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GALLAWAY HEALTH AND REHAB Inspection Report, Violations & Safety Grade (GALLAWAY, Tennessee)

435 OLD BROWNSVILLE RD, GALLAWAY, Tennessee 38036

Phone: 9018678575

CMS Overall:1/5

Overview & Bed Count

Certified Beds
104
Avg Residents/Day
87
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Fayette
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.310.60-0.29
Total Nurse Hours per Resident per Day3.053.82-0.77
CMS Staffing Rating1/52.5/5-
Nursing Staff Turnover60.9%48.6%-

Health Citation History

21 health citations on record

DateCategoryDescriptionSeverity
2026-03-18Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.D – Moderate Harm Potential
2025-08-27Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2025-08-27Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-06-09Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2022-06-09Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E – Moderate Harm Potential
2022-06-09Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2022-06-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-06-09Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2022-06-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2019-06-27Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.F – Moderate Harm Potential
2019-06-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2019-06-27Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.E – Moderate Harm Potential
2019-06-27Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2019-06-27Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2019-06-27Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2019-06-27Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2018-09-06Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2018-09-06Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2018-09-06Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2018-09-06Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2018-09-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2019-06-27Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.D – Moderate Harm Potential
2019-06-27Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2019-06-27Emergency Preparedness DeficienciesProvide primary/alternate means for communication.D – Moderate Harm Potential
2019-06-27Emergency Preparedness DeficienciesImplement emergency and standby power systems.D – Moderate Harm Potential
2019-06-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2019-06-27Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2018-09-06Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2018-09-06Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2018-09-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2018-09-06Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential

Total Penalties & Fines

$82,554
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-08-27Fine$82,554-

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