nursing home in Bartlett, TN
Ave Maria Home
2805 Charles Bryan Rd, Bartlett, TN 38134 · (901) 386-3211
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ave Maria Home at a glance
Ave Maria Home is a 100-bed non-profit nursing home in Bartlett, Tennessee (Shelby County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 5.8 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (May 12, 2022) found 5 health citations. The Tennessee average is 4.4.
Federal regulators fined it 2 times in the past three years, totaling $27,921.
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 2009
- Resident/family council
- Both
- County
- Shelby County
- CMS Certification Number
- 445490
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.76 hrs | 3.80 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.78 hrs | 2.12 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.13 hrs | 3.31 hrs | 3.42 hrs | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 38.8 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $27,921 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 114 | 107 | |
| Average residents per day | 93 | 84 | 86 | |
| Occupancy | 92.8% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.4% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 19% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.5% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 31.6% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 50.6% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.6% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.4% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.7% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.8% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.2% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.4% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 70.2% | 79.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.8% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 28, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected July 2, 2024 |
| May 12, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 20, 2022 |
| May 12, 2022 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected June 10, 2022 |
| May 12, 2022 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 3, 2022 |
| May 12, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 23, 2022 |
| May 12, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 23, 2022 |
| February 21, 2020 Fire safety | Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. Services Deficiencies · Tag K0524 | D Potential harm, isolated | Corrected March 6, 2020 |
| February 21, 2020 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 6, 2020 |
| February 21, 2020 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 6, 2020 |
| February 21, 2020 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 6, 2020 |
| March 7, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected April 15, 2019 |
| March 7, 2019 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected April 15, 2019 |
| March 7, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 15, 2019 |
| March 7, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected April 15, 2019 |
| March 7, 2019 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected April 15, 2019 |
| March 7, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 15, 2019 |
| March 7, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 15, 2019 |
| March 7, 2019 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected April 15, 2019 |
| March 7, 2019 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 15, 2019 |
| March 7, 2019 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected April 15, 2019 |
| March 7, 2019 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected April 15, 2019 |
| March 7, 2019 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 15, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $27,921 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 28, 2024 | Payment Denial | 94 days from March 30, 2024 |
| March 28, 2024 | Fine | $17,882 |
| March 28, 2024 | Fine | $10,039 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| JOHNSON, DANNY Individual | 5% or greater indirect ownership interest | 34% | 01/01/2019 |
| MCGRAW, WILLIAM Individual | 5% or greater indirect ownership interest | 33% | 01/01/2023 |
| O'TOOLE, JEANNIE Individual | 5% or greater indirect ownership interest | 33% | 01/01/2023 |
| HINES, ELBERT Individual | adp of the snf | NOT APPLICABLE | 05/13/2026 |
| WILSON, EMMANUEL Individual | adp of the snf | NOT APPLICABLE | 11/24/2025 |
| JOHNSON, DANNY Individual | corporate officer | NOT APPLICABLE | 01/01/2019 |
| MCGRAW, WILLIAM Individual | corporate officer | NOT APPLICABLE | 01/01/2023 |
| O'TOOLE, JEANNIE Individual | corporate officer | NOT APPLICABLE | 01/01/2023 |
| WILSON, EMMANUEL Individual | operational/managerial control | NOT APPLICABLE | 05/26/2025 |
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Frequently asked questions
What is Ave Maria Home's rating?
Ave Maria Home has 2 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Ave Maria Home receive?
Its most recent standard health inspection found 5 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Ave Maria Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ave Maria Home?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ave Maria Home and how do I contact it?
Ave Maria Home is at 2805 Charles Bryan Rd, Bartlett, TN 38134. Phone: (901) 386-3211.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.