Westwood Nursing and Rehabilitation — nursing home in Decaturville, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 42.4 CMS, MDS-derived
CMS Certification Number: 445449
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2002
Ownership type: For profit - Corporation
Operator (legal business name): Black Wolf Healthcare LLC
CMS chain: The Ensign Group 347 facilities
Phone: (731) 852-3591
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jun 18, 2025

Citations

9

5 health · 4 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D7	E1	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$9,620

Payment denials

0

Latest

Jun 18, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445449
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: Apr 1, 2002
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 18, 2025	Health	Health Complaint	2	Actual harm	—	Open →
May 14, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 14, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jan 23, 2020	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 23, 2020	Health	Health Standard	0	No citations	—	Open →
Mar 12, 2019	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 12, 2019	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 18, 2025	Civil money penalty (fine)	$9,620	—	445449\|Fine\|33665

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D7	E1	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 18, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jul 14, 2025	Complaint
Jun 18, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 14, 2025	Complaint
May 14, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 20, 2025
May 14, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 20, 2025
May 14, 2025	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 25, 2025
May 14, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2025
May 14, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 3, 2025
May 14, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 3, 2025
May 14, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 3, 2025

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.53

State avg 3.82US avg 3.90

Registered nurse (RN)0.89

State avg 0.60US avg 0.69

Licensed practical nurse0.87

State avg 1.08US avg 0.86

Nurse aide1.77

State avg 2.14US avg 2.35

Weekend total nurse3.06

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.23 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover48.9%

State avg 48.6%US avg 45.3%

Registered nurse turnover33.3%

State avg 43.2%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 14, 2025
Cycle 1 health score: 16
Total weighted score: 18

Operating entity

Black Wolf Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

8

Organizations

1

Individuals

7

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rocky Top Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 13, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rocky Top Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 13, 2024
Melinda Wade	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Tyler Albrechtsen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 13, 2024
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 13, 2024
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Brent Thatcher	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 13, 2024
Loren Carroll	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Melinda Wade	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 20, 2025

Same chain in Tennessee

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Legacy Park Health and Rehabilitation 7424 Middlebrook Pike, Knoxville, TN 37909 CCN 445105	176	Aug 31, 2026	431 harm	$75k
Foothills Transitional Care and Rehabilitation 1012 Jamestown Way, Maryville, TN 37803 CCN 445245	185	Feb 18, 2025	281 harm	$9,982
Tri State Health and Rehabilitation Center 600 Shawanee Rd, Harrogate, TN 37752 CCN 445263	116	Dec 17, 2025	235 IJ	$15k
Creekview Health and Rehabilitation 3300 Broadway NE, Knoxville, TN 37917 CCN 445297	91	Nov 17, 2025	43	—
Union City Health and Rehabilitation 1630 E Reelfoot Ave, Union City, TN 38261 CCN 445381	115	Aug 21, 2025	101 IJ	$10k
Vanayer Senior Living and Rehabilitation 460 Hannings Lane, Martin, TN 38237 CCN 445423	91	Nov 21, 2025	91 harm	$8,589
Meadowbrook Healthcare and Rehabilitation Center 1245 E College St, Pulaski, TN 38478 CCN 445443	83	Feb 22, 2026	21	—
Savannah Nursing and Rehabilitation 1645 Florence Rd, Savannah, TN 38372 CCN 445444	120	May 19, 2026	13	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 524 West Main Street, Decaturville, TN 38329
ZIP: 38329
County: Decatur County FIPS 47039
State: Tennessee
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Decatur County Healthcare 726 Kentucky Avenue S, Parsons, TN 38363 CCN 445451	6.5 km	125		Dec 10, 2025	11	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445449	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445449	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 445449

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction