The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
TOWNE SQUARE CARE OF PURYEAR
PURYEAR, TN · Medicare-certified · 32 beds
In good standing
For-profit
2 of 5 overall
Towne Square Care of Puryear has an overall rating of 2 out of 5 stars. Its staffing rating is 1 out of 5, with reported nurse staffing at 3.36 hours per resident per day versus the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3622 hrs/resident/day
Quality measures
Last inspection: March 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3622.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.15
- Weekend nursing
- 2.60
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 20%
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
—8.7%—
Residents with a fall causing major injury
4%3.7%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
8.3%8%No change
Residents who lost too much weight
—0%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—21.8%—
Residents whose ability to walk got worse
—24.1%—
Long-stay residents on antianxiety or sleep medication
—60.3%—
Residents with a long-term catheter
4.3%3.6%Improving
Residents with new or worsening incontinence
31.9%44.6%Worsening
Residents with depressive symptoms
43.5%0%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
—88.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—73.2%—
What the inspectors found
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited March 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 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 · $5,244 in total fines.
- $5,244
Federal fine
Jun 12, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 25.8 residents on an average day (81% of 32 beds)
- Resident voice
- Resident & family councils
- 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.