ElderGrade
C

64/100

Average

Grandview Post Acute

444 One Eleven Place, Cookeville, TN 38506

CMS 1/5 stars #4 of 4 in Putnam County (931) 525-6655
Certified beds
120
Occupancy
76%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.59 total nurse hours per resident per day (national median 3.77)
  • 0.48 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 54% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.42 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.48 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.05 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 54.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 37 citations

Last standard health inspection: May 6, 2025 (1 year ago).

D Apr 1, 2026 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Jan 21, 2026 F0628 From a complaint

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

F May 6, 2025 F0908

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

E May 6, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D May 6, 2025 F0636

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

No actual harm, potential for more than minimal harm

D May 6, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D May 6, 2025 F0849

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

No actual harm, potential for more than minimal harm

E May 21, 2024 F0584 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Grandview Post Acute

What is the ElderGrade for Grandview Post Acute? +

Grandview Post Acute holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Grandview Post Acute? +

Residents receive an average of 4.42 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Grandview Post Acute been cited for harming residents? +

Yes. 1 of the 37 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Grandview Post Acute accept Medicaid? +

Yes, Grandview Post Acute is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.