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Nursing HomeMedicaid

Donalson Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1681 Winchester Highway, Fayetteville, TN 37334168 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 50 Google reviews

5
4
3
2
1
Donalson Care Center Nursing Home in Fayetteville, TN — Street View
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What this means for your family

Donalson Care Center is frequently praised for its compassionate hospice care and effective physical therapy, making it a strong contender for those needs. However, due to recurring reports of medication errors and unprofessional administrative conduct, we strongly advise families to maintain active, daily involvement in their loved one's care and to keep a detailed log of all medications administered.

Google Reviews

Google Reviews

50 reviews on Google
Donalson Care Center receives highly polarized feedback, with many families praising the facility for its compassionate end-of-life care, effective physical therapy, and clean environment. However, a recurring subset of reviewers reports serious concerns regarding administrative responsiveness, inconsistent medication management, and instances of unprofessional or dismissive staff behavior.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0Activities8.0Meds3.0Memory6.0Comms5.0ValueN/A

Strengths

  • Compassionate end-of-life/hospice care
  • Effective physical therapy services
  • Clean and well-maintained facility
  • Friendly and attentive nursing staff

Concerns

  • Inconsistent or poor medication management (mentioned by 3 reviewers)
  • Unprofessional or dismissive administrative/supervisory staff (mentioned by 4 reviewers)
  • Inadequate or inconsistent physical therapy engagement (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'20(1)'22(7)'24(3)'26(14)

Distribution · 54 analyzed

5
38
4
6
3
0
2
1
1
9

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's focus on compassionate end-of-life care, how do you ensure that same level of personalized attention is extended to residents requiring daily medication management?
  • 2I noticed the facility has a 2-star CMS staffing rating; what specific steps are you taking to ensure there is consistent, high-quality support for residents throughout all shifts?
  • 3How does your administrative team work to maintain open communication with families, and what is your process for addressing concerns when they arise?
  • 4Since physical therapy is a noted strength here, how do you ensure that residents remain consistently engaged and motivated in their therapy sessions?
  • 5Could you walk me through your protocols for medication administration and how you verify that dosages are accurate and delivered on schedule?
  • 6What does a typical social calendar look like for a resident, and how do you encourage participation to ensure everyone feels connected to the community?

Personalized based on this facility's data


Key Review Excerpts

The overnight teams that came to the bedside and changed gowns and bedding as well as helping with comfort were skilled and very helpful. The Hospice program provided attentive and supportive end of life help for our family and dad.

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

My 83 year old Mom was in Donaldson after breaking her hip. Mom was there for over three months and the care she received from the nurses was wonderful. Physical therapy worked with her at least two times a day until she was up and walking again.

Rehab patient's family · 2025★★★★★

One of the nurses gave our dad a pain pill which knocked him out for a day and a half and she was not even supposed to give it to him. The same nurse even chased a family member out of the building yelling at him.

Rehab patient's family · 2024☆☆☆☆
Source: 50 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
43%
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

6

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility76.4%
Worse than Avg
Here
76.4%
US
93.4%
TN
89.5%
Lincoln
94.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
TN
12.9%
Lincoln
4.9%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
14.4%
TN
14.6%
Lincoln
19.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.9%
Mixed vs Avgs
Here
25.9%
US
19.5%
TN
31.9%
Lincoln
21.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.4%
Better than Avg
Here
15.4%
US
19.4%
TN
20.1%
Lincoln
21.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.2%
Worse than Avg
Here
11.2%
US
5.3%
TN
6.3%
Lincoln
5.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility65.5%
Worse than Avg
Here
65.5%
US
81.8%
TN
79.4%
Lincoln
84.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.7%
Better than Avg
Here
86.7%
US
79.8%
TN
79.8%
Lincoln
82.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
TN
1.6%
Lincoln
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (5.9)
1 complaint-triggered

Donalson Care Center has significant recurring issues, with one complaint-triggered incident in March 2025 involving failure to report suspected abuse. The facility consistently struggles with care planning and assessments, emergency preparedness, and infection control across all three surveys from 2019 to 2025, suggesting systemic problems that persist despite corrections. While all deficiencies show correction dates, the pattern of repeat violations in core care areas raises concerns about sustainable improvements.

Mar 12, 2025Routine
19
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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0020Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0022Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0024Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0025Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0026Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

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

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0035Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0036Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Mar 12, 2025Complaint
1
0609Potential for harm · 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.

Jun 30, 2021Routine
8
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 15, 2019Routine
10
0657Immediate jeopardy · PatternCorrected

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.

0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

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

0835Immediate jeopardy · PatternCorrected

Administration Deficiencies

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

0841Immediate jeopardy · PatternCorrected

Nursing and Physician Services Deficiencies

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

0867Immediate jeopardy · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0690Potential for harm · IsolatedCorrected

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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Donalson Care Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Huntsville Hospital Health System

Chain Size

3 facilities nationwide

Chain avg rating: 2.7/5 · Rank 1 of 3 (Best)

Ownership & Management

Owners

The Health Care Authority of the City of Huntsville

Owner · Organization

100%

Key personnel

Carter, ClintonOfficer / DirectorCobb, TammyOfficer / DirectorSamz, JeffreyOfficer / DirectorCarter, ClintonManagerDavis, JohnManager
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.

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