Westwood Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Westwood Nursing and Rehabilitation is a 90-bed for-profit nursing home in Decaturville, Tennessee, part of The Ensign Group. In the CMS August 2026 release it reported 1.77 nurse aide hours per resident per day, 17% below the Tennessee average of 2.12, and 52.1% nursing staff turnover (Tennessee average 48.9%).
Westwood Nursing and Rehabilitation
524 West Main StreetDecaturville, TN 38329
Decatur County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Westwood Nursing and Rehabilitation, nurse aides logged 1.77 hours per resident per day, 17% below the Tennessee average. With about 45 residents a day, that works out to roughly 79 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.77 | 2.12 | 2.32 |
| Licensed practical nurses | 0.82 | 1.09 | 0.86 |
| Registered nurses | 0.91 | 0.60 | 0.69 |
| All nursing staff | 3.49 | 3.80 | 3.86 |
| All nursing staff, weekends | 3.05 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.1% of nursing staff at Westwood Nursing and Rehabilitation left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 37.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Tennessee average 4.7). CMS lists 1 fine totaling $9,620 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 18, 2025 | Fine | $9,620 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Westwood Nursing and Rehabilitation holds 4 of 5 overall; the Tennessee average is 3.0.
About Westwood Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: Black Wolf Healthcare LLC
- Medicare and Medicaid certified since: Apr 1, 2002
- Councils: resident council
- Area: rural
Nursing homes near Westwood Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Decatur County Healthcare Parsons | 4.1 | 125 | 1.97 | 3.47 | 40.0% | 5 | None |
| Lexington Post Acute Lexington | 14.6 | 118 | 1.89 | 3.38 | 54.5% | 1 | $15,470 |
| Briarwood Community Living Center Lexington | 16.0 | 55 | 1.79 | 3.37 | 69.0% | 2 | None |
| Perry County Nursing Home Linden | 16.2 | 114 | 2.21 | 3.48 | 25.0% | 3 | None |
| Hardin Home Savannah | 25.1 | 39 | 3.29 | 5.19 | — | 4 | None |
| Hardin County NH Savannah | 25.2 | 73 | 2.47 | 4.77 | 44.2% | 2 | $67,490 |
| Park Rest Hardin County Health Center Savannah | 25.2 | 62 | 2.55 | 4.25 | — | 4 | None |
| Harbert Hills Academy N H Savannah | 25.9 | 49 | 3.41 | 4.88 | 50.8% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.