Total health inspections
5
Tennessee average 3.5
Last Health inspection on Jul 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Stones River Manor, Inc.
Nursing Home · Murfreesboro, TN
CMS overall rating
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.
Stones River Manor, Inc.
Nursing Home · Murfreesboro, TN
CMS overall rating
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.
Stones River Manor, Inc. accepts Medicare and private pay.
Stones River Manor, Inc. is a senior living community located in Murfreesboro, TN. It offers a range of services including Independent Living, Assisted Living, Assured Care, Adult Day Program & Respite Care, and Advanced Care. The community is dedicated to serving seniors with Christian values in a not-for-profit environment since 1977.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 3rd out of 134 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.
This home is ranked 3rd out of 134 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.
6h 6m per day
Rank #3 / 134Nurse hours — state benchmarkedThis home is ranked 3rd out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Tennessee avg
+67%
Standout metric
LPN / LVN is +85% above state avg
| Staff type | Hours / day | 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.
| 1h 0m per day | ▲ 62% 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.
| 2h 0m per day | ▲ 85% State avg: 1h 5m 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.
| 3h 13m per day | ▲ 50% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 5h 12m per day | ▲ 55% 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 |
|
RN (Weekend)
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.
| 33m per day | ▲ 38% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
91.9%
Rank #23 / 139Occupancy rate — state benchmarkedThis home is ranked 23rd out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
42 days
Occupancy rate
91.9%
Rank #23 / 139Occupancy rate — state benchmarkedThis home is ranked 23rd out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
42 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
93% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
7% of new residents, often for short stays.
Typical stay
8 - 9 months
Finances and operations
Voluntary non-profit community
Home revenue
$5.2M
Operating deficit
-$270.3K
Voluntary non-profit community
Home revenue
$5.2M Rank #127 / 139Revenue — state benchmarkedThis home is ranked 127th out of 139 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 %.
Operating deficit
-$270.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #127 / 139Payroll — state benchmarkedThis home is ranked 127th out of 139 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.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #127 / 139Payroll — state benchmarkedThis home is ranked 127th out of 139 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
30-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
7 years in operation
An established community with some operational experience and growing routines.
Walk Score: 5 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceAugust 6, 2018
ExpirationAugust 5, 2026
License Number00000412
CMS Certification Number445534
Stones River Manor, Inc. is administrated by Amanda Pullias.
Owner NameStones River Manor, Inc
Rehabilitation Services
Respite Care
Short-Term Rehab
Assured Care
Adult Day Program & Respite Care
Advanced Care
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: October 16, 2022
Health Inspection History
Inspections
Total health citations
17
Rank #90 / 138Health citations — state benchmarkedThis home is ranked 90th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
Tennessee average 15.4
Citations per inspection
3.4
Rank #39 / 138Citations per inspection — state benchmarkedThis home is ranked 39th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 17 citations resulted from standard inspections; and 3 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 7 years)
Critical Health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious Health citations
0
0
100% better than Tennessee averageTennessee average: 0.6
0 critical citations
0 serious citations
17 moderate citations
0 minor citations
Citations history (last 7 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 01, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 01, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 01, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 01, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 01, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 01, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 18, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 18, 2024
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.
Financial Assistance for
Nursing Home in Tennessee
Stones River Manor, Inc. is located in Murfreesboro, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Places of interest near Stones River Manor, Inc.
5.8 miles from city center
Estimated distance in miles from Murfreesboro's city center to Stones River Manor, Inc.'s address, calculated via Google Maps.
