Cypress Grove Post Acute faces challenges in its CMS ratings, earning a D grade with a score of 53/100. The facility ranks in the 46th percentile among Tennessee nursing homes, suggesting significant room for improvement.
Staffing at Cypress Grove Post Acute is near the national average, with 3.63 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 24 deficiencies at Cypress Grove Post Acute, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.63 | 3.8 | Average |
| Registered Nurses (RN) | 0.48 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.14 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.01 | 2.4 | Below Average |
| Weekend Total Nursing | 3.24 | 3.8 | Below Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJun 17, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jun 17, 2025 · Infection Control Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Sep 24, 2024 · Quality of Life and Care Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dSep 24, 2024 · Resident Rights 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 | 6.0% | 4.5% | Worse |
| Falls with major injury | 2.5% | 3.0% | Better |
| On antipsychotic medication | 23.7% | 14.5% | Worse |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 4.4% | 14.0% | Better |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 17.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $17,355
How This Grade Was Calculated
This facility's grade of D is based on a score of 53 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: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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