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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Located in Hendersonville, TN, American House Hendersonville is an esteemed senior living community that offers assisted living, memory care, and respite stays. The community offers a maintenance-free living with housekeeping and laundry taken care of. Residents enjoy the comfort and security of well-appointed apartments with 24-hour on-site team availability and emergency response. Services like postal service, scheduled transportation, and medication assistance add to residents’ comfort and convenience.
The community features a variety of services and amenities that empowers residents to live a fulfilled and meaningful life. Residents eat well with three chef-prepared meals served in a cozy dining area that fosters bonding over meals. Apart from their specialized memory care program, the community also features an Alzheimer’s support group to ensure residents dealing with memory loss feel a sense of belonging and support. Amenities include an arts & craft studio, a salon, well-stocked library, a computer lab, beautifully maintained outdoor areas, and cozy common areas.
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.
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.
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.
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.
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.
This home is ranked 69th out of 172 homes in Tennessee. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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 28m per day |
Higher than the Tennessee average: 71.6%American House Hendersonville is legally operated by EC OPCO Hendersonville, LLC, and administrated by Marquita Hayhurst.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on Nov 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 19 citations resulted from standard inspections; and 2 of 19 resulted from complaint investigations.
9% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% worse than Tennessee average
6% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 59 | 0 | 59 | 15,782 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 25 | 0 | 25 | 11,637 | 92 | 100% | 10.1 |
| Registered Nurse | 15 | 0 | 15 | 3,977 | 92 | 100% | 10.7 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,018 | 64 | 70% | 8.1 |
| Dental Services Staff | 2 | 0 | 2 | 997 | 67 | 73% | 8.2 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 905 | 76 | 83% | 6.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 895 | 68 | 74% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 887 | 63 | 68% | 9.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 873 | 66 | 72% | 7.2 |
| Speech Language Pathologist | 6 | 0 | 6 | 862 | 88 | 96% | 5.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 641 | 76 | 83% | 6.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 464 | 59 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 446 | 48 | 52% | 9.3 |
| Administrator | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 300 | 64 | 70% | 4.7 |
| Other Activities Staff | 2 | 0 | 2 | 164 | 65 | 71% | 2.1 |
| Nurse Aide in Training | 1 | 0 | 1 | 35 | 4 | 4% | 8.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 2 | 2% | 5 |
| Medical Director | 0 | 2 | 2 | 1 | 3 | 3% | 0.1 |
| Other Physician | 0 | 1 | 1 | 0 | 1 | 1% | 0.2 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.8
22% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
14% worse than Tennessee averageTennessee average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
56% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
25.0%
15% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.9%
19% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
23% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
7.1%
30% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.6%
22% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
4.2%
34% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
6.4%
42% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
20.3%
23% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
6% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.6%
21% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
36% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.5%
In line with Tennessee averageTennessee average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
70% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
94Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for American House Hendersonville based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #43 / 176Payroll — State benchmarkedThis home is ranked 43rd out of 176 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
23.8 miles from city center
Estimated distance in miles from Hendersonville's city center to American House Hendersonville's address, calculated via Google Maps.
— 0.75 miles to nearest hospital (Tennessee Orthopaedic Alliance (TOA) - Hendersonville)
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American House Hendersonville is located in Hendersonville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
American House Hendersonville is in the Lake Club Estates neighborhood of Hendersonville.
The legal owner and operator of American House Hendersonville is EC OPCO Hendersonville, LLC.
American House Hendersonville has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TN state health department records, American House Hendersonville's license number is 00000123.
According to TN state health department records, American House Hendersonville's license expires on April 15, 2026.
American House Hendersonville's occupancy is 80%.
Yes — see the floorplan options available at American House Hendersonville on this page.
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