Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Murfreesboro Rehab And Nursing, Inc during CMS and state inspections, most recent first.
The facility did not properly credit monthly interest to the trust fund accounts of two residents, despite policy and bank statements indicating interest should be paid. Both residents had authorized the facility to manage their funds, but only a single interest payment was recorded, with no credits for subsequent months. The Administrator, acting as BOM, was unaware of the correct interest rate and did not follow federal regulations, while the DON and ADON had no involvement with the accounts.
The facility failed to use an acceptable accounting system for resident trust funds, resulting in commingling of resident money with operational and payroll accounts, lack of individual ledgers for several residents, and failure to provide required quarterly statements. Some residents and their representatives did not receive documentation of their funds, and significant discrepancies were found between trust fund account balances and resident ledgers.
The facility did not notify two residents with severe cognitive impairment, both Medicaid recipients, of their account activities and balances at least quarterly. Despite having significant balances, the residents or their representatives were not informed unless they requested the information, as stated by the administrator.
The facility did not notify two residents or their representatives when their account balances were within $200 of the Medicaid cash asset limit. Both residents had severe cognitive impairments, and their balances exceeded the threshold, risking Medicaid payment rejections.
The facility failed to accurately complete MDS assessments for two residents, leading to deficiencies in their care plans. One resident's MDS inaccurately recorded an antiplatelet medication as an anticoagulant, while another resident's assessment did not reflect their serious mental illness and/or intellectual disability as determined by the state PASRR process. These inaccuracies were confirmed by the MDS Coordinator and the DON.
A facility failed to ensure proper infection control during medication administration, wound care, and enteral feeding. An LPN did not perform hand hygiene or change gloves between tasks, potentially contaminating medications and enteral feedings. Another LPN conducted wound care without changing gloves or sanitizing hands, placing supplies on the floor. The DON confirmed the lack of training and adherence to infection control policies.
A resident's personal and medical information was compromised when an LPN left a laptop unattended with the information visible on the screen. The resident was cognitively intact, and the incident was confirmed by the LPN and acknowledged by the DON as a violation of HIPAA. Facility policy requires that electronic health records be kept confidential and screens hidden when staff are away from the nurses' station.
An LPN left a medication cart unlocked and unattended, which was observed by a surveyor. The LPN later admitted the cart should have been locked to prevent unauthorized access. The DON confirmed the requirement for nurses to lock the cart and hide the screen when unattended, as per facility policy.
Failure to Properly Credit Interest on Resident Trust Funds
Penalty
Summary
The facility failed to properly manage resident trust fund interest payments for two residents who had authorized the facility to handle their personal funds. Both residents had signed authorizations, either by themselves or through their Power of Attorney, allowing the facility to hold and disburse their funds. A review of the facility's policy indicated that resident trust accounts should be maintained in interest-bearing accounts, with interest credited accordingly. However, the resident ledgers for both individuals showed only a single, undated interest payment for June balances, with no interest credited for the following months. The facility's pooled trust account bank statement confirmed that interest was paid monthly, but this was not reflected in the residents' individual ledgers for July and August. Interviews with the DON and ADON revealed that neither had any involvement or access to the resident fund ledgers or bank accounts. The Administrator, who also served as the Business Office Manager, admitted to not knowing the actual interest rate on the resident trust fund account and stated she used a calculation method provided by her accountant, rather than following federal regulations or the facility's own policy. This lack of proper oversight and failure to credit interest as required resulted in the deficiency.
Failure to Properly Manage and Account for Resident Trust Funds
Penalty
Summary
The facility failed to properly manage and account for residents' personal funds deposited with the nursing home, as required by regulation and facility policy. The facility did not utilize a generally acceptable accounting system for the resident trust fund, resulting in the commingling of residents' trust fund money with the facility's operational and payroll accounts. The Administrator routinely transferred resident funds from the trust fund account into the facility's operational and payroll accounts, and wrote checks for resident allowances and other disbursements from these facility accounts rather than from a dedicated trust fund account. There was no written consent from residents or their representatives to allow this commingling of funds. The facility also failed to maintain accurate and complete records for all residents whose funds were managed. For several residents, there were no individual ledger pages to track deposits, withdrawals, and balances, and in some cases, there was no signed authorization for the facility to manage personal funds. Errors were found in the accounting of at least one resident's ledger, and the combined balances in the trust fund account did not match the total of the residents' personal ledgers, with significant amounts missing from the account at the beginning of each month reviewed. The Administrator acknowledged that only two residents had ledgers maintained, and that checks for allowances were written from the operational account without documentation of the disposition of funds for other residents. Additionally, the facility did not issue required quarterly statements to residents or their representatives regarding the status of their trust fund accounts. Interviews with residents and their representatives confirmed that they did not receive any statements or documentation about their funds. The Administrator admitted to not being familiar with the federal regulations governing resident trust funds and confirmed that no quarterly statements were provided. The Director of Nursing and Assistant Director of Nursing stated they had no role or access to the resident ledgers or bank accounts.
