The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Nursing home report
BLEDSOE COUNTY NURSING HOME
PIKEVILLE, TN · Medicare-certified · 50 beds
In good standing
Government-run
Data as of September 1, 2026
4 of 5 overall
BLEDSOE COUNTY NURSING HOME in Pikeville, TN has an overall rating of 4 out of 5 stars. Its staffing rating is 2 out of 5 stars, with reported nurse staffing at 3.26 hours per resident day versus the 4.1-hour federal benchmark; it had $0 in fines in the last 24 months, and recent inspection citations included assessment accuracy, dialysis care, and care coordination issues.
Facility ratings
Health inspections
Staffing
3.2592 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2592.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 1.12
- Nurse aides
- 1.77
- Weekend nursing
- 2.87
Hours per resident per day.
Total staff turnover: 46%
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
14.3%13.6%Improving
Residents with a fall causing major injury
2.9%6.1%Worsening
Residents with pressure ulcers (bedsores)
2.4%4.3%Worsening
Residents with a urinary tract infection
5.9%3%Improving
Residents who lost too much weight
3.7%0%Improving
Residents who were physically restrained
6.1%0%Improving
Residents needing more help with daily activities
36%28%Improving
Residents whose ability to walk got worse
—32.2%—
Long-stay residents on antianxiety or sleep medication
44.8%56%Worsening
Residents with a long-term catheter
0%1.7%Worsening
Residents with new or worsening incontinence
18.7%26.8%Worsening
Residents with depressive symptoms
4.3%3.3%Improving
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
—94.3%—
Long-stay residents given the pneumonia vaccine
100%97%Worsening
Short-stay residents given the pneumonia vaccine
—87.5%—
What the inspectors found
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 33.9 residents on an average day (68% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 3 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.