Towne Square Care of Puryear
220 College Street, Puryear, TN 38251
Towne Square Care of Puryear, a 32-bed for profit - corporation nursing facility in Puryear, TN, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #205 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7312473205
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #205 of 300
- In-state rank among rated TN homes
- 4.29
- Above average · nurse hrs/day · nat'l 3.86
- 16
- Inspection findings
The verdict
Towne Square Care of Puryear, a 32-bed for profit - corporation nursing facility in Puryear, TN, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #205 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 2 / 5
- CMS overall · national 3.0
- #205 of 300
- In-state rank among rated TN homes
- 4.29
- Nurse hrs/resident-day · national 3.86
- 16
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 303 TN nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 445470
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 32
- Residents
- 25
- In Hospital
- No
- County
- Henry
- Last Inspection
- May 19, 2026
Staffing Data
How the 4.29 total nursing hours per resident-day are staffed:
- RN Hours
- 0.52 (nat'l avg: 0.69)
- LPN Hours
- 0.74
- CNA Hours
- 3.03
- Total Nursing Hours
- 4.29 (nat'l avg: 3.86)
- PT Hours
- 0.00
- Nursing Turnover
- 22.7%
What the CMS Record Reveals About Towne Square Care of Puryear
According to CMS Nursing Home Compare, Towne Square Care of Puryear ranks #205 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Towne Square Care of Puryear operates 32 certified beds in Puryear, TN with approximately 25 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 1★ · quality 4★).
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 4.29 total hours per resident day (national average 3.86); RN hours specifically are 0.52 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Towne Square Care of Puryear falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 22.7% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Jun 12, 2026
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 12, 2026
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 12, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 11, 2025
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: Apr 11, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Apr 11, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 11, 2025
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: Apr 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2025
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: Apr 11, 2025
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: Apr 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: May 31, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: May 31, 2024
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: May 31, 2024
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: May 31, 2024
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: May 31, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 0.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 9.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 60.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 88.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 33.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 85.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Towne Square Care of Puryear, both outside TN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside TN (32 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside TN (4.98 here).
Nearby Nursing Homes in TN
302 other nursing homes are on record in TN; 6 are shown here.
Abundant Christian Living Community Rehabilitation
Johnson City, TN
Adamsplace, LLC
Murfreesboro, TN
Adamsville Healthcare and Rehabilitation Center
Adamsville, TN
Advanced Health Care of Nashville
Nashville, TN
Agape Rehabilitation & Nursing Center, a Waters Cm
Johnson City, TN
Ahava Healthcare of Clarksville
Clarksville, TN
Understanding Nursing Home Data
What the CMS records show for Towne Square Care of Puryear
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
- Peer homes near 32 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Towne Square Care of Puryear?
Where does Towne Square Care of Puryear rank among nursing homes in TN?
What are the staffing levels at Towne Square Care of Puryear?
How many beds does Towne Square Care of Puryear have?
Does Towne Square Care of Puryear have any deficiencies on record?
Has Towne Square Care of Puryear received any fines or penalties?
Who owns Towne Square Care of Puryear?
When was Towne Square Care of Puryear last inspected?
What quality measures are tracked for Towne Square Care of Puryear?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
