A
90/100

PINE MEADOWS HEALTH CARE Inspection Report, Violations & Safety Grade (BOLIVAR, Tennessee)

700 NUCKOLLS ROAD PO BOX A, BOLIVAR, Tennessee 38008

Phone: 7316584707

CMS Overall:5/5

Overview & Bed Count

Certified Beds
134
Avg Residents/Day
96.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Hardeman
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.610.60+0.02
Total Nurse Hours per Resident per Day3.653.82-0.17
CMS Staffing Rating3/52.5/5-
Nursing Staff Turnover41.3%48.6%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2026-07-08Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-07-08Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2026-07-08Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2026-07-08Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-06-10Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2021-06-10Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2021-06-10Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2021-06-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2021-06-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

1 fire safety citation on record

DateCategoryDescriptionSeverity
2020-03-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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