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
Data as of July 1, 2026
4 of 5 overall
ALAMO NURSING AND REHABILITATION CENTER in Alamo, TN has an overall rating of 4 out of 5 stars, with strong health inspection results and staffing above the federal benchmark (4.96 vs. 4.1 hours per resident day). It has no fines in the last 24 months, though recent inspection citations included accident hazards/supervision, medication errors, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
4.9578 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 4.9578.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 1.84
- Nurse aides
- 2.72
- Weekend nursing
- 4.08
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 40%
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
34.1%38.1%Worsening
Residents with a fall causing major injury
1.7%4.1%Worsening
Residents with pressure ulcers (bedsores)
5.4%10.6%Worsening
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
20%6.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19%39.5%Worsening
Residents whose ability to walk got worse
—57.9%—
Long-stay residents on antianxiety or sleep medication
45.5%50%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.4%5.2%Worsening
Residents with new or worsening incontinence
20.6%23.7%Worsening
Residents with depressive symptoms
1.9%11.1%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
74.1%67.3%Worsening
Short-stay residents given the seasonal flu vaccine
—71.9%—
Short-stay residents given the pneumonia vaccine
80.8%46.9%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
- 54.5 residents on an average day (45% 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.