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Nursing HomeMedicaid Investigative

Ahc Lewis County

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

119 Kittrell Street, Hohenwald, TN 38462131 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 46 Google reviews

5
4
3
2
1
Ahc Lewis County Nursing Home in Hohenwald, TN — Street View
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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (6 vs median 5.0)
  • High RN turnover (56%)

Bottom 25% in TN · Critically understaffed (RN) · Above average staffing · Worst in AMERICAN HEALTH COMMUNITIES chain · $396,269 in fines

Source: Medicare data

What this means for your family

The facility has seen a positive shift under new management, with many families reporting a cleaner environment and better communication. However, because reports of staffing shortages and neglect persist, we strongly recommend visiting at different times of the day—including weekends—to observe the actual level of care provided.

Google Reviews

Google Reviews

46 reviews on Google
AHC Lewis County, also known as Lewis Park Post Acute, shows a stark contrast between reviews from recent years and older feedback. Many families praise the facility for recent administrative improvements, noting a cleaner environment, attentive nursing staff, and better communication. However, some reviewers continue to report serious concerns regarding chronic understaffing and neglect, suggesting that experiences may vary significantly depending on the wing or specific shift.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean7.0Activities6.0Meds3.0MemoryN/AComms6.0Value4.0

Strengths

  • Significant facility upgrades and cleanliness
  • Responsive and communicative administration
  • Effective physical therapy department
  • Kind and attentive nursing staff

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 6 reviewers)
  • Neglect regarding basic hygiene and toileting assistance (mentioned by 4 reviewers)
  • Inconsistent medication management and delays (mentioned by 2 reviewers)
  • Poor communication from staff or management (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'18(1)2.35.0'20(1)1.03.6'23(5)1.54.5'25(13)4.2'26(15)

Distribution · 44 analyzed

5
27
4
2
3
1
2
4
1
10

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your administration is very active in responding to feedback online; how do you use that resident and family input to drive day-to-day improvements in care?
  • 2Given the current staffing levels, what specific protocols do you have in place to ensure that residents receive timely assistance with basic hygiene and toileting needs?
  • 3With the recent facility upgrades, how are you working to ensure that the quality of daily care and attention matches the improvements made to the physical environment?
  • 4Can you walk me through your current process for medication management to ensure that doses are administered consistently and on schedule?
  • 5How do you ensure that families stay well-informed about their loved one's health status and any changes in their care plan?
  • 6What is the process for addressing urgent medical needs or emergencies, and how quickly can a family expect to be notified if a situation arises?

Personalized based on this facility's data


Key Review Excerpts

The facility has been updated, is always clean and doesn’t smell like the typical nursing home!! The staff are all so sweet and caring to my Mom, they are like our Family!!

Long-term resident's family · 2025★★★★★

The new administration has been nothing short of a major improvement. Mr. Miller and his staff have provide my grandmother and the rest of the family assurance that she will be in good hands moving forward.

Long-term resident's family · 2023★★★★★

My mother has been repeatedly neglected. She has stayed in her urine for hours! Her scheduled meds are not given on time...nurse tries telling us it isn't scheduled.

Long-term resident's family · 2023☆☆☆☆
Source: 46 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
38%
Registered nurses for medical care
Total Nursing
3.64hrs
89%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
50%
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
3/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility42.4%
Worse than Avg
Here
42.4%
US
93.4%
TN
89.5%
Lewis
96.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility51.3%
Worse than Avg
Here
51.3%
US
12.1%
TN
12.9%
Lewis
14.2%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility40.2%
Worse than Avg
Here
40.2%
US
15.4%
TN
16.9%
Lewis
17.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.9%
Worse than Avg
Here
85.9%
US
95.5%
TN
94.5%
Lewis
97.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.5%
Mixed vs Avgs
Here
30.5%
US
19.5%
TN
31.9%
Lewis
19.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
15.3%
TN
18.5%
Lewis
18.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
79.7%
TN
79.8%
Lewis
85.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility48.6%
Worse than Avg
Here
48.6%
US
81.8%
TN
79.4%
Lewis
83.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Lewis
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Above state avg (5.9)
18 complaint-triggered
$396,269 in fines

This facility has faced recurring serious concerns with families filing multiple complaint reports, particularly regarding abuse and neglect protection, quality of care, and infection control. The facility has had repeat violations for protecting residents from abuse across three separate complaint investigations, along with ongoing issues with infection prevention and medication management. While all deficiencies show correction dates, the pattern of family complaints and repeated violations in critical care areas raises significant concerns about consistent quality and safety standards.

Aug 20, 2025Routine
10
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 6, 2024Routine
4
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Nov 15, 2023Complaint
7
0600Immediate jeopardy · 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.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0656Potential for harm · PatternCorrected

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.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Sep 26, 2023Complaint
2
0600Immediate jeopardy · 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.

0741Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Jun 1, 2023Complaint
9
0600Immediate jeopardy · 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.

0609Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0742Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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.

0584Potential for harm · IsolatedCorrected

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 1, 2023Routine
7
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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.

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Federal Penalties

Fine

Jun 1, 2023

$396,269

Payment Denial

Jun 1, 2023

179-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ahc Lewis County

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.4/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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