CCN 445173 · Lincoln County, Tennessee
Donalson Care Center
1681 Winchester Highway, Fayetteville, TN 37334
Donalson Care Center is a 168-bed nonprofit nursing home in Fayetteville, Tennessee, first certified for Medicare or Medicaid in 1985. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 83.3 residents a day, about 50% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 168
- Average residents per day
- 83.3 (49.6% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Hh Health System Lincoln Inc
- Certified since
- Apr 22, 1985
- Chain or affiliated group
- Huntsville Hospital Health System (3 facilities, chain average 3.3 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Tennessee median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 58 at 1, 53 at 2, 65 at 3, 68 at 4, 56 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.74 | 3.64 | 3.68 |
| RN hours per resident per day | 0.43 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 3.17 | ||
| Nursing staff turnover | 39.1% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 49.6% | 77.7% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 7 (Mar 12, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Donalson Care Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| The Health Care Authority of the City of HuntsvilleOrganization | Direct Ownership Interest | 100% | 07/01/2022 |
| Hinton, BradIndividual | Operational / Managerial Control | n/a | 06/06/2025 |
| Vance, JasonIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jul 1, 2022 | Hh Health System Lincoln Inc | Lincoln Care |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.