Towne Square Care of Puryear
220 College Street · Puryear, TN · 38251 · 7312473205
32 certified beds For profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.60 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D March 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Post nurse staffing information every day.
Corrected April 11, 2025 · Nursing and Physician Services
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Potential for harm · D March 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 11, 2025 · Pharmacy Service
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Potential for harm · D March 26, 2025
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 April 11, 2025 · Pharmacy Service
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Potential for harm · E March 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D March 26, 2025
Provide and implement an infection prevention and control program.
Corrected April 11, 2025 · Infection Control
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Potential for harm · D April 3, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · D April 3, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 31, 2024 · Nursing and Physician Services
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Potential for harm · D April 3, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 31, 2024 · Pharmacy Service
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Potential for harm · E April 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 31, 2024 · Nutrition and Dietary
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Potential for harm · D April 3, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 30, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 21, 2022 · Resident Rights
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Potential for harm · E March 30, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 21, 2022 · Resident Rights
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Potential for harm · D March 30, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2022
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 April 21, 2022 · Quality of Life and Care
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Potential for harm · D March 30, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 21, 2022 · Pharmacy Service
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Potential for harm · D March 30, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 21, 2022 · Pharmacy Service
Better-scoring options nearby
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 445470 · certified since April 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.