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The Preserve at Fairfield Glade
Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Fairfield Glade, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Pathway through landscaped garden at a senior living facility Exterior view of a senior living facility at dusk Outdoor seating area with a stone fireplace View of an interior common area with seating and a fireplace

The Preserve at Fairfield Glade

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Fairfield Glade, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
100 Samaritan Way, Fairfield Glade, TN 38558 View map
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The Preserve at Fairfield Glade accepts Medicare, Medicaid, and private pay.
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The Preserve at Fairfield Glade accepts Medicare, Medicaid, and private pay.

Overview of The Preserve at Fairfield Glade

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The Preserve at Fairfield Glade offers independent living, assisted living, nursing home care, and skilled nursing in Fairfield Glade, TN. Independent living provides private living with community services and no daily care, while assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space. Skilled nursing provides licensed nursing care on site around the clock, and the combination of care levels can allow a resident’s care to change without leaving the community.

The community has 99 beds. Respite care provides a short stay for a resident while a regular caregiver travels or recovers, and short-term rehabilitation services support a resident during recovery. Medicare, Medicaid, and private pay are accepted.

A restaurant-style dining room provides a dedicated setting for meals, while the salon offers an on-site place for personal grooming. Walking trails and a wellness center give residents places for outdoor walks and wellness activities, and scheduled local transportation supports planned trips within the area. The community is operated by Fairfield Glade of Tennessee and administered by Barry Cotton.

Total nurse staffing is 4 hours per resident per day, representing the daily hands-on nursing time allocated to each resident. The Preserve at Fairfield Glade may be a good fit for someone whose care needs could grow over time or for a family seeking a short-term respite or rehabilitation stay.

Facility Direct Line (931) 456-1576
Instagram

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 30.8% Above TN avg. ▲ 30.8% Above TN avg.TN average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 32.6% Above TN avg. ▲ 32.6% Above TN avg.TN average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 21.9% Above TN avg. ▲ 21.9% Above TN avg.TN average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 11.7% Above TN avg. ▲ 11.7% Above TN avg.TN average: 3.6Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Tennessee averages

Rank #33 / 178Nurse hours — State benchmarked This nursing home is ranked 33rd out of 178 nursing homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 178 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Total nursing care Info This nursing home is ranked 33rd out of 178 nursing homes we track in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 0m

9% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
42m
+22% State avg: 34m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 10m
+12% State avg: 1h 2m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 8m
+5% State avg: 2h 2m per day · National avg: 2h 24m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 40m
+15% State avg: 3h 11m per day · National avg: 3h 31m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
+26% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
30m
+30% State avg: 23m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

Standout metric: Weekend RN is +30% above Tennessee average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 99 Rank #101 / 185Bed count — State benchmarked This nursing home is ranked 101st out of 185 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management. Rank #150 / 161Years in operation — State benchmarked This nursing home is ranked 150th out of 161 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
15 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #132 / 193Walk Score — State benchmarked This nursing home is ranked 132nd out of 193 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
23 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
52

Source: CMS Provider Information, average daily residents (data as of Aug 2026)

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
57 days

About this community

License Details

Facility TypeAssisted Care Living Facility
IssuanceSeptember 22, 2011
License Number00000320

Ownership & Operating Entity

The Preserve at Fairfield Glade is administered by Barry Cotton.

Owner NameFairfield Glade of Tennessee, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Services

2 services
Respite Care
TransportationListed as: Scheduled local transportation

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Library
Salon
Golf Course
Walking Paths
Wellness Center
Whirlpool
Specific ProgramsIndependent Lifestyle, Ideal Location, Continuum of Care

Faith & Spiritual Life

Chapel

Contact The Preserve at Fairfield Glade

CMS Health Inspection History

Inspections Since 2019 · 7 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 4

State average 3.3

Last Health inspection on Jun 2026

Total health citations
12 Rank #102 / 179Health citations — State benchmarked This nursing home is ranked 102nd out of 179 nursing homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 179 TN facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

State average 14.5

Citations per inspection
3 Rank #74 / 179Citations per inspection — State benchmarked This nursing home is ranked 74th out of 179 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 179 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

State average 4.31

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than State average

State average: 0.8

Serious health citations
0
100% better than State average

State average: 0.5

0 critical citations State average: 0.8
0 serious citations State average: 0.5
11 moderate citations State average: 13.1
1 minor citation State average: 0.1
Citations history (last 7 years)
Care Planning moderate citation Jun 03, 2026
Corrected
Care Planning moderate citation Oct 07, 2024
Corrected
Abuse/Neglect moderate citation May 03, 2023
Corrected
Abuse/Neglect moderate citation May 03, 2023
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 129
Employees 58
Contractors 71
Staff to resident ratio 2.74 : 1

129 total staff / 47 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).

