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Nursing Home in Manchester

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.

Manchester Center for Rehabilitation and Healing, LLC

Nursing Home in Manchester

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.

Manchester Center for Rehabilitation and Healing, LLC

Overview of Manchester Center for Rehabilitation and Healing, LLC
Manchester Center for Rehabilitation and Healing is a warm and close-knit subacute care and nursing center proudly serving the Nashville and Manchester communities. It offers a luxurious, five-star experience for short-term rehabilitation and long-term care. The facility provides a comprehensive range of services including physical, occupational, and speech therapy.
(931) 723-8744

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.
4/5
Tennessee average: 3.1/5
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.
3/5
Tennessee average: 2.9/5
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.
2/5
Tennessee average: 2.5/5
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.
5/5
Tennessee average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 15m per day

This home provides 11% less nursing time per resident than the Tennessee average.

Tennessee average: 3h 40m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 36m per day 37m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 21m per day 2h 9m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 21m per day 3h 21m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 6m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 19m per day 25m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Tennessee average
Occupancy rate 90%
Residents per day (avg) 106
Occupancy rate
90%
Residents per day (avg)
106

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

33% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

27% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.7M
Operating loss
-$1.9M
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$11.7M
Operating loss
-$1.9M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.3M
45.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.3M
Total costs $13.6M
Bed community size
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
29 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
90%
26% higher than Tennessee average

Tennessee average: 72%

Occupied beds
108 / 120
Average residents 82 per day

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceMarch 3, 1997

Additional Licensing Details

License Number00000355
CMS Certification Number445391

Ownership & Operating Entity

Manchester Center for Rehabilitation and Healing, LLC is administrated by Holly Hopkins.

Owner NameManchester Center for Rehabilitation and

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Additional Services

4 services
Short Term Rehabilitation
Long Term Care
Subacute Post-Operative Care
Orthopedic Rehabilitation

Amenities & Lifestyle

3 amenities
Beautiful Courtyard
Lounge And Private Areas
Daily Activities In Various Areas Of The Community
Specific ProgramsShort Term Rehabilitation, Post Acute Rehabilitation, Long Term Care, Orthopedic Rehabilitation, Total Hip Rehabilitation, Total Knee Rehabilitation, Recreational Therapy, IV Therapy, Wound Care, Diabetic Management, Pain Management, Restorative Care, Respiratory Care, Dental Services, Podiatry Services, Optometry Services, 24/7 Skilled Nursing, 24/7 Admissions

Dining & Nutrition

Food DescriptionFood is a central part of the recovery process. Our in-house chef works together with our Staff Dietitian to prepare a menu that is both delicious and nutritious. Daily selections are prepared with only the freshest, highest quality ingredients and are well-presented in a most appealing culinary display; there are always choices available to accommodate any dietary restrictions.

Contact Manchester Center for Rehabilitation and Healing, LLC

Inspection History

In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.

4 visits/inspections

Tennessee average: 9 complaint visits

Latest inspection

Date December 7, 2022

11 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Tennessee average: 17 deficiencies

Health Inspection History

Inspections
Total health inspections 4

Tennessee average 3.5


Last Health inspection on Sep 2025

Total health citations 10

Tennessee average 15.4

Citations per inspection
2.5

Tennessee average 4.39


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

9 of 10 citations resulted from standard inspections; and 1 of 10 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Tennessee average

Tennessee average: 1.1


Serious Health citations More info 0
100% better than Tennessee average

Tennessee average: 0.6

0 critical citations More info Tennessee average: 1.1

0 serious citations More info Tennessee average: 0.6

10 moderate citations More info Tennessee average: 13.7

0 minor citations More info Tennessee average: 0.1
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 24, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Dec 07, 2022
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Dec 07, 2022
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Dec 07, 2022
Corrected

Compare Nursing Homes around Manchester The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

2 facilities compared · CMS & TN Dept. of Health data · Updated Apr 2026

Filter by care type
Manchester Center for Rehabilitation and Healing, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Manchester
120
87.1%
+19%
3.26
-5%
-10%
0
10
2.5
0
106
Dickerson, Kerry
$10.8M
$5.3M
48.7%
445391
Legacy Health and Rehab
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NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Manchester
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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 230
Employees 161
Contractors 69
Staff to resident ratio 1.98:1
11% better than Tennessee average

