Lilisity

Nursing home

Donalson Care Center

1681 Winchester Highway, Fayetteville, TN 37334 · Map
Non profit - Corporation · Part of Huntsville Hospital Health System (3 facilities) · 168 certified beds

Medicare and Medicaid certified
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Donalson Care Center is a Medicare-certified nursing home in Fayetteville, Tennessee. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.60 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Mar 12, 2025 cited 8 deficiencies.

3 out of 5Overall CMS rating
3 out of 5Health inspections
2 out of 5Staffing
168 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating3/5
Health inspections3/5
Staffing2/5
Quality measures3/5
Long-stay quality2/5
Short-stay quality4/5

How Donalson Care Center compares

This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTennessee avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.603.853.89below avg
RN staffing (hrs/resident/day)0.400.610.68below avg
Aide staffing (hrs/resident/day)1.942.152.34below avg
Nursing staff turnover46.4%48.7%46.4%below avg
Deficiencies cited, last inspection8.05.99.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.60Total nurse hrs/resident/day
0.40RN hrs/resident/day
1.26LPN hrs/resident/day
1.94Aide hrs/resident/day
3.21Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff46.4%
Registered nurses50.0%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Mar 12, 2025Most recent inspection
8Deficiencies found
32Health inspection score
0Fines
  • Every deficiency from the March 12, 2025 inspection was corrected by April 26, 2025

What inspectors found at Donalson Care Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    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 · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    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 · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Quality of Life and Care Deficiencies · Mar 12, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Resident Assessment and Care Planning Deficiencies · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Mar 12, 2025 · Full report (PDF)
  • Potential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies · Jun 30, 2021
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jun 30, 2021
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Jun 30, 2021
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Jun 30, 2021

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
1681 Winchester Highway
Fayetteville, TN 37334
CMS certification #
445173
Ownership
Non profit - Corporation
Certified beds
168
Avg residents/day
88.6
Provider type
Medicare and Medicaid
First certified
1985-04-22
Chain
Huntsville Hospital Health System (3 facilities)
Setting
Rural

Part of Huntsville Hospital Health System

Huntsville Hospital Health System operates 3 nursing facilities across the United States. View all Huntsville Hospital Health System facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Donalson Care Center using Google Maps.

Other public records

Full public records, with dates and sources

Care and services

From the community’s website

What Donalson Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Apartment types named: private room, semi-private room. We offer private and semi-private rooms with easy access to dining rooms and common areas. (page, checked Oct 12, 2026)

Location and nearby care

Nearest hospital with an emergency room
Lincoln Medical Center, Fayetteville. 2.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
Elk River Health & Rehabilitation of Fayetteville, Fayetteville. 2.0 miles away, straight line.
Nearest home health agency office
Lincoln Medical Home Health And Hospice, Fayetteville. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 15.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 37334 as micropolitan (micropolitan high commuting).
Dialysis within 15 miles
Fmc Elk River Dialysis, Fayetteville, 2.8 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
6 Medicare hospices tell CMS they serve ZIP code 37334.
Lincoln Medical Home Health And Hospice, office in Fayetteville, 2.2 miles away, straight line
Hospice Compassus - The Highland Rim, office in Tullahoma, 22.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
Faith Family Wellness Clinic PLLC, Shelbyville. 24.7 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Donalson Care Center a good nursing home?

CMS gives Donalson Care Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Donalson Care Center staffed?

Donalson Care Center reports 3.60 total nurse hours per resident per day, compared with the Tennessee average of 3.85.

Has Donalson Care Center had inspection problems?

Its most recent CMS inspection cited 8 deficiencies.

How many beds does Donalson Care Center have?

Donalson Care Center is certified for 168 beds.