Calculate Travel Distance to Stones River Manor, Inc.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
138
Employees
40
Contractors
98
Staff to resident ratio
5.11:1
185% better than Tennessee averageTennessee average ratio: 1.79:1
Avg staff/day
29
Average shift
7.3 hours
12% worse than Tennessee averageTennessee average: 8.3 hours
Total staff hours (quarter)
19,387
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
74
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
25.1%
4,860 contractor hours this quarter
Certified Nursing Assistant: 54
Licensed Practical Nurse: 20
Physical Therapy Assistant: 5
Speech Language Pathologist: 4
Physical Therapy Aide: 4
Respiratory Therapy Technician: 4
Qualified Social Worker: 4
Registered Nurse: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 20 | 54 | 74 | 8,069 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 8 | 20 | 28 | 3,535 | 91 | 100% | 8.4 |
| Registered Nurse | 4 | 1 | 5 | 2,114 | 91 | 100% | 10.1 |
| RN Director of Nursing | 2 | 0 | 2 | 983 | 68 | 75% | 7.8 |
| Speech Language Pathologist | 0 | 4 | 4 | 814 | 67 | 74% | 5.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 566 | 70 | 77% | 5 |
| Dietitian | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 484 | 68 | 75% | 6.5 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 292 | 46 | 51% | 6.3 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 257 | 69 | 76% | 3.2 |
| Physical Therapy Assistant | 0 | 5 | 5 | 210 | 63 | 69% | 3 |
| Medical Director | 0 | 1 | 1 | 47 | 13 | 14% | 3.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
74 Certified Nursing Assistant
% of Days
100%
28 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
75%
4 Speech Language Pathologist
% of Days
74%
4 Physical Therapy Aide
% of Days
77%
1 Dietitian
% of Days
71%
1 Mental Health Service Worker
% of Days
69%
1 Nurse Practitioner
% of Days
68%
4 Qualified Social Worker
% of Days
75%
1 Administrator
% of Days
64%
1 Occupational Therapy Aide
% of Days
51%
4 Respiratory Therapy Technician
% of Days
76%
5 Physical Therapy Assistant
% of Days
69%
1 Medical Director
% of Days
14%
1 Other Dietary Services Staff
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
27
Medicare
16
59.3% of residents
Private pay or other
11
40.7% of residents
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
15% better than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.3
50% worse than Tennessee averageTennessee average: 19.5
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
26.1%
Percent of long-stay residents whose need for help with daily activities has increased
26.1%
63% worse than Tennessee averageTennessee average: 16.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.5%
57% worse than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
26% better than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
57% better than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.4%
Percent of long-stay residents with a urinary tract infection
5.4%
162% worse than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
31% better than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.2%
Percent of long-stay residents who received an antipsychotic medication
16.2%
In line with Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
10% worse than Tennessee averageTennessee average: 89.9%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.7%
30% worse than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
21% worse than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.5%
In line with Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.0%
31% worse than Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.9%
21% better than Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
86% worse than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
In line with Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
68.5%
Rate of successful return to home or community from a skilled nursing facility.
68.5%
35% 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.
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.
Compare Nursing Home around Murfreesboro
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
| Stones River Manor, Inc. |
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. | Murfreesboro | 30 | 91.9% | +26% | 6.09 | -59% | +68% | 0 | 17 | 3.4 | - | 27 | - | 5 | Jeffrey Adcock | $5.2M | $2.2M | 42.2% | 445534 | ||||
| NHC HealthCare Murfreesboro |
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. | Murfreesboro | 181 | 67.2% | -8% | 3.61 | +2% | 0% | 0 | 16 | 5.3 | 2 | 117 | A+ | 0 | Lynn Foster | $16.1M | $6.8M | 41.9% | 445108 |
Financial Trends
Historical financial and operational data for Stones River Manor, Inc. based on CMS SNF Cost Reports.
Occupancy Rate
91.9%
↑ 3.8pp vs 2022
Net Income
-$270.3K
↑ ~$104.8K vs 2022
Total Payroll
$2.6M
↑ ~$38.7K vs 2022
Profit Margin
-5.2%
↑ 5.2pp vs 2022
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Frequently Asked Questions about Stones River Manor, Inc.
Is Stones River Manor, Inc. in a walkable area?
Stones River Manor, Inc. has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of Stones River Manor, Inc.?
According to TN state health department records, Stones River Manor, Inc.'s license number is 00000412.
When does Stones River Manor, Inc.'s license expire?
According to TN state health department records, Stones River Manor, Inc.'s license expires on August 5, 2026.
Who is the administrator of Stones River Manor, Inc.?
Amanda Pullias is the administrator of Stones River Manor, Inc..
How many beds does Stones River Manor, Inc. have?
Stones River Manor, Inc. has 30 beds.
Are there photos of Stones River Manor, Inc.?
Yes — there are 4 photos of Stones River Manor, Inc. in the photo gallery on this page.
What is the address of Stones River Manor, Inc.?
Stones River Manor, Inc. is located at 205 Haynes Drive.
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