Tennessee average ratio: 1.79:1

Avg staff/day 64
Average shift 8.4 hours
0% compared with Tennessee average

Tennessee average: 8.3 hours

Total staff hours (quarter) 49,071
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 52
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 105
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

6.1%

2,997 contractor hours this quarter

Certified Nursing Assistant: 33 Licensed Practical Nurse: 22 Registered Nurse: 13 Clinical Nurse Specialist: 1
Staff by category
Certified Nursing Assistant723310522,90991100%8.7
Licensed Practical Nurse30225210,75691100%8.9
Clinical Nurse Specialist7183,3598391%8.4
RN Director of Nursing7071,7336875%8.2
Registered Nurse613191,6938593%9.1
Occupational Therapy Aide5051,1258290%7.2
Speech Language Pathologist6061,0308290%6.2
Physical Therapy Aide6061,0086976%7.8
Mental Health Service Worker3039987380%7.6
Respiratory Therapy Technician3039696976%7.2
Qualified Social Worker5059046774%7.1
Qualified Activities Professional2027308998%7.7
Physical Therapy Assistant5056656470%6.7
Nurse Practitioner2025446673%8
Administrator1015126470%8
Other Dietary Services Staff1011361820%7.6
105 Certified Nursing Assistant
% of Days 100%
52 Licensed Practical Nurse
% of Days 100%
8 Clinical Nurse Specialist
% of Days 91%
7 RN Director of Nursing
% of Days 75%
19 Registered Nurse
% of Days 93%
5 Occupational Therapy Aide
% of Days 90%
6 Speech Language Pathologist
% of Days 90%
6 Physical Therapy Aide
% of Days 76%
3 Mental Health Service Worker
% of Days 80%
3 Respiratory Therapy Technician
% of Days 76%
5 Qualified Social Worker
% of Days 74%
2 Qualified Activities Professional
% of Days 98%
5 Physical Therapy Assistant
% of Days 70%
2 Nurse Practitioner
% of Days 73%
1 Administrator
% of Days 70%
1 Other Dietary Services Staff
% of Days 20%

Facility Characteristics

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

Total census
116 residents
Residents by payment source
Medicare
11 residents (9.5%)
Medicaid
24 residents (20.7%)
Private pay or other
81 residents (69.8%)
Programs & Services
Residents' Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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

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. 9.3
11% better than Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.6
In line with Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Significantly above average Tennessee avg: 3.9 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 15.4%
In line with Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.2%
7% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.4%
In line with Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.6%
70% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
66% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.4%
50% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 16.1%
46% worse than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.0%
9% better than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
10% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
5% better than Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.84
16% worse than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.88
44% better than Tennessee average

Tennessee average: 1.57

Short-stay resident measures
Significantly above average Tennessee avg: 3.4 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 95.8%
20% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
16% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.9%
18% better than Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 16.5%
26% better than Tennessee average

Tennessee average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.9%
29% better than Tennessee average

Tennessee average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 49.2%
8% worse than Tennessee average

Tennessee average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.5%
10% better than Tennessee average

Tennessee average: 50.6%

Guides for Better Senior Living

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CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled, Tennessee resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high rural demand.

Tennessee Options for Community Living

TN Options

Age 60+, Tennessee resident, at risk of nursing home.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; rural/urban balance.

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled, TN resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Tennessee LIHEAP

Age 60+ prioritized, TN resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; emergency aid available.

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Includes grandparent caregivers; high rural demand.

Senior Community Service Employment Program (SCSEP)

Tennessee SCSEP

Age 55+, unemployed, low-income, TN resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TN resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran population; supports rural/urban care needs.

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+, TN resident; no income limit but prioritizes low-income.

None; donations encouraged.

Not assessed.

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+, TN resident, homeowner/renter (or widow/er 50+, disabled 18+).

~$45,000/year (household, excludes half of Social Security).

Not assessed; income-focused.

Rebates up to $1,000; serves ~100,000 annually.