SNF
CYPRESS GROVE POST ACUTE
CCN: 445453 · JACKSON, TN 38301 · Madison County
Overview
- Address
- 45 FOREST COVE, JACKSON, TN 38301
- Phone
- 7314244200
- Certified beds
- 170
- Avg daily residents
- 88 (52% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2002-07-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.63 | 4.56 | 3.07 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.48 | 0.80 | 0.41 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.14 | 1.01 | 0.97 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.01 | 2.75 | 1.70 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.62 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.24
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
2.75
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
47.9%
annual
RN turnover
37.5%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.62
higher acuity than avg
Case-Mix Index Ratio
1.17
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-06-18 | 3 | 3 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2022-07-14 | 15 | 13 | 2 | 112 | 1 | 112 |
Total weighted health score
37.0
lower is better
Deficiencies (24)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
21 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
2 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-18 | 2025-07-18 |
| 0761 | 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 | 2025-06-18 | 2025-07-18 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-06-18 | 2025-07-18 |
| 0584 | 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 | 2024-09-25 | 2024-10-11 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-09-25 | 2024-10-11 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2022-07-14 | 2022-08-04 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-07-14 | 2022-08-04 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2022-07-14 | 2022-06-08 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2022-07-14 | 2022-08-04 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-07-14 | 2022-08-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2022-07-14 | 2022-06-08 |
| 0690 | 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 | 2022-07-14 | 2022-08-04 |
| 0693 | 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 | 2022-07-14 | 2022-08-04 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2022-07-14 | 2022-08-04 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-07-14 | 2022-08-04 |
| 0761 | 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 | 2022-07-14 | 2022-08-04 |
| 0791 | Provide or obtain dental services for each resident. | D | 2022-07-14 | 2022-08-04 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-07-14 | 2022-08-04 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-10-31 | 2019-11-14 |
| 0584 | 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 | 2019-10-31 | 2019-11-14 |
| 0642 | Ensure a qualified health professional conducts resident assessments. | D | 2019-10-31 | 2019-11-14 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-10-31 | 2019-11-14 |
| 0761 | 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 | 2019-10-31 | 2019-11-14 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-10-31 | 2019-11-14 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$17,355
| Date | Type | Fine amount |
|---|---|---|
| 2024-09-25 | Fine | $17,355 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.6% Medicaid 83.3% Other 13.1%
Operating performance
Operating Margin
-20.0%
Total Margin
-0.0%
Occupancy Rate
46.2%
Cost per Resident Day
$21
Revenue & costs
Net Patient Revenue
$7.6M
Total Costs
$609K
Net Income
-$4K
Balance sheet
Total Assets
$4.1M
Total Liabilities
$8.4M
Fund Balance
-$4.3M
Current Ratio
0.18
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LINKS HEALTHCARE GROUP
- Chain ID
318- Facilities in chain
- 31
- Legal business name
- GOODHOPE BAY HOLDINGS LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.5
Staffing
2.5
QM
3.9
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| LINKS HEALTHCARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2025 |
| LINKS HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/26/2024 |
| 45 FOREST COVE TN LLC | 5% OR GREATER MORTGAGE INTEREST | since 01/01/2025 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| RODRIGUEZ, CURTIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2025 |
| TILFORD, TOBY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2025 |
| HAMMOND, JERE | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| RODRIGUEZ, CURTIS | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| SANDERS, ZABIAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| TILFORD, TOBY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $21 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.18 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 83.3% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-4,114 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,628,530 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 46.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -20.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,118,871 | metrics.total_assets |
| Cost Report | Total Costs ($) | $609,167 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-4,259,529 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $8,378,400 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -0.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.96608 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.69933 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.40803 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.07345 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.74518 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 87.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.01273 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.75237 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.79825 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.56335 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.02212 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 318 | Chain ID |
| Provider Information | Chain Name | LINKS HEALTHCARE GROUP | Chain Name |
| Provider Information | City/Town | JACKSON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 445453 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Madison | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2002-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.6342 | Latitude |
| Provider Information | Legal Business Name | GOODHOPE BAY HOLDINGS LLC | Legal Business Name |
| Provider Information | Location | 45 FOREST COVE,JACKSON,TN,38301 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -88.828 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 170 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 31 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.61659 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.17344 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 45 FOREST COVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CYPRESS GROVE POST ACUTE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 560 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-06-18 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 13 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-07-14 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 112 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 112 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.31360 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 37.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.62411 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.14184 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.00850 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05600 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.48227 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.63261 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TN | State |
| Provider Information | Telephone Number | 7314244200 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 17355.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.24462 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 47.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 37.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 38301 | ZIP Code |