63% more staff per resident than Tennessee average
Tennessee average ratio: 1.68 : 1 Tennessee average ratio: 1.68 : 1See full Tennessee ranking
Avg staff/day 29
Average shift 8.5 hours
0% compared with Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 22,679

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 36 total: 11 full-time employees and 25 contractors. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 61 total: 31 full-time employees and 30 contractors. 61
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

22.3%

5,065 contractor hours this quarter

Certified Nursing Assistant: 30 Licensed Practical Nurse: 25 Speech Language Pathologist: 5 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Registered Nurse: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Nurse Practitioner: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3130619,21492100%9.8
Licensed Practical Nurse1125364,29992100%9.6
Registered Nurse91102,5639098%9.9
Other Dietary Services Staff2021,0748289%7.7
Speech Language Pathologist0551,0076672%4.1
Physical Therapy Aide0227366267%7.1
Nurse Practitioner2137296065%10.1
Physical Therapy Assistant0227087278%6.3
Respiratory Therapy Technician0335456571%4.6
Administrator1015196571%8
Clinical Nurse Specialist1014536672%6.9
Dental Services Staff1014425661%7.9
Qualified Social Worker0112523639%7
Occupational Therapy Aide0111381718%8.1
61 Certified Nursing Assistant
% of Days 100%
36 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 98%
2 Other Dietary Services Staff
% of Days 89%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 18.3
102% worse than Tennessee average

Tennessee average: 9.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 35.1
105% worse than Tennessee average

Tennessee average: 17.1

Long-stay resident measures
Below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 33.3%
138% worse than Tennessee average

Tennessee average: 14.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 43.9%
155% worse than Tennessee average

Tennessee average: 17.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.9%
40% worse than Tennessee average

Tennessee average: 20.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.9%
103% worse than Tennessee average

Tennessee average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
49% better than Tennessee average

Tennessee average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Tennessee average

Tennessee average: 1.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.0%
19% better than Tennessee average

Tennessee average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.5%
46% better than Tennessee average

Tennessee average: 13.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.6%
8% better than Tennessee average

Tennessee average: 16.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
12% better than Tennessee average

Tennessee average: 89.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
In line with Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
26% better than Tennessee average

Tennessee average: 79.3%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
43% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.4%
16% better than Tennessee average

Tennessee average: 79.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

55% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)

Total residents 47
Medicare
15
31.9% of residents
Medicaid
7
14.9% of residents
Private pay or other
25
53.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$5.5M
For-profit Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.4M Rank #118 / 172Net patient revenue — State benchmarked This nursing home is ranked 118th out of 172 nursing homes we track in Tennessee. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$5.5M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$4.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #57 / 172Payroll costs — State benchmarked This nursing home is ranked 57th out of 172 nursing homes we track in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$6.4M 75.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #8 / 172Payroll % of net patient revenue — State benchmarked This nursing home is ranked 8th out of 172 nursing homes we track in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.9M
How we calculate these figures

This home is administered by Barry Cotton.

This home is owned by Fairfield Glade of Tennessee, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445506

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
319 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 55%
Medicaid 2%
Discharges
328 total

Coverage residents most often leave under.

Medicare 35%
Private pay 60%
Medicaid 5%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Preserve at Fairfield Glade

Address 0.0 miles from city center Info Estimated distance in miles from Fairfield Glade's city center to The Preserve at Fairfield Glade's address, calculated via Google Maps.

