D

ALAMO NURSING AND REHABILITATION CENTER

580 W MAIN STREET, ALAMO, TN 38001
Score: 51 / 100

Alamo Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 44th percentile among Tennessee nursing homes, suggesting significant room for improvement.

Staffing levels at Alamo Nursing And Rehabilitation Center exceed national averages, with 4.51 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.36 hours per resident per day is near the national average of 0.7 hours.

Recent CMS inspections identified 20 deficiencies at Alamo Nursing And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure medication error rates are not 5 percent or greater..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.51 3.8 Above Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 1.60 0.7 Above Average
Certified Nursing Assistants (CNA) 2.55 2.4 Average
Weekend Total Nursing 3.96 3.8 Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

20
Total Deficiencies
Feb 11, 2025
Most Recent Inspection
🟠 17 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Feb 11, 2025 · Pharmacy Service Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Feb 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Feb 11, 2025 · Pharmacy Service Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Feb 11, 2025 · Pharmacy Service 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
    Feb 11, 2025 · Pharmacy Service 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 6.5% 4.5% Worse
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 35.6% 14.5% Worse
Urinary tract infections 2.6% 2.5% Average
ADL decline (daily activities) 26.5% 14.0% Worse
Excessive weight loss 12.4% 7.5% Worse
New/worsened incontinence 23.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $12,542

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 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: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 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

Ownership
For profit - Corporation
Certified Beds
121
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 11, 2025
Deficiencies (Cycle 1)
6