Standing Stone Care and Rehabilitation Center
Nursing Home · Tennessee, TN
CMS overall rating Info 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.

Standing Stone Care and Rehabilitation Center

Nursing Home · Tennessee, TN
CMS overall rating Info 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.
Calculator: See prices in your area
Standing Stone Care and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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.

Inspection oversight

  • Latest inspection: September 24, 2019

Health Inspection History

Inspections since 2018
Total health inspections 4

Tennessee average 3.5


Last Health inspection on Mar 2025

Total health citations
13 Rank #76 / 176Health citations — State benchmarkedThis home is ranked 76th out of 176 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 176 TN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Tennessee average 15.4

Citations per inspection
3.25 Rank #54 / 176Citations per inspection — State benchmarkedThis home is ranked 54th out of 176 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 176 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Tennessee average 4.39


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

11 of 13 citations resulted from standard inspections; and 2 of 13 resulted from complaint investigations.

Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than Tennessee average

Tennessee average: 1.1


Serious health citations
0
100% better than Tennessee average

Tennessee average: 0.6

0 critical citations Tennessee average: 1.1

0 serious citations Tennessee average: 0.6

13 moderate citations Tennessee average: 13.7

0 minor citations Tennessee average: 0.1
Citations history (last 8 years)
Quality of Care moderate citation Mar 04, 2025
Corrected

Care Planning moderate citation Mar 04, 2025
Corrected

Care Planning moderate citation Mar 04, 2025
Corrected

Abuse/Neglect moderate citation Jan 15, 2025
Corrected

Staffing Data

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

Total staff 121
Employees 117
Contractors 4
Staff to resident ratio 1.55:1
11% worse than Tennessee average
Tennessee average ratio: 1.75:1 Tennessee average ratio: 1.75:1See full Tennessee ranking
Avg staff/day 37
Average shift 8.8 hours
6% better than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 30,012

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 All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 21 LPN Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 41 CNA Staff are full-time employees. No contractors work on this role. 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 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

0.5%

160 contractor hours this quarter

Occupational Therapy Assistant: 2 Speech Language Pathologist: 1 Medical Director: 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 Assistant4104114,42192100%9.9
Licensed Practical Nurse210215,57792100%8.8
Registered Nurse9091,9038997%8.4
Clinical Nurse Specialist8081,6847582%8.1
Other Dietary Services Staff9091,28992100%7.5
Respiratory Therapy Technician4048936874%7.3
Speech Language Pathologist6177177582%6.5
Mental Health Service Worker1015866672%8.9
Physical Therapy Aide5055557076%6.7
Dietitian1015166672%7.8
Nurse Practitioner2024816267%7.8
Administrator1014485661%8
Physical Therapy Assistant2024236166%6.9
RN Director of Nursing3033453538%8.4
Qualified Social Worker404752628%2.9
Occupational Therapy Assistant022651617%4.1
Medical Director011362325%1.6
41 Certified Nursing Assistant
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 97%
8 Clinical Nurse Specialist
% of Days 82%
9 Other Dietary Services Staff
% of Days 100%
4 Respiratory Therapy Technician
% of Days 74%
7 Speech Language Pathologist
% of Days 82%
1 Mental Health Service Worker
% of Days 72%
5 Physical Therapy Aide
% of Days 76%
1 Dietitian
% of Days 72%
2 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 61%
2 Physical Therapy Assistant
% of Days 66%
3 RN Director of Nursing
% of Days 38%
4 Qualified Social Worker
% of Days 28%
2 Occupational Therapy Assistant
% of Days 17%
1 Medical Director
% of Days 25%

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. 5.2
50% 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. 11.1
43% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Average Tennessee avg: 3.7 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 7.2%
55% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.0%
68% 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 19.0%
8% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.2%
123% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
68% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
48% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.0%
69% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 22.7%
106% worse than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 30.5%
85% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.8%
In line with Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.0%
11% worse than Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.47
120% 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. 3.15
101% worse than Tennessee average

Tennessee average: 1.57

Short-stay resident measures
Below 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 84.0%
5% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.2%
89% worse than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 78.7%
In line with 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. 22.3%
In line with Tennessee average

Tennessee average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 23.4%
109% worse 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. 54.6%
In line with 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. 46.0%
9% worse than Tennessee average

Tennessee average: 50.6%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

54% of new residents, often for short stays.

Typical stay 27 days

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Facility Characteristics

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

Total residents 78
Medicare
15
19.2% of residents
Medicaid
50
64.1% of residents
Private pay or other
13
16.7% of residents
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.

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.0M
Profit
$39.6K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$11.0M Rank #114 / 176Revenue — State benchmarkedThis home is ranked 114th out of 176 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$39.6K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #128 / 176Payroll — State benchmarkedThis home is ranked 128th 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.
$4.0M
36.2% of revenue Rank #142 / 176Payroll % — State benchmarkedThis home is ranked 142nd out of 176 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee SNFs typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
Total costs $11.0M

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.

Places of interest near Standing Stone Care and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Monterey's city center to Standing Stone Care and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Standing Stone Care and Rehabilitation Center

Add your location

Address

Financial Assistance for
Nursing Home in Tennessee

Standing Stone Care and Rehabilitation Center is located in Monterey, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.

Get Financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled
General Tennessee resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TN

Managed care model; high rural demand.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Tennessee Options for Community Living

TN Options

Age 60+
General Tennessee resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TN

Limited funding; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled
General TN resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TN

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
TN

Includes grandparent caregivers; high rural demand.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TN resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
TN

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+
General TN resident; no income limit but prioritizes low-income.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TN

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

Benefits
Congregate meals ($5-$7/meal value) at senior centers Home-delivered meals ($5-$7/meal)

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+
General TN resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year household, excludes half of Social Security
Asset Limits Not assessed; income-focused.
TN

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

Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Frequently Asked Questions about Standing Stone Care and Rehabilitation Center

What neighborhood is Standing Stone Care and Rehabilitation Center in?

Standing Stone Care and Rehabilitation Center is in the Middle Tennessee neighborhood of Monterey.

Who is the owner of Standing Stone Care and Rehabilitation Center?

The legal owner and operator of Standing Stone Care and Rehabilitation Center is LP Monterey LLC.

Is Standing Stone Care and Rehabilitation Center in a walkable area?

Standing Stone Care and Rehabilitation Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Standing Stone Care and Rehabilitation Center?

According to TN state health department records, Standing Stone Care and Rehabilitation Center's license number is 00000207.

Who is the administrator of Standing Stone Care and Rehabilitation Center?

Kathryn Shaffer is the administrator of Standing Stone Care and Rehabilitation Center.

How many beds does Standing Stone Care and Rehabilitation Center have?

Standing Stone Care and Rehabilitation Center has 115 beds.

What is the address of Standing Stone Care and Rehabilitation Center?

Standing Stone Care and Rehabilitation Center is located at 410 West Crawford Avenue.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.