Gallaway Health and Rehab
435 Old Brownsville Rd · Gallaway, TN · 38036 · 9018678575
104 certified beds For profit - Limited Liability company Chain: Mission Health Communities
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$78,741 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.57 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 1 · $78,741 |
Inspection citations (21 in the current record)
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Potential for harm · D March 18, 2026 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 1, 2026 · Administration
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Immediate jeopardy · J August 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 9, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 8, 2022 · Resident Rights
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Potential for harm · D June 9, 2022
Respond appropriately to all alleged violations.
Corrected July 8, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 9, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2022
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected July 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 8, 2022 · Quality of Life and Care
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Potential for harm · F June 9, 2022
Provide and implement an infection prevention and control program.
Corrected July 8, 2022 · Infection Control
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Potential for harm · F June 27, 2019
Honor 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.
Corrected July 27, 2019 · Resident Rights
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Potential for harm · D June 27, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 27, 2019 · Quality of Life and Care
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Potential for harm · F June 27, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 27, 2019 · Nutrition and Dietary
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Potential for harm · D June 27, 2019
Dispose of garbage and refuse properly.
Corrected July 27, 2019 · Nutrition and Dietary
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Potential for harm · E June 27, 2019
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected July 27, 2019 · Administration
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Potential for harm · E June 27, 2019
Provide and implement an infection prevention and control program.
Corrected July 27, 2019 · Infection Control
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Potential for harm · E June 27, 2019
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 27, 2019 · Environmental
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Potential for harm · D September 6, 2018
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 14, 2018 · Resident Rights
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Potential for harm · D September 6, 2018
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 14, 2018 · Quality of Life and Care
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Potential for harm · D September 6, 2018
Ensure 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.
Corrected September 14, 2018 · Quality of Life and Care
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Potential for harm · D September 6, 2018
Ensure 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.
Corrected September 14, 2018 · Pharmacy Service
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Potential for harm · D September 6, 2018
Provide and implement an infection prevention and control program.
Corrected September 14, 2018 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $78,741 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445440 · certified since January 28, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.