3.95 | top 1% in Tennessee; top 3% in the U.S. |
| Registered Nurse hours | 1.01 | 0.57 | 0.69 | top 7% in Tennessee; top 15% in the U.S. |
| Weekend total nurse staffing | 5.03 | 3.15 | 3.50 | top 3% in Tennessee; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.39 | 0.48 | top 14% in Tennessee; top 26% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 48.9 | 45.8 | top 6% in Tennessee; top 12% in the U.S. |
| RN turnover (%) | 16.7 | 43.2 | 42.9 | top 6% in Tennessee; top 9% 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 6.19, RN 0.98, weekend 4.90. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adcock, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 05/28/2021 |
| First Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/16/2020 |
| King, Roger | Individual | Corporate Officer | NOT APPLICABLE | 05/17/2023 |
| Knox, Heather | Individual | Corporate Director | NOT APPLICABLE | 05/27/2022 |
| Mason, Kirkland | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/24/2018 |
| Minatra, Clay | Individual | Corporate Officer | NOT APPLICABLE | 05/19/2017 |
| Pullias, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2017 |
| Pullias, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2017 |
| Vollmer, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2021 |
| Vollmer, Donald | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Whitworth, Marvin | Individual | Corporate Officer | NOT APPLICABLE | 05/21/1999 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "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 |
|---|---|---|---|---|---|
| Adamsplace, LLC | 0.9 mi | Murfreesboro, TN | ★★★☆☆ | 2/5 | |
| Stone River Post Acute | 1.3 mi | Murfreesboro, TN | ★★★☆☆ | 3/5 | |
| Tennessee Veterans Home | 1.4 mi | Murfreesboro, TN | ★☆☆☆☆ | 1/5 | |
| NHC Healthcare, Murfreesboro | 2.9 mi | Murfreesboro, TN | ★★★★★ | 5/5 | |
| Community Care of Rutherford | 8.6 mi | Murfreesboro, TN | ★☆☆☆☆ | 1/5 | |
| The Waters of Smyrna, LLC | 9.0 mi | Smyrna, TN | ★☆☆☆☆ | 1/5 | |
| Smyrna Care Center | 9.3 mi | Smyrna, TN | ★☆☆☆☆ | 1/5 | |
| Life Care Center of Hickory Woods | 15.0 mi | Antioch, TN | ★★★★★ | 4/5 | |
| Woodbury Health and Rehabilitation Center | 18.2 mi | Woodbury, TN | ★★★☆☆ | 3/5 | |
| Antioch TN Opco, LLC | 18.5 mi | Antioch, TN | ★★☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 445534.