4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Preserve at Fairfield Glade is a 99-bed senior living community in Fairfield Glade, Tennessee, offering independent living, assisted living, and long-term care services under one roof. Located in one of Tennessee’s best-known resort-style retirement areas near Crossville, the community has operated for approximately 14 years and is owned by Fairfield Glade of Tennessee, LLC.
Licensed through the Tennessee Department of Health, Division of Health Care Facilities, the community’s most recent state inspection took place in February 2024. The community has undergone a total of five health inspections, which accumulated 18 citations. Both are relatively higher than the state average.
The community is designed around a continuum-of-care model, allowing residents to transition between levels of support as needs evolve while remaining within the same familiar environment. Services include rehabilitation therapy, short-term recovery support, respite care, and ongoing long-term care assistance, supported by licensed nurses and certified nursing assistants on staff. Restaurant-style dining, wellness and fitness programming, and shared gathering spaces are also provided.
One of the community’s more distinctive advantages is its location within the Fairfield Glade resort area, where residents may enjoy access to local golf courses and recreational opportunities that are uncommon in many traditional senior living settings. While the area itself is relatively car-dependent, scheduled transportation services and extensive on-campus amenities help residents remain active and connected without needing to travel frequently.
With its continuum-of-care structure, established operating history, and resort-style atmosphere, The Preserve at Fairfield Glade is well-suited for older adults seeking a retirement-focused lifestyle that blends wellness, recreation, and long-term care planning within a scenic Tennessee setting.
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
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.
Hours per resident per day vs Tennessee averages
Total nursing care
This home is ranked 13th out of 176 homes in Tennessee for nurse hours. 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.
4h 48m
33% above state avg
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.
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.
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.
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.
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.
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.
2 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Preserve at Fairfield Glade is administered by Barry Cotton.
State average 3.5
Last Health inspection on Oct 2024
State average 15.4
State average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 18 citations resulted from standard inspections; 3 of 18 resulted from complaint investigations; and 2 of 18 came from combined inspections (standard and complaint).
100% better than State averageState average: 1.1
100% better than State averageState average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
60% more staff per resident 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.
10 total: 9 full-time employees and 1 contractor.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursAssists with medical care and medications.
36 total: 11 full-time employees and 25 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
61 total: 31 full-time employees and 30 contractors.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,065 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 30 | 61 | 9,214 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 11 | 25 | 36 | 4,299 | 92 | 100% | 9.6 |
| Registered Nurse | 9 | 1 | 10 | 2,563 | 90 | 98% | 9.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,074 | 82 | 89% | 7.7 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,007 | 66 | 72% | 4.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 736 | 62 | 67% | 7.1 |
| Nurse Practitioner | 2 | 1 | 3 | 729 | 60 | 65% | 10.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 708 | 72 | 78% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 545 | 65 | 71% | 4.6 |
| Administrator | 1 | 0 | 1 | 519 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 453 | 66 | 72% | 6.9 |
| Dental Services Staff | 1 | 0 | 1 | 442 | 56 | 61% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 252 | 36 | 39% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 138 | 17 | 18% | 8.1 |
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.
