Towne Square Care of Puryear
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 7 Google reviews

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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
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 detailsStrengths
- Friendly and caring staff
Rating Trends
Tap a year to see what changed
Distribution · 7 analyzed
How They Respond to Reviews
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”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
9
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine11
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Apr 3, 2024Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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, 2024Complaint1
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, 2022Routine6
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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
Towne Square Care of Puryear
for profit
Ownership & Management
Owners
White, Patrick
Owner
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
7 reviews from families & visitors
Official Website
Visit puryear-farms.com
Medicare data downloads
Original nursing home datasets
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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.