Paris · 10.2 mi
Henry County Health and Rehabilitation
5 of 5 · Medicare
View facility →Towne Square Care of Puryear
⌖ Puryear, TN · Henry County · Medicare data as of September 2026
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds32
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Towne Square Care of Puryear
Towne Square Care of Puryear is a 32-bed for-profit nursing home in Puryear, TN. Medicare rates it 2 out of 5 stars overall (below average); the average in Tennessee is 3.0.
- Inspections: 3 problems at its last full inspection (May 2026), fewer than the Tennessee average of 4.4. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 17 min a day with each resident, more than the Tennessee average of 3 hr 48 min. About 23% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
- Stands out: No long-term residents lost too much weight in Medicare’s latest figures, compared with 5.2% nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameTowne Square Care Of Puryear
LocationHenry County, Tennessee
Phone(731) 247-3205
Address220 College Street, Puryear, TN 38251 · Henry County
Medicare provider number445470
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 2003 (23 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone since May 2026No citations for actual harm or immediate jeopardy since May 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (May 2026)Tennessee average: 4.4.Strength
- Nurse staffing per resident4 hr 17 min a dayTennessee average: 3 hr 48 minStrength
- Nursing staff turnover23% a yearTennessee average: 49%Strength
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Registered nurse time per resident31 min a dayTennessee average: 36 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Tennessee average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.0%State average: 3.4%About average
- Pressure sores (bedsores)1.0%State average: 5.0%Better than average
- Given antipsychotic drugs8.7%State average: 16.8%Better than average
- Hospital stays per 1,000 resident days0.5State average: 1.7Better than average
Source: Medicare (CMS) quality measures, compared with the Tennessee average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Tennessee, Medicaid pays for 63% of resident days at a typical home.
- 63% Medicaid
- 11% Medicare
- 26% Private pay, insurance and other
Beds in use, on average77%Tennessee typical: 73%
Facility operating cost per resident day$265Tennessee typical: $352
Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Tennessee’s Medicaid program uses about $296 a day (about $9,000 a month) as the average cost of nursing home care (January 2026); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Tennessee →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 2 stars now, up from 1 star in January 2019. It has ranged from 1 to 3 stars and changed 15 times.
Overall rating2★
Health inspections3★
Staffing1★
Quality of care4★
Nurse hours per resident per day4.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 1 | 4 | – |
| Jan 2020 | 1 | 3 | 1 | 1 | – |
| Jan 2021 | 3 | 3 | – | 4 | – |
| Jan 2022 | 2 | 3 | 1 | 4 | – |
| Jan 2023 | 2 | 3 | 3 | 1 | 3.4 |
| Jan 2024 | 1 | 3 | 1 | 1 | 3.4 |
| Feb 2025 | 2 | 3 | 1 | 2 | 3.1 |
| Feb 2026 | 2 | 3 | 1 | 2 | 3.4 |
| Sep 2026 | 2 | 3 | 1 | 4 | 4.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.