11.6
11% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.5
10% better than Tennessee averageTennessee average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
45% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
27.4%
26% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
21% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
10.6%
189% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
6.3%
15% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
4.9%
22% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
8.1%
51% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
8% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
In line with Tennessee averageTennessee average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
22% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
12% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
16% better than Tennessee averageTennessee average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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 The Preserve at Fairfield Glade from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #57 / 174Payroll costs — State benchmarkedThis home is ranked 57th out of 174 homes in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #8 / 174Payroll % of net patient revenue — State benchmarkedThis home is ranked 8th out of 174 homes in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Fairfield Glade's city center to The Preserve at Fairfield Glade's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Ivy Hall Nursing Home | NH RC SNF | Elizabethton | 101
Facility
101
TN AVG
88
Rank
#139 / 425 |
79.3%
Facility
79.3%
TN AVG
71.5
Rank
#114 / 272 | +11% | 3.91
Facility
3.91
TN AVG
3.63
Rank
#36 / 176 | -10% | +8% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 2
Facility
2
TN AVG
15.4
Rank
#1 / 180 | 2.0
Facility
2.0
TN AVG
4.4
Rank
#12 / 180 | - | 80 | - |
68
Facility
68
TN AVG
36
Rank
#37 / 520 | Judy Deloach | $9.3MFiscal year ending 12/2023
Facility
$9.3MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#96 / 174 | $5.6MFiscal year ending 12/2023
Facility
$5.6MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#79 / 174 | 59.8%Fiscal year ending 12/2023
Facility
59.8%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#42 / 174 | 445469 | ||||
| NHC HealthCare Johnson City | NH HC HOS SNF | Johnson City | 10
Facility
10
TN AVG
88
Rank
#425 / 425 |
100.0%
Facility
100.0%
TN AVG
71.5
Rank
#1 / 272 | +40% | 3.27
Facility
3.27
TN AVG
3.63
Rank
#106 / 176 | -8% | -10% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 3
Facility
3
TN AVG
15.4
Rank
#10 / 180 | 1.5
Facility
1.5
TN AVG
4.4
Rank
#5 / 180 | - | 10 | - |
2
Facility
2
TN AVG
36
Rank
#507 / 520 | Howard Nason Jr. | $19.1MFiscal year ending 12/2023
Facility
$19.1MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#13 / 174 | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#15 / 174 | 55.7%Fiscal year ending 12/2023
Facility
55.7%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#60 / 174 | 445024 | ||||
| Harbert Hills Academy Nursing Home | NH SNF | Savannah | 24
Facility
24
TN AVG
88
Rank
#415 / 425 |
66.7%
Facility
66.7%
TN AVG
71.5
Rank
#172 / 272 | -7% | 5.39
Facility
5.39
TN AVG
3.63
Rank
#7 / 176 | -55% | +49% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 17
Facility
17
TN AVG
15.4
Rank
#110 / 180 | 5.7
Facility
5.7
TN AVG
4.4
Rank
#141 / 180 | - | 16 | - |
60
Facility
60
TN AVG
36
Rank
#67 / 520 | Alton Cantarutti | - | - | - | 445527 | ||||
| Abundant Christian Living Community Assisted Living Center | NH AL IL MC SNF | Johnson City | 24
Facility
24
TN AVG
88
Rank
#415 / 425 |
75.0%
Facility
75.0%
TN AVG
71.5
Rank
#139 / 272 | +5% | 2.35
Facility
2.35
TN AVG
3.63
Rank
#176 / 176 | -23% | -35% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 6
Facility
6
TN AVG
15.4
Rank
#25 / 180 | 2.0
Facility
2.0
TN AVG
4.4
Rank
#12 / 180 | - | 18 | - |
2
Facility
2
TN AVG
36
Rank
#507 / 520 | Tyler Colbaugh | $10.8MFiscal year ending 12/2023
Facility
$10.8MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#71 / 174 | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#90 / 174 | 48.3%Fiscal year ending 12/2023
Facility
48.3%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#101 / 174 | 445483 | ||||
| The Preserve at Fairfield Glade | NH AL IL SNF | Fairfield Glade | 99
Facility
99
TN AVG
88
Rank
#150 / 425 | - | - | 4.81
Facility
4.81
TN AVG
3.63
Rank
#13 / 176 | -11% | +33% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 18
Facility
18
TN AVG
15.4
Rank
#118 / 180 | 3.6
Facility
3.6
TN AVG
4.4
Rank
#68 / 180 | - | 52 | - |
23
Facility
23
TN AVG
36
Rank
#365 / 520 | Barry Cotton | $8.4MFiscal year ending 12/2023
Facility
$8.4MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#119 / 174 | $6.4MFiscal year ending 12/2023
Facility
$6.4MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#57 / 174 | 75.7%Fiscal year ending 12/2023
Facility
75.7%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#8 / 174 | 445506 |
The Preserve at Fairfield Glade is legally operated by Fairfield Glade of Tennessee, LLC, and administered by Barry Cotton.
The Preserve at Fairfield Glade has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, The Preserve at Fairfield Glade's license number is 00000320.
According to TN state health department records, The Preserve at Fairfield Glade's license expires on September 22, 2026.
The Preserve at Fairfield Glade's occupancy is 70.4%.
The Preserve at Fairfield Glade has been operating for approximately 14 years, based on available licensing and registration records.
No, The Preserve at Fairfield Glade has a no-pet policy.
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