C

WILLOW BRANCH HEALTH AND REHABILITATION

415 PACE STREET, MCMINNVILLE, TN 37110
Score: 56 / 100

Willow Branch Health And Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 56/100. Located in Mcminnville, Tennessee, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at Willow Branch Health And Rehabilitation, with 3.31 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 11 deficiencies at Willow Branch Health And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.31 3.8 Below Average
Registered Nurses (RN) 0.38 0.7 Below Average
Licensed Practical Nurses (LPN) 1.12 0.7 Above Average
Certified Nursing Assistants (CNA) 1.81 2.4 Below Average
Weekend Total Nursing 2.91 3.8 Below Average
Weekend RN Hours 0.17 0.7 Below Average

🔍 Inspection & Deficiency History

11
Total Deficiencies
Apr 29, 2025
Most Recent Inspection
🟠 11 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Apr 29, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Apr 29, 2025 · Resident Rights Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Apr 29, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Apr 29, 2025 · Pharmacy Service Deficiencies
  • Tag 0838 Severity D
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Apr 29, 2025 · Administration Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.8% 4.5% Worse
Falls with major injury 1.5% 3.0% Better
On antipsychotic medication 5.6% 14.5% Better
Urinary tract infections 1.0% 2.5% Better
ADL decline (daily activities) 35.0% 14.0% Worse
Excessive weight loss 10.1% 7.5% Worse
New/worsened incontinence 16.9% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 56 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
140
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 29, 2025
Deficiencies (Cycle 1)
5