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The Preserve at Fairfield Glade
Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Fairfield Glade, TN
CMS overall rating Info 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.
Exterior view of a senior living facility at dusk Pathway through landscaped garden at a senior living facility Pathway through landscaped garden at a senior living facility Outdoor seating area with a stone fireplace View of an interior common area with seating and a fireplace Outdoor seating area with rocking chairs and flowers Interior view of a cozy library with bookshelves Outdoor seating area with a water feature Interior view of a chapel with wooden chairs and altar Outdoor area with pavilions and walking path Interior view of a small theater room with seating

The Preserve at Fairfield Glade

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Fairfield Glade, TN
CMS overall rating Info 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.
100 Samaritan Way, Fairfield Glade, TN 38558 View map Calculator: See prices in your area
The Preserve at Fairfield Glade accepts Medicare, Medicaid, and private pay.
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The Preserve at Fairfield Glade accepts Medicare, Medicaid, and private pay.

Overview of The Preserve at Fairfield Glade

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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.

Facility Direct Line (931) 456-1576
Facility Direct Line (931) 456-1576
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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 — compared to state averages

Total nursing care / resident Info 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 #14 / 192Nurse hours — State benchmarkedThis home is ranked 14th out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 47m per day
LPN / LVN Info 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. 54m per day
Nurse Aide Info 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. 1h 56m per day
Weekend Total Nursing Info 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 17m per day
Physical Therapist Info 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. 7m per day
Weekend RN Info 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. 31m per day

Capacity and availability

Avg. Length of Stay Info 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.
57 days
Bed community size
99-bed community Rank #150 / 426Bed count — State benchmarkedThis home is ranked 150th out of 426 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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.
Years in operation
14 years in operation Rank #311 / 385Years in operation — State benchmarkedThis home is ranked 311th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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
Walk Score: 23 / 100 Rank #364 / 553Walk Score — State benchmarkedThis home is ranked 364th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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

Occupancy

Occupancy rate
70%
Rank #196 / 319Occupancy rate — State benchmarkedThis home is ranked 196th out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Tennessee average: 71.6%
Occupied beds
70 / 99
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeAssisted Care Living Facility
IssuanceSeptember 22, 2011
ExpirationSeptember 22, 2026
License Number00000320

Ownership & Operating Entity

The Preserve at Fairfield Glade is administered by Barry Cotton.

Owner NameFairfield Glade Of Tennessee, LLC

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Amenities & Lifestyle

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

Contact The Preserve at Fairfield Glade

Health Inspection History

Inspections since 2018
Total health inspections 5

State average N/A

Last Health inspection on Oct 2024

Total health citations
18 Rank #125 / 196Health citations — State benchmarkedThis home is ranked 125th out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.6 Rank #73 / 196Citations per inspection — State benchmarkedThis home is ranked 73rd out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
17 moderate citations State average: N/A
1 minor citation State average: N/A
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

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.

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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 29
Average shift 8.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 22,679

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 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 36 total: 11 full-time employees and 25 contractors. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 61 total: 31 full-time employees and 30 contractors. 61
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 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

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 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3130619,21492100%9.8
Licensed Practical Nurse1125364,29992100%9.6
Registered Nurse91102,5639098%9.9
Other Dietary Services Staff2021,0748289%7.7
Speech Language Pathologist0551,0076672%4.1
Physical Therapy Aide0227366267%7.1
Nurse Practitioner2137296065%10.1
Physical Therapy Assistant0227087278%6.3
Respiratory Therapy Technician0335456571%4.6
Administrator1015196571%8
Clinical Nurse Specialist1014536672%6.9
Dental Services Staff1014425661%7.9
Qualified Social Worker0112523639%7
Occupational Therapy Aide0111381718%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%
View All Staffing Data

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. 11.6
11% worse than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.5
10% better than State average

State average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.7%
45% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.4%
26% worse than State average

State 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 16.4%
21% better than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 10.6%
189% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.3%
15% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.9%
22% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.1%
51% better than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
8% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
In line with State average

State average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
22% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
12% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.4%
16% better than State average

State 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Church Related
Net patient revenue Info 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."
$8.4M
Net patient income Info 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."
-$5.5M
Nonprofit Church Related
Net patient revenue Info 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."
$8.4M Rank #43 / 196Revenue — State benchmarkedThis home is ranked 43rd out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info 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."
-$5.5M
Other income Info 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.
$4.9M
Payroll costs Info 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 #72 / 196Payroll — State benchmarkedThis home is ranked 72nd out of 196 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.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.4M 75.7% of net patient revenue Info 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 #157 / 196Payroll % — State benchmarkedThis home is ranked 157th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info 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).
$7.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.9M
How we calculate these figures

This home is administered by Barry Cotton.

This home is owned by Barry Cotton

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445506

Show certification details

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.

Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
319 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 55%
Medicaid 2%
Discharges
328 total

Coverage residents most often leave under.

Medicare 35%
Private pay 60%
Medicaid 5%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info 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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Frequently Asked Questions about The Preserve at Fairfield Glade

Who is the owner of The Preserve at Fairfield Glade?

The Preserve at Fairfield Glade is legally operated by Fairfield Glade of Tennessee, LLC, and administered by Barry Cotton.

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.

What is the occupancy rate at The Preserve at Fairfield Glade?

The Preserve at Fairfield Glade's occupancy is 70%.

Does The Preserve at Fairfield Glade operate as a for-profit or non-profit?

The Preserve at Fairfield Glade is registered as a non-profit in TN.

Who is the administrator of The Preserve at Fairfield Glade?

Barry Cotton is the administrator of The Preserve at Fairfield Glade.

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