Tennessee › Lincoln County › Fayetteville
Donalson Care Center
1681 Winchester Highway, Fayetteville, TN 37334
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 168 beds, Donalson Care Center serves Fayetteville in Lincoln County, Tennessee and has taken Medicare and Medicaid residents since 1985.
CMS gives it 3 of 5 stars overall, equal to the Tennessee median; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (7, 9, 8 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 14.3 per 100 beds, about the same as the state median of 12.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Tennessee median of 3.6; nursing staff turnover is 39.1%.
Compared with county, state and nation
| Measure | This facility | Lincoln Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 13 | 28.7 |
| Citations per 100 beds | 14.3 | 14.3 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 39.1% | 63.2% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2025, 30 Jun 2021.
Severity mix: K ×5 D ×17 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0693 | 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. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0761 | 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. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Apr 2025 |
| 30 Jun 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Aug 2021 |
| 30 Jun 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Aug 2021 |
| 15 Jul 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | K | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | K | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | K | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Aug 2019 |
| 15 Jul 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Aug 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 39.1%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.6% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.5% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Hh Health System Lincoln Inc. Chain: Huntsville Hospital Health System (3 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Health Care Authority of the City of Huntsville | 5% or greater direct ownership interest | 100% | 07/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lincoln County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Elk River Health & Rehabilitation of Fayetteville | Fayetteville | 79 | 4 | 4 | 2 | 8 | 10.1 | — | 10 Sep 2025 |
All 2 facilities in Lincoln County
Questions and answers
How many deficiencies has Donalson Care Center been cited for?
24 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Donalson Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Donalson Care Center compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Donalson Care Center?
It is part of the Huntsville Hospital Health System chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include The Health Care Authority of the City of Huntsville. Individual owners and managers are not listed on this site.
When was Donalson Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 Mar 2025; the most recent standard health survey was 12 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.