Henry County, Tennessee · Nursing home
Towne Square Care of Puryear
2 of 5 overall from CMS
220 College Street, Puryear, TN 38251
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 4.29 hours Above the state average of 3.80
- Nursing staff who left in a year 22.7% Below the state average of 48.9%
- Health citations, last 3 inspection cycles 16 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 79.4% of 32 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Towne Square Care of Puryear is a 32-bed nursing home in Puryear, Tennessee (Henry County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.29 nurse staffing hours per resident per day, above the Tennessee average of 3.80. CMS lists no fines in the past three years.
- Certified beds
- 32
- Residents per day (average)
- 25.4
- Certified since
- 2003 (23 yrs)
For profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Towne Square Care of Puryear
Chosen from this home's public data.
- Reported nurse staffing is 2.83 hours per resident on weekends against 4.29 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.52 hours per resident per day; the Tennessee average is 0.60. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Tennessee average 3.0
- Health inspections 3 of 5 Tennessee average 3.0
- Staffing 1 of 5 Tennessee average 2.5
- Quality measures 4 of 5 Tennessee average 3.6
The vertical line marks the Tennessee average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.29 h Tennessee average 3.80
- Nurse aides 3.03 h Tennessee average 2.12
- Licensed practical nurses 0.74 h Tennessee average 1.09
- Registered nurses 0.52 h Tennessee average 0.60
- All staff, weekends 2.83 h Tennessee average 3.31
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Tennessee average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover22.7%
- Tennessee average48.9%
- Registered nurse turnoverNot reported
- Tennessee average43.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Tennessee and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 24.5% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.0% | 6.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.2% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 9.3% | 13.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 89.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.8% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 60.7% | 31.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.9% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.0% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.8% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.7% | 16.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.49 | 1.67 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.68 | 1.56 | 1.78 |
Short-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.7% | 79.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 79.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 16 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 19, 2026 | 3 | 3 |
| Mar 26, 2025 | 8 | 3 |
| Apr 3, 2024 | 5 | 0 |
Tennessee homes averaged 4.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (16)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 12, 2026)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Jun 12, 2026)
-
DPotential for more than minimal harm, isolated
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Jun 12, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2025)
Show 11 more
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 31, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 31, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 31, 2024)
-
DPotential for more than minimal harm, isolated
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.
Nursing and Physician Services · Deficient, Provider has date of correction (May 31, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (May 31, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Tennessee homes averaged 0.5 fines and $22,907 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Tennessee
- Size298 of 303 by certified beds
- Tennessee average residents per day84.0
- ChainNone listed
- Resident or family councilBoth
- Homes in Henry County3
Common questions
What is the CMS star rating for Towne Square Care of Puryear?
Towne Square Care of Puryear has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 1 and quality measures is 4.
How many beds does Towne Square Care of Puryear have?
Towne Square Care of Puryear has 32 certified beds. It averages 25.4 residents per day, about 79.4% of its certified beds.
How much nursing care do residents get at Towne Square Care of Puryear?
The home reports 4.29 hours of nurse staffing per resident per day, including 0.52 hours from registered nurses. The Tennessee average is 3.80 hours and 0.60 hours from registered nurses.
Has Towne Square Care of Puryear been fined?
CMS lists no fines for this home in the past three years.
Does Towne Square Care of Puryear accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Henry County Health and Rehabilitation 136beds 79.6%in use 4.53nurse hours a day
- 1 of 5 Spring Creek Post-Acute Rehabilitation Center 226beds 57.9%in use 4.31nurse hours a day
- 4 of 5 Patriot Health and Rehabilitation Center 127beds 81.3%in use 3.80nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Henry County
Who to call in Tennessee
These offices serve residents of every nursing home in Tennessee.
- Long-term care ombudsman Tennessee Long-Term Care Ombudsman Program 877-236-0013 (Toll-free; routes callers to the District Ombudsman program for their area. State office: 615-253-5412.) An advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Commission complaint intake (Division of Licensure and Regulation) 1-877-287-0010 (Toll-free; Monday through Friday, 8:00 a.m. - 4:30 p.m. Complaints can also be filed through the Commission's online Public Records & Complaints Portal.) The state agency that inspects nursing homes.
Tennessee staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 445470. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.