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Nursing HomeMedicaid

Standing Stone Care and Rehab

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

410 W Crawford Avenue, Monterey, TN 38574115 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 40 Google reviews

5
4
3
2
1
Standing Stone Care and Rehab Nursing Home in Monterey, TN — Street View
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What this means for your family

While the facility's rehabilitation therapy is frequently praised, the recurring reports of neglect and hygiene issues are significant red flags. If you consider this facility, perform an unannounced visit during a weekend or evening shift to observe call-light response times and staff-to-resident interactions firsthand.

Google Reviews

Google Reviews

40 reviews on Google
Standing Stone Care and Rehab receives highly polarized feedback, with some families praising the compassionate staff and effective rehabilitation therapy, while others report severe concerns regarding neglect, hygiene, and communication. Critical issues include long wait times for call lights, poor sanitation, and inconsistent clinical follow-through. Families should be aware of the significant disparity between positive testimonials and reports of substandard care.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean3.0Activities8.0Meds1.0MemoryN/AComms4.0Value2.0

Strengths

  • Effective physical and occupational therapy
  • Compassionate and attentive individual staff members
  • Strong communication from specific departments
  • Warm and welcoming environment

Concerns

  • Neglect and slow response to call lights (mentioned by 4 reviewers)
  • Poor hygiene and sanitation practices (mentioned by 3 reviewers)
  • Inadequate clinical care and medical errors (mentioned by 3 reviewers)
  • Poor communication and unresponsiveness from staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'22(4)'24(8)'26(2)

Distribution · 41 analyzed

5
28
4
1
3
0
2
1
1
11

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the management is very active in responding to feedback; how does the facility use resident and family input to improve daily services?
  • 2We've heard great things about the physical and occupational therapy programs here; can you tell us more about how the therapists work with residents on their mobility goals?
  • 3What specific protocols are in place to ensure call lights are answered promptly and that residents' immediate needs are met throughout the day?
  • 4Could you walk us through your processes for medication management and how you ensure clinical accuracy for every resident?
  • 5How do you maintain high standards of cleanliness and sanitation in the resident rooms and common dining areas?
  • 6What does a typical day look like for residents in terms of social activities and dining experiences?

Personalized based on this facility's data


Key Review Excerpts

30 minutes later I would have to go out into the hall to find a CNA to assist her and there would be 2 or 3 standing talking and laughing while my mothers call light was on

Long-term resident's family · 2017☆☆☆☆

They tried to double dose my granny’s medicine. They also wiped her with NO gloves on she even said “why don’t you have on gloves” and he told her he’s very clean.

Long-term resident's family · 2024☆☆☆☆

My mom started physical therapy at Standing Stone a couple of weeks ago. I am amazed at the attention her therapist, Danielle gives her. Danielle spends the entire session working solely with my mom.

Rehab patient's family · 2021★★★★★
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
3.47hrs
85%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
42%
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

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility37.5%
Worse than Avg
Here
37.5%
US
12.1%
TN
12.9%
Putnam
17.8%

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 Facility44.6%
Worse than Avg
Here
44.6%
US
19.5%
TN
31.9%
Putnam
26.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility34.2%
Worse than Avg
Here
34.2%
US
15.5%
TN
16.9%
Putnam
17.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.0%
Worse than Avg
Here
84.0%
US
95.5%
TN
94.5%
Putnam
97.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.3%
TN
18.5%
Putnam
11.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
14.4%
TN
14.6%
Putnam
9.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.7%
Worse than Avg
Here
78.7%
US
79.8%
TN
79.8%
Putnam
86.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.1%
Mixed vs Avgs
Here
82.1%
US
81.8%
TN
79.4%
Putnam
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
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

3deficiencies
Near state avg (5.9)
2 complaint-triggered

Standing Stone Care and Rehab has recurring deficiencies across multiple areas, with families filing complaints that triggered investigations into abuse and neglect reporting failures. The facility shows persistent issues with fire safety systems, emergency preparedness, and care planning that appear across all four surveys from 2018 to 2025. While the provider reports correcting deficiencies, the pattern of repeated violations in safety systems and the complaint-triggered abuse reporting issues suggest ongoing operational challenges that families should carefully consider.

Mar 4, 2025Routine
19
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.

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.

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.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0022Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0026Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

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.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

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.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

Jan 15, 2025Complaint
2
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.

0609Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Sep 24, 2019Routine
7
0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 24, 2018Routine
9
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.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Standing Stone Care and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 25 of 70

Ownership & Management

Owners

Lp Cr Holdings LLC

Owner · Organization

100%

Agemo Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf II LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Clabeuax, DawnW-2 Managing EmployeeHarrison, JohnOfficer / Director
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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