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C
Below Standard

DONALSON CARE CENTER

1681 WINCHESTER HIGHWAY · FAYETTEVILLE, TN 37334

9314337156 · Non profit - Corporation

168 beds88.6 residents96 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

DONALSON CARE CENTER receives an overall staffing grade of C (Below Standard). With 3.6081 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4034 HPRD, below the recommended 0.75. It is 0.29 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.54% compared to weekdays. The facility has low agency staff usage (0.03% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4034 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 (0.03%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6081hrs/resident/day▼ 0.29
CMS benchmark: 3.48
RN HPRD
0.4034hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
14.54%
3.7627 weekday → 3.2158 weekend
Agency Staff
0.03%
0.24% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9418hrs/resident/day
Direct care aides
LPN HPRD
1.2629hrs/resident/day
Licensed practical nurses
Consistency
0.3802std 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. Lincoln County Average-0.13 HPRD
3.74
03.61 HPRD
vs. Tennessee State Average-0.26 HPRD
3.87
03.61 HPRD
vs. National Average-0.29 HPRD
3.90
03.61 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
DONALSON CARE CENTER ★
FAYETTEVILLE · This facility
—
C
3.60810.4034★★★☆☆
ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE
FAYETTEVILLE
2 mi
C
3.8770.4256★★★★☆
LYNCHBURG NURSING CENTER
LYNCHBURG
12.9 mi
C
3.71110.4184★★★★★
LIFE CARE CENTER OF TULLAHOMA
TULLAHOMA
22.3 mi
D
3.73220.2768★★★★★
ELK RIVER HEALTH AND NURSING CENTER OF ARDMORE, LL
ARDMORE
22.4 mi
D
3.86580.3703★★★★☆
THE WATERS OF SHELBYVILLE, LLC
SHELBYVILLE
23.1 mi
D
3.23740.3207★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
24
Total Deficiencies
$0
Fines Assessed
Mar 12, 2025Health
8 deficiencies cited
▼
Jun 30, 2021Health
8 deficiencies cited
▼
Jul 15, 2019Health
8 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.