Calculate Travel Distance to The Preserve at Fairfield Glade

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
NHC HealthCare Johnson City ★ ★ ★ ★ ★
NH
HC
HOS
SNF
Johnson City
10
Facility 10
TN AVG 105
Rank #185 / 185
--
3.58
Facility 3.58
TN AVG 3.67
Rank #73 / 178
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -8%-2%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 179
1
Facility 1
TN AVG 14.5
Rank #1 / 179
1.0
Facility 1.0
TN AVG 4.3
Rank #1 / 179
-157-
2
Facility 2
TN AVG 38
Rank #183 / 193
Nhc Healthcare/Johnson City LLC
$19.1MFiscal year ending 12/2023
Facility $19.1MFiscal year ending 12/2023
TN AVG $11.1M
Rank #13 / 172
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #15 / 172
55.7%Fiscal year ending 12/2023
Facility 55.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #59 / 172
445024
Smith County Health and Rehabilitation ★ ★ ★ ★ ★
NH
MC
SNF
Carthage
34
Facility 34
TN AVG 105
Rank #173 / 185
--
3.50
Facility 3.50
TN AVG 3.67
Rank #82 / 178
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -1%-5%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 179
6
Facility 6
TN AVG 14.5
Rank #15 / 179
2.0
Facility 2.0
TN AVG 4.3
Rank #10 / 179
281-
45
Facility 45
TN AVG 38
Rank #77 / 193
Carthage Opco LLC
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
TN AVG $11.1M
Rank #103 / 172
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
TN AVG $5.9M
Rank #127 / 172
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #154 / 172
445172
Harbert Hills Academy Nursing Home ★ ★ ★ ★ ★
NH
SNF
Savannah
24
Facility 24
TN AVG 105
Rank #182 / 185
--
5.46
Facility 5.46
TN AVG 3.67
Rank #8 / 178
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ -55%+49%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 179
13
Facility 13
TN AVG 14.5
Rank #77 / 179
4.3
Facility 4.3
TN AVG 4.3
Rank #90 / 179
-48-
60
Facility 60
TN AVG 38
Rank #36 / 193
Rural Life Foundation Inc. Dba---445527
The Preserve at Fairfield Glade ★ ★ ★ ★ ☆
NH
AL
IL
SNF
Fairfield Glade
99
Facility 99
TN AVG 105
Rank #101 / 185
--
4.00
Facility 4.00
TN AVG 3.67
Rank #33 / 178
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -11%+9%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 179
12
Facility 12
TN AVG 14.5
Rank #102 / 179
3.0
Facility 3.0
TN AVG 4.3
Rank #74 / 179
-52-
23
Facility 23
TN AVG 38
Rank #132 / 193
Fairfield Glade Of Tennessee, LLC
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
TN AVG $11.1M
Rank #118 / 172
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
TN AVG $5.9M
Rank #57 / 172
75.7%Fiscal year ending 12/2023
Facility 75.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #8 / 172
445506
Rainbow Rehab & Healthcare ★ ★ ☆ ☆ ☆
NH
SNF
Bartlett (West Tennessee)
99
Facility 99
TN AVG 105
Rank #101 / 185
--
3.48
Facility 3.48
TN AVG 3.67
Rank #82 / 178
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -15%-5%
$0
Facility $0
TN AVG $69.0k
Rank #1 / 179
10
Facility 10
TN AVG 14.5
Rank #23 / 179
5.0
Facility 5.0
TN AVG 4.3
Rank #161 / 179
-106-
52
Facility 52
TN AVG 38
Rank #56 / 193
Bartlett Operator LLC
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
TN AVG $11.1M
Rank #91 / 172
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
TN AVG $5.9M
Rank #111 / 172
45%Fiscal year ending 12/2023
Facility 45%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #128 / 172
445283

Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about The Preserve at Fairfield Glade

Who is the owner of The Preserve at Fairfield Glade?

The Preserve at Fairfield Glade is legally operated by Fairfield Glade of Tennessee, LLC, and administered by Barry Cotton.

Is The Preserve at Fairfield Glade in a walkable area?

The Preserve at Fairfield Glade has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The Preserve at Fairfield Glade?

According to TN state health department records, The Preserve at Fairfield Glade's license number is 00000320.

What is the occupancy rate at The Preserve at Fairfield Glade?

The Preserve at Fairfield Glade's occupancy is 70.4%.

How long has The Preserve at Fairfield Glade been in business?

The Preserve at Fairfield Glade has been operating for approximately 15 years, based on available licensing and registration records.

Are pets allowed at The Preserve at Fairfield Glade?

No, The Preserve at Fairfield Glade has a no-pet policy.

Does The Preserve at Fairfield Glade operate as a for-profit or non-profit?

The Preserve at Fairfield Glade is registered as a for-profit in TN.

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