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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.
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 101st 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 |
|---|---|---|
|
Registered Nurse (RN)
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.
| 36m per day | ▼ 3% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
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 11m per day | ▲ 8% State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
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 21m per day | ▲ 9% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
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 16m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 per day | ▲ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 19m per day | ▼ 24% State avg: 25m per day · National avg: 29m per day |
Higher than the Tennessee average: 71.6%Manchester Center for Rehabilitation and Healing, LLC is administrated by Holly Hopkins.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 4 | This facility has 175% more total citations than a typical Tennessee nursing home (11 vs. TN avg 4).↑ 175% worse |
|
Citations per year
Average citations per year since 2018.
| 1.4 | 0.5 | This facility has 180% more citations per year than a typical Tennessee nursing home (1.4 vs. TN avg 0.5).↑ 180% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 8, 2024, found deficiencies related to supervision when a resident was left unattended in a locked transport van for several hours, though no physical or mental harm occurred. Earlier inspections showed a pattern of issues including failure to investigate abuse allegations, lapses in infection control, food safety concerns, and delayed reporting of abuse. Inspectors cited problems mainly with resident supervision, abuse investigation, infection control, and food safety practices. Complaint investigations were substantiated in several cases, including the most recent, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility has taken corrective actions after each inspection, but deficiencies have appeared intermittently without a clear trend of consistent improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on Sep 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.
9 of 10 citations resulted from standard inspections; and 1 of 10 resulted from complaint investigations.
100% 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.
9% better than Tennessee average
0% compared with 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.
9.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,044 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 58 | 24 | 82 | 22,543 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 28 | 26 | 54 | 10,327 | 92 | 100% | 8.8 |
| RN Director of Nursing | 9 | 0 | 9 | 2,291 | 76 | 83% | 8.1 |
| Registered Nurse | 4 | 24 | 28 | 2,230 | 91 | 99% | 9.4 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,169 | 80 | 87% | 8.1 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,392 | 89 | 97% | 7.3 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,185 | 72 | 78% | 7.3 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,140 | 83 | 90% | 6.7 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,015 | 73 | 79% | 7.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 889 | 68 | 74% | 7 |
| Speech Language Pathologist | 5 | 0 | 5 | 823 | 74 | 80% | 5.8 |
| Qualified Social Worker | 6 | 0 | 6 | 803 | 73 | 79% | 6.2 |
| Qualified Activities Professional | 2 | 0 | 2 | 784 | 91 | 99% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 65 | 71% | 8.1 |
| Other Dietary Services Staff | 9 | 0 | 9 | 521 | 63 | 68% | 7.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
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.
9.3
11% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
In line with Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.4%
In line with Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
20.2%
7% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
In line with Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
1.6%
70% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.7%
66% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
9.4%
50% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
16.1%
46% worse than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
15.0%
9% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
10% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
5% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.84
16% worse than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.88
44% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
20% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
16% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
18% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.5%
26% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.9%
29% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.2%
8% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.5%
10% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
116Residents 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 Manchester Center for Rehabilitation and Healing, LLC 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 #46 / 176Payroll — State benchmarkedThis home is ranked 46th 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Manchester's city center to Manchester Center for Rehabilitation and Healing, LLC's address, calculated via Google Maps.
Add your location
Manchester Center for Rehabilitation and Healing, LLC is located in Manchester, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| 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 (Middle Tennessee) | 120 | 90.0% | +23% | 3.26 | +43% | -10% | $0 | 10 | 2.5 | - | 108 | 62 | Kerry Dickerson | $11.7M | $7.7M | 65.8% | 445391 | ||||
| Legacy Health and Rehab |
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 (Keylon Street) | 72 | 70.9% | -3% | 4.05 | -51% | +12% | $0 | 24 | 6.0 | - | 50 | 42 | Legacy Health And Rehab LLC | $5.6M | $4.1M | 73.7% | 445383 |
Manchester Center for Rehabilitation and Healing, LLC is in the Middle Tennessee neighborhood of Manchester.
The legal owner and operator of Manchester Center for Rehabilitation and Healing, LLC is Manchester Center for Rehabilitation and.
Manchester Center for Rehabilitation and Healing, LLC has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TN state health department records, Manchester Center for Rehabilitation and Healing, LLC's license number is 00000355.
Manchester Center for Rehabilitation and Healing, LLC's occupancy is 90%.
Holly Hopkins is the administrator of Manchester Center for Rehabilitation and Healing, LLC.
Manchester Center for Rehabilitation and Healing, LLC has 120 beds.
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