Westmoreland Care & Rehab Ctr
1559 New Highway 52, Westmoreland, TN 37186 · Sumner County · 100 certified beds · avg 86 residents/day · certified since Feb 10, 1995
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (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 |
|---|---|---|
| Mar 26, 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. |
| Mar 26, 2026 | 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. |
| Mar 26, 2026 | 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. |
| Mar 2, 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. |
| Mar 2, 2022 | E · Potential for harm, repeated | 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. |
| Mar 2, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 2, 2022 | 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 2, 2022 | 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. |
| Mar 2, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 2, 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. |
| Mar 2, 2022 | 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 decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | F |
| 2026 | 3 | 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)
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) | 3.08 | 3.62 | 3.95 | bottom 21% in Tennessee; bottom 16% in the U.S. |
| Registered Nurse hours | 0.35 | 0.57 | 0.69 | bottom 15% in Tennessee; bottom 15% in the U.S. |
| Weekend total nurse staffing | 2.69 | 3.15 | 3.50 | bottom 24% in Tennessee; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.39 | 0.48 | bottom 7% in Tennessee; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 48.9 | 45.8 | top 20% in Tennessee; top 33% 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 3.13, RN 0.35, weekend 2.74. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| 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 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 08/20/2007 |
| Spears, Lashell | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/08/2016 |
| Spears, Lashell | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/08/2016 |
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 do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Hartsville Convalescent Center | 13.4 mi | Hartsville, TN | ★☆☆☆☆ | 2/5 | |
| Knollwood Manor | 13.4 mi | Lafayette, TN | ★☆☆☆☆ | 1/5 | |
| Signature Health of Portland Rehab & Wellness Cent | 13.6 mi | Portland, TN | ★☆☆☆☆ | 1/5 | |
| Cal Turner Rehab and Specialty Care | 14.0 mi | Scottsville, KY | ★★★★★ | 5/5 | |
| The Waters of Gallatin | 15.4 mi | Gallatin, TN | ★★☆☆☆ | 3/5 | |
| Gallatin Center for Rehabilitation and Healing | 15.6 mi | Gallatin, TN | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445342.