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Nursing HomeMedicaid Investigative

Ahc Bethesda

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

444 One Eleven Place, Cookeville, TN 38501120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 53 Google reviews

5
4
3
2
1
Ahc Bethesda Nursing Home in Cookeville, TN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (6 vs median 5.0)

Below average in TN · Below recommended RN staffing · Above average staffing · No penalties on record

Source: Medicare data

What this means for your family

While the facility has a dedicated rehab team and some highly praised individual staff members, the consistency of care remains a significant concern. Families should conduct frequent, unannounced visits and maintain direct communication with the nursing staff to ensure basic needs like hygiene and medication management are being met.

Google Reviews

Google Reviews

53 reviews on Google
AHC Bethesda, now operating as Grandview Post Acute, has experienced significant turnover and management changes, leading to a polarized reputation. While some families praise specific nurses and the rehab therapy team for compassionate care, others report critical failures in basic hygiene, medication oversight, and responsiveness to resident needs. Families should be aware that experiences vary widely depending on the specific staff members assigned to their loved one.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean6.0Activities5.0Meds2.0Memory2.0Comms3.0ValueN/A

Strengths

  • Dedicated individual nursing and CNA staff
  • Effective rehabilitation therapy department
  • Helpful and informative admissions process
  • Clean and welcoming facility environment

Concerns

  • Neglect of basic hygiene and wound care (mentioned by 4 reviewers)
  • Unresponsive to call lights and resident assistance (mentioned by 4 reviewers)
  • Poor medication management and lack of communication (mentioned by 3 reviewers)
  • Understaffing, particularly on weekends (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'21(2)'23(3)'26(13)

Distribution · 45 analyzed

5
25
4
5
3
3
2
0
1
12

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a dedicated rehab team; how do you ensure that same level of focused attention carries over into daily hygiene and wound care routines?
  • 2With the current staffing levels, what specific protocols are in place to ensure call lights are answered promptly, especially during weekend shifts?
  • 3Can you walk me through your process for medication management and how you keep families updated if there is a change in a resident's health status?
  • 4I see that you actively respond to feedback online; how does that process help you improve the quality of care or address specific concerns raised by families?
  • 5Given the feedback regarding the dining experience, what steps is the facility taking to improve meal quality and ensure residents are receiving adequate nutritional support?
  • 6What does a typical day look like for residents in terms of social engagement and activities, and how do you encourage participation for those who may be more reserved?

Personalized based on this facility's data


Key Review Excerpts

My Mom went there for rehab following a fall. She was 91 and put her in a room with a 30 + year old who cranked down the Ac. Her fingers were even turning blue. After showering her they put her to bed with a wet head.

Rehab patient's family · 2025☆☆☆☆

My grandmother was admitted on Friday, and I went to visit her last night. From the very beginning, there were serious issues: Entry Issues: We waited 15 minutes just to be let into the building.

Memory care family member · 2025☆☆☆☆

My Mom was in Grandview for almost 4 months on the Rehab side and the Nurses and Cna did a great job with her .The Nurse Practitioner is Amazing there also .My Mom loved One CNA his name is Brandon and he was so good to her

Rehab patient's family · 2025★★★★★
Source: 53 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
4.01hrs
98%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Similar to Avg

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility66.0%
Worse than Avg
Here
66.0%
US
12.1%
TN
12.9%
Putnam
17.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility53.0%
Worse than Avg
Here
53.0%
US
19.5%
TN
31.9%
Putnam
27.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.4%
TN
20.1%
Putnam
19.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.7%
Mixed vs Avgs
Here
11.7%
US
15.3%
TN
18.5%
Putnam
11.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility89.3%
Worse than Avg
Here
89.3%
US
93.4%
TN
89.5%
Putnam
93.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
95.5%
TN
94.5%
Putnam
95.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
81.8%
TN
79.4%
Putnam
82.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.8%
Better than Avg
Here
93.8%
US
79.7%
TN
79.8%
Putnam
84.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Here
1.5%
US
1.6%
TN
1.6%
Putnam
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Above state avg (5.9)
8 complaint-triggered

Families have filed multiple complaint reports about this facility, raising concerns about resident abuse and neglect that triggered federal investigations in 2023 and 2024. The facility has recurring issues with care planning, infection control, and safety hazards across all six surveys from 2019 to 2026, though all violations have been corrected with provider dates of compliance.

Jan 21, 2026Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

May 6, 2025Routine
9
0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0636Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0849Potential for harm · IsolatedCorrected

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.

0030Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

May 21, 2024Complaint
3
0584Potential for harm · PatternCorrected

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Sep 27, 2023Complaint
4
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Mar 31, 2022Routine
19
0583Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · PatternCorrected

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.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0691Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Jun 12, 2019Routine
14
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0036Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ahc Bethesda

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.4/5 · Rank 4 of 5

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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