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HUMPHREYS COUNTY CARE AND REHABILITATION

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HUMPHREYS COUNTY CARE AND REHABILITATION is a non profit - other facility in WAVERLY, TN with 91 certified beds and a 2-star overall CMS rating. The facility has 25 deficiency records on file. Total penalties: $20K.

104 FORT HILL ROAD, WAVERLY, TN 37185

Phone: 9312962532

Overall Rating

2/5

Health Inspection

2/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

1/5

Facility Information

Provider Number
445489
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
91
Residents
73
In Hospital
No
County
Humphreys
Last Inspection
Sep 4, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
0.69
CNA Hours
2.85
Total Nursing Hours
4.14 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
39.6%
RN Turnover
27.3%

What the CMS Record Reveals About HUMPHREYS COUNTY CARE AND REHABILITATION

HUMPHREYS COUNTY CARE AND REHABILITATION operates 91 certified beds in WAVERLY, TN with approximately 73 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $20K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.14 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, HUMPHREYS COUNTY CARE AND REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 39.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

F — Widespread - Minimal harm Sep 4, 2025 Tag: 0922

Have enough backup water supply for essential areas of the nursing home.

Category: Environmental Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 4, 2025

E — Pattern - Minimal harm Sep 4, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Oct 4, 2025

G — Isolated - Actual harm Sep 4, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Sep 4, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 4, 2025

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 28, 2024

E — Pattern - Minimal harm Jun 5, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm Jun 5, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jun 28, 2024

F — Widespread - Minimal harm Jul 28, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2022

D — Isolated - Minimal harm Jul 28, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 22, 2022

D — Isolated - Minimal harm Jul 28, 2022 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 17, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 34.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 15.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 94.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 89.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 37.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 60.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.9% Yes

Penalty History 2 penalties totaling $20K

Date Type Amount
Sep 4, 2025 Fine $17K
Oct 2, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for HUMPHREYS COUNTY CARE AND REHABILITATION?
HUMPHREYS COUNTY CARE AND REHABILITATION has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at HUMPHREYS COUNTY CARE AND REHABILITATION?
HUMPHREYS COUNTY CARE AND REHABILITATION reports 4.14 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 39.6%.
How many beds does HUMPHREYS COUNTY CARE AND REHABILITATION have?
HUMPHREYS COUNTY CARE AND REHABILITATION has 91 certified beds with approximately 73 residents. The facility is located at 104 FORT HILL ROAD, WAVERLY, TN 37185.
Does HUMPHREYS COUNTY CARE AND REHABILITATION have any deficiencies on record?
Yes, HUMPHREYS COUNTY CARE AND REHABILITATION has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has HUMPHREYS COUNTY CARE AND REHABILITATION received any fines or penalties?
Yes, HUMPHREYS COUNTY CARE AND REHABILITATION has received 2 penalties totaling $20K.
Who owns HUMPHREYS COUNTY CARE AND REHABILITATION?
HUMPHREYS COUNTY CARE AND REHABILITATION is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was HUMPHREYS COUNTY CARE AND REHABILITATION last inspected?
The most recent health inspection for HUMPHREYS COUNTY CARE AND REHABILITATION was on Sep 4, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for HUMPHREYS COUNTY CARE AND REHABILITATION?
HUMPHREYS COUNTY CARE AND REHABILITATION is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial