HomeTennesseePutnam CountyAHC BETHESDA
C
Below Standard

AHC BETHESDA

444 ONE ELEVEN PLACE · COOKEVILLE, TN 38501

9315256655 · For profit - Corporation

120 beds86.8 residents133 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AHC BETHESDA receives an overall staffing grade of C (Below Standard). With 3.8612 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5204 HPRD, below the recommended 0.75. It is 0.04 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.27% compared to weekdays. The facility has low agency staff usage (2.78% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5204 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (3)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Low agency staff usage (2.78%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8612hrs/resident/day 0.04
CMS benchmark: 3.48
RN HPRD
0.5204hrs/resident/day 0.16
Recommended: 0.75
Weekend Drop-off
16.27%
4.0474 weekday → 3.3887 weekend
Agency Staff
2.78%
2.82% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0388hrs/resident/day
Direct care aides
LPN HPRD
1.302hrs/resident/day
Licensed practical nurses
Consistency
0.4003std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Putnam County Average+0.12 HPRD
3.74
03.86 HPRD
vs. Tennessee State Average-0.01 HPRD
3.87
03.86 HPRD
vs. National Average-0.04 HPRD
3.90
03.86 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AHC BETHESDA
COOKEVILLE · This facility
C
3.86120.5204★★☆☆☆
NHC HEALTHCARE, COOKEVILLE
COOKEVILLE
2.1 mi
C
4.08830.4486★★★★★
SIGNATURE HEALTHCARE OF PUTNAM COUNTY
COOKEVILLE
2.6 mi
C
3.54540.4496★★☆☆☆
STANDING STONE CARE AND REHAB
MONTEREY
11.3 mi
B
3.48440.7135★★★★
LIFE CARE CENTER OF SPARTA
SPARTA
13.8 mi
D
3.55920.3729★★★★
NHC HEALTHCARE, SPARTA
SPARTA
15.7 mi
B
3.61140.7335★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
35
Total Deficiencies
$0
Fines Assessed
May 6, 2025Health
5 deficiencies cited
May 21, 2024Health
3 deficiencies cited
Sep 27, 2023Health
4 deficiencies cited
Mar 31, 2022Health
18 deficiencies cited
Jun 12, 2019Health
5 deficiencies cited· Includes actual harm
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.