Failure to Notify Residents of Account Activities
Penalty
Summary
The facility failed to notify two residents, both Medicaid recipients with severe cognitive impairment, of their account activities and balances at least quarterly. Resident #5 had a balance of $2,176.51, and Resident #14 had a balance of $2,004.20, as per their respective Participant Ledger Account Cash Journals. Both residents scored 03 on the Brief Interview of Mental Status (BIMS), indicating severe cognitive impairment, according to their Minimum Data Set (MDS) assessments. The facility's administrator stated that statements are only provided to residents or their representatives upon request, which led to the deficiency in notifying the residents or their representatives about their account activities and balances.
Failure to Notify Residents of Excessive Account Balances
Penalty
Summary
The facility failed to notify residents and/or their representatives when their account balances were within $200 of the maximum cash asset limit allowed for Medicaid recipients. This deficiency was identified for two residents, both of whom were Medicaid recipients and had severe cognitive impairments as indicated by their Brief Interview of Mental Status (BIMS) scores. Resident #5 had an account balance of $2,176.51, and Resident #14 had a balance of $2,004.20. The facility's administrator confirmed that neither the residents nor their representatives were informed of the account balances nearing the Medicaid limit, which could result in Medicaid payment rejections.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to accurately complete Minimum Data Set (MDS) assessments for two residents, leading to deficiencies in their care plans. For Resident #3, the quarterly MDS assessment inaccurately recorded the use of an anticoagulant medication, Clopidogrel, which is actually an antiplatelet medication. This error was identified during a review of the resident's Order Summary Report and Medication Administration Record, which showed no order or administration of an anticoagulant. The MDS Coordinator admitted to incorrectly coding the medication, emphasizing the importance of accurate MDS coding as it directly impacts the resident's care plan. For Resident #16, the MDS assessment failed to reflect the resident's serious mental illness and/or intellectual disability as determined by the state level II Preadmission Screening and Resident Review (PASRR) process. Despite the resident being on psychotropic medications for bipolar schizoaffective disorder, the comprehensive assessment did not include this critical information. Both the MDS Coordinator and the Director of Nursing confirmed the oversight, acknowledging that the resident's care could have been affected by the inaccurate assessment.
Infection Control Deficiencies in Medication, Wound Care, and Enteral Feeding
Penalty
Summary
The facility failed to ensure proper infection control practices during medication administration, wound care, and enteral feedings. An LPN was observed administering medication to five residents without performing hand hygiene before or after the process. The LPN also wiped sweat from her face and nose with her hands without sanitizing them afterward and handled medication cups improperly by placing her fingers inside them. Additionally, the LPN touched various surfaces with gloves used for checking blood glucose, further compromising infection control. In another instance, the same LPN was observed performing enteral feeding for a resident with severe mental impairment and multiple diagnoses, including cerebral palsy and dysphagia. The LPN coughed toward an open nutritional supplement and continued to pour it into the resident's PEG tube without changing gloves or sanitizing hands. The LPN also wiped sweat from her forehead with a gloved hand and continued handling the PEG tube, potentially contaminating the feeding process. The DON confirmed the importance of hand hygiene and acknowledged the LPN's failure to maintain a clean environment. Additionally, another LPN was observed performing wound care for a resident with a diabetic ulcer and a history of MRSA. The LPN did not change gloves or sanitize hands during the procedure and placed wound care supplies on the bare floor. The LPN admitted to not receiving training on wound care, and the DON confirmed that no in-service training on handwashing or wound care had been provided. The facility's policy on infection control and standard precautions was not followed, as gloves were not changed between tasks involving potential microorganism contact.
Resident Privacy Breach Due to Unattended Laptop
Penalty
Summary
The facility failed to protect the personal and health information of a resident, identified as Resident #16, who was cognitively intact with a Brief Interview of Mental Status (BIMS) score of 15. On two separate occasions, a Licensed Practical Nurse (LPN) left a laptop unattended with Resident #16's personal and medical information visible on the screen. The first incident was observed by a surveyor, and the LPN later confirmed that the laptop was left open. The Director of Nursing (DON) acknowledged that the nurse should have closed the laptop screen to protect the resident's information, as leaving it open posed a risk to privacy and violated the Health Insurance Portability and Accountability Act (HIPAA). The facility's policy on electronic health records mandates that all screens must be hidden when staff are away from the nurses' station.
Medication Cart Security Breach
Penalty
Summary
The facility failed to ensure the secure storage of medications in an unattended medication cart. On August 20, 2024, at 12:00 PM, a surveyor observed an LPN leaving a medication cart unlocked, unattended, and out of view while in a resident's room. Later, at 1:46 PM, the LPN acknowledged that the medication cart should be locked before leaving it unattended, as someone could access it and obtain medications. On August 22, 2024, the DON confirmed that nurses are required to lock the medication cart and hide the screen before walking away. The facility's policy on medication storage specifies using the cart's locking mechanism to restrict access to authorized personnel only.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Murfreesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Mine Creek | 11.8 mi | — | 1 | 0 |
| The Blossoms At Nashville Rehab And Nursing Center | 12.5 mi | — | 0 | 0 |
| Dierks Health And Rehab Of Dierks | 19.1 mi | — | 0 | 0 |
| Nightingale At Glenwood | 20 mi | — | 3 | 0 |
| The Springs Of Hillcrest | 25.4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.