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Nursing HomeMedicaid Investigative

Towne Square Care of Puryear

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

220 College Street, Puryear, TN 3825132 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 7 Google reviews

5
4
3
2
1
Towne Square Care of Puryear Nursing Home in Puryear, TN — Street View
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 (1/5 stars)
  • Above-median deficiencies (8 vs median 5.0)

Below average in TN · Below recommended RN staffing · $5,244 in fines

Source: Medicare data

What this means for your family

Because the available reviews lack substantive detail, it is difficult to assess the quality of care at this facility. We strongly recommend scheduling an in-person tour to observe staff interactions and facility conditions firsthand, as online feedback is currently insufficient to inform a decision.

Google Reviews

Google Reviews

7 reviews on Google
The reviews for Towne Square Care of Puryear are extremely limited in descriptive content, consisting almost entirely of star ratings without written feedback. While one reviewer mentioned friendly and caring staff, there is insufficient qualitative data to provide a comprehensive assessment of the facility's operations or quality of care.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and caring staff

Rating Trends

Tap a year to see what changed

2343.52021(2)5.02022(4)5.02026(1)

Distribution · 7 analyzed

5
5
4
1
3
1
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, how does your team ensure that each of the 32 residents receives consistent, personalized attention throughout the day?
  • 2I noticed the facility has had some recent health inspection findings; could you walk me through the specific steps you are taking to address those areas and improve the quality of care?
  • 3Since your residents and families often highlight the warmth of your staff, how do you foster that supportive culture while managing the daily demands of a smaller facility?
  • 4With a capacity of 32, what does the daily social calendar look like to ensure residents stay engaged and connected with one another?
  • 5How is your medical care structured to handle urgent health changes, and what is your process for keeping families informed during those critical moments?
  • 6What specific measures are in place to ensure that the staff-to-resident ratio remains stable and effective during evening and weekend shifts?

Personalized based on this facility's data


Key Review Excerpts

Friendly and caring staff

Local Guide · 2022★★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
73%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
20%
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 · 15 measures

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility60.3%
Worse than Avg
Here
60.3%
US
19.5%
TN
31.9%
Henry
24.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.6%
Worse than Avg
Here
33.6%
US
19.4%
TN
20.1%
Henry
22.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TN
89.5%
Henry
92.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.8%
Mixed vs Avgs
Here
19.8%
US
12.1%
TN
12.9%
Henry
28.9%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
15.3%
TN
18.5%
Henry
18.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.5%
TN
16.9%
Henry
15.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility73.2%
Worse than Avg
Here
73.2%
US
81.8%
TN
79.4%
Henry
82.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Above state avg (5.9)
1 complaint-triggered
$5,244 in fines

Towne Square Care of Puryear has recurring deficiencies in medication management, safety hazards, and food service across all three surveys, indicating persistent operational challenges. One family filed a complaint regarding failure to properly report suspected abuse or neglect. While all violations have correction dates, the pattern of repeated issues in medication safety, accident prevention, and dietary services suggests ongoing quality concerns that families should discuss during visits.

Mar 26, 2025Routine
11
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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.

Apr 3, 2024Routine
4
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

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.

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Apr 3, 2024Complaint
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.

Mar 30, 2022Routine
6
0582Potential for harm · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

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.

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Towne Square Care of Puryear

Organization Type

for profit

Ownership & Management

Owners

White, Patrick

Owner

100%

Key personnel

Bell, ZacharyW-2 Managing EmployeeWhite, PatrickOfficer / DirectorWhite, PatrickManager
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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