The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ALAMO NURSING AND REHABILITATION CENTER
ALAMO, TN · Medicare-certified · 121 beds
In good standing
For-profit
4 of 5 overall
Alamo Nursing and Rehabilitation Center in Alamo, TN has a 4-star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 2 stars for quality measures. It reports 4.67 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, had no fines in the last 24 months, and recent inspection citations included accident hazards/supervision, medication errors, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
4.6704 hrs/resident/day
Quality measures
Last inspection: March 11, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6704.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 1.74
- Nurse aides
- 2.57
- Weekend nursing
- 4.02
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30%45%Worsening
Residents with a fall causing major injury
3.5%1.9%Improving
Residents with pressure ulcers (bedsores)
6.4%6.8%No change
Residents with a urinary tract infection
0%3.9%Worsening
Residents who lost too much weight
18.5%10.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34%30%Improving
Residents whose ability to walk got worse
—57.9%—
Long-stay residents on antianxiety or sleep medication
48.1%42%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
5.6%2.5%Improving
Residents with new or worsening incontinence
28.4%25.2%Improving
Residents with depressive symptoms
3.8%6.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.8%—
Long-stay residents given the pneumonia vaccine
73.7%71.7%Worsening
Short-stay residents given the seasonal flu vaccine
—71.9%—
Short-stay residents given the pneumonia vaccine
80.6%54.3%Worsening
What the inspectors found
The nursing home failed to keep medication mistakes below the allowed level. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,542 in total fines · 1 payment denial.
- 24 days
Medicare/Medicaid payment denial
Mar 15, 2024
- $12,542
Federal fine
Mar 15, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 57 residents on an average day (47% of 121 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.