Nursing home
Towne Square Care of Puryear
220 College Street, Puryear, TN 38251 · Map
For profit - Corporation · 32 certified beds
Towne Square Care of Puryear is a Medicare-certified nursing home in Puryear, Tennessee. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.45 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Mar 26, 2025 cited 8 deficiencies.
- 1 fine totaling $5,244In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Towne Square Care of Puryear 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.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.45 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.70 | 0.61 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.86 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | —% | 48.7% | 46.4% | — |
| Deficiencies cited, last inspection | 8.0 | 5.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $5,244, 1 total penalty.
What inspectors found at Towne Square Care of Puryear
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 26, 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 26, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Mar 26, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 3, 2024 · Full report (PDF) - 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 · Apr 3, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 3, 2024 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Apr 3, 2024 · Full report (PDF)
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
- 220 College Street
Puryear, TN 38251 - CMS certification #
- 445470
- Ownership
- For profit - Corporation
- Certified beds
- 32
- Avg residents/day
- 26.9
- Provider type
- Medicare and Medicaid
- First certified
- 2003-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Towne Square Care of Puryear using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Murray-Calloway County Hospital, Murray. 11.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Henry County Health and Rehabilitation, Paris. 10.2 miles away, straight line.
- Nearest home health agency office
- West Tennessee Healthcare Henry County Home Health, Paris. 10.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Perkins Drugs And Gifts. 9.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 38251 as micropolitan (micropolitan low commuting).
- Dialysis within 15 miles
- Dci Paris, Paris, 10.3 miles away, straight line (CMS rating 1 of 5 stars)
Fkc Sandy River, Paris, 10.7 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Dialysis Of Murray, Murray, 10.9 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 38251.
Henry County Medical Center Hospice, office in Paris, 9.7 miles away, straight line
Beacon Hospice, office in Mc Kenzie, 23.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Southeastern Physician Services PC, Union City. 39.3 miles away, straight line. 2 geriatric medicine doctors 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 high. By hazard: hurricane very low, inland flooding very low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively high. 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Towne Square Care of Puryear a good nursing home?
CMS gives Towne Square Care of Puryear an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Towne Square Care of Puryear staffed?
Towne Square Care of Puryear reports 3.45 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Towne Square Care of Puryear had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Towne Square Care of Puryear have?
Towne Square Care of Puryear is certified for 32 beds.