Total health inspections
5
Tennessee average 3.5
Last Health inspection on Oct 2024
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.
The Preserve at Fairfield Glade
CMS overall rating
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.
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
CMS overall rating
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.
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 accepts Medicare, Medicaid, and private pay.
Overview of The Preserve at Fairfield Glade
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.
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 13th out of 172 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.
This home is ranked 13th out of 172 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 per day
Rank #13 / 172Nurse hours — State benchmarkedThis home is ranked 13th out of 172 homes in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 172 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Tennessee avg
+31%
Standout metric
Weekend Total Nursing is +10% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 40m per day | ▲ 10% State avg: 3h 20m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
70.4%
Rank #187 / 303Occupancy rate — State benchmarkedThis home is ranked 187th out of 303 homes in Tennessee for occupancy rate. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 303. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
57 days
99-bed community Rank #150 / 427Bed count — State benchmarkedThis home is ranked 150th out of 427 homes in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
14 years in operation Rank #311 / 385Years in operation — State benchmarkedThis home is ranked 311th out of 385 homes in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 23 / 100 Rank #365 / 554Walk Score — State benchmarkedThis home is ranked 365th out of 554 homes in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeAssisted Care Living Facility
StatusLicensed
IssuanceSeptember 22, 2011
ExpirationSeptember 22, 2026
License Number00000320
The Preserve at Fairfield Glade is administrated by Barry Cotton.
Owner NameFairfield Glade Of Tennessee, LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
Restaurant-Style Dining Room
Library
Salon
Community Room
Chapel
Guest Housing
Access To Local Golf Courses
Walking Trails
Wellness Center
Whirlpool
Scheduled Local Transportation
Specific ProgramsIndependent Lifestyle, Ideal Location, Continuum of Care
Food DescriptionRestaurant-style dining room available.
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: February 13, 2024
Health Inspection History
Inspections
Total health citations
18
Rank #113 / 176Health citations — State benchmarkedThis home is ranked 113th out of 176 homes in Tennessee for health citations. 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
3.6
Rank #63 / 176Citations per inspection — State benchmarkedThis home is ranked 63rd out of 176 homes in Tennessee for citations per inspection. 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.
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).
Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
Citations history (last 8 years)
Care Planning moderate citation
Oct 07, 2024
Corrected
Abuse/Neglect moderate citation
May 03, 2023
Corrected
Abuse/Neglect moderate citation
May 03, 2023
Corrected
Pharmacy moderate citation
May 03, 2023
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
129
Employees
58
Contractors
71
Staff to resident ratio
2.80 : 1
60% more staff per resident than Tennessee average
Avg staff/day
29
Average shift
8.5 hours
0% compared with Tennessee average
Total staff hours (quarter)
22,679
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
10 total: 9 full-time employees and 1 contractor.
10
10 total: 9 full-time employees and 1 contractor.
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
36 total: 11 full-time employees and 25 contractors.
36
36 total: 11 full-time employees and 25 contractors.
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
61 total: 31 full-time employees and 30 contractors.
61
61 total: 31 full-time employees and 30 contractors.
61
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
22.3%
5,065 contractor hours this quarter
Certified Nursing Assistant: 30
Licensed Practical Nurse: 25
Speech Language Pathologist: 5
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Physical Therapy Assistant: 2
Registered Nurse: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Nurse Practitioner: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
61 Certified Nursing Assistant
% of Days
100%
36 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
98%
2 Other Dietary Services Staff
% of Days
89%
5 Speech Language Pathologist
% of Days
72%
2 Physical Therapy Aide
% of Days
67%
3 Nurse Practitioner
% of Days
65%
2 Physical Therapy Assistant
% of Days
78%
3 Respiratory Therapy Technician
% of Days
71%
1 Administrator
% of Days
71%
1 Clinical Nurse Specialist
% of Days
72%
1 Dental Services Staff
% of Days
61%
1 Qualified Social Worker
% of Days
39%
1 Occupational Therapy Aide
% of Days
18%
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.5
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
45% better than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.4%
Percent of long-stay residents whose ability to move independently worsened
27.4%
26% worse than Tennessee averageTennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
10.6%
Percent of long-stay residents experiencing one or more falls with major injury
10.6%
189% worse than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.3%
Percent of long-stay high risk residents with pressure ulcers
6.3%
15% worse than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
22% 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
8.1%
Percent of long-stay residents who received an antipsychotic medication
8.1%
51% better than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
8% better than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
In line with Tennessee averageTennessee average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
22% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
12% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
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.
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
55% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46
Medicare
7
15.2% of residents
Medicaid
12
26.1% of residents
Private pay or other
27
58.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Financial Trends
Historical financial and operational data for The Preserve at Fairfield Glade based on CMS SNF Cost Reports.
Occupancy Rate
70.4%
↑ 40.4pp vs 2022
Net Income
-$648.8K
↑ ~$504.3K vs 2022
Total Payroll
$6.6M
↑ ~$509.8K vs 2022
Profit Margin
-4.8%
↑ 2.3pp vs 2022
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$18.3M
Operating deficit
-$648.8K
Voluntary non-profit community
Operated by a church.
Home revenue
$18.3M Rank #39 / 176Revenue — State benchmarkedThis home is ranked 39th out of 176 homes in Tennessee for revenue. 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.
Operating deficit
-$648.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #66 / 176Payroll — State benchmarkedThis home is ranked 66th out of 176 homes in Tennessee for payroll. 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.
$6.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #66 / 176Payroll — State benchmarkedThis home is ranked 66th out of 176 homes in Tennessee for payroll. 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.9M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Preserve at Fairfield Glade
81.8 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.
Calculate Travel Distance to The Preserve at Fairfield Glade
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Financial Assistance for
Nursing Home in Tennessee
The Preserve at Fairfield Glade is located in Fairfield Glade, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about The Preserve at Fairfield Glade
Who is the owner of The Preserve at Fairfield Glade?
The legal owner and operator of The Preserve at Fairfield Glade is Fairfield Glade of Tennessee, LLC.
Is The Preserve at Fairfield Glade in a walkable area?
The Preserve at Fairfield Glade has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of The Preserve at Fairfield Glade?
According to TN state health department records, The Preserve at Fairfield Glade's license number is 00000320.
When does The Preserve at Fairfield Glade's license expire?
According to TN state health department records, The Preserve at Fairfield Glade's license expires on September 22, 2026.
Who is the administrator of The Preserve at Fairfield Glade?
Barry Cotton is the administrator of The Preserve at Fairfield Glade.
How many beds does The Preserve at Fairfield Glade have?
The Preserve at Fairfield Glade has 99 beds.
Are there photos of The Preserve at Fairfield Glade?
Yes — there are 17 photos of The Preserve at Fairfield Glade in the photo gallery on this page.
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