CCN 445397 · Mc Nairy County, Tennessee
Adamsville Healthcare and Rehabilitation Center
409 Park Avenue, Adamsville, TN 38310
Adamsville Healthcare and Rehabilitation Center is a 125-bed for-profit nursing home in Adamsville, Tennessee, first certified for Medicare or Medicaid in 1997. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 79.4 residents a day, about 64% of its certified beds. It has an active FHA-insured Section 232 loan: $8.3 million originally, at 5.89%, with $8.3 million outstanding as of September 30, 2026 and maturity in October 2060.
Facility facts
- Certified beds
- 125
- Average residents per day
- 79.4 (63.5% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Adamsville Operating Group LLC
- Certified since
- Jun 16, 1997
- Chain or affiliated group
- Ahava Healthcare (16 facilities, chain average 2.4 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 | 4 of 5 | State spread: 58 at 1, 53 at 2, 65 at 3, 68 at 4, 56 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.18 | 3.64 | 3.68 |
| RN hours per resident per day | 0.41 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 3.57 | ||
| Nursing staff turnover | 42.0% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 63.5% | 77.7% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 3 (Jul 30, 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). Adamsville Healthcare and Rehabilitation Center meets that part today: 4 stars overall, 4 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 |
|---|---|---|---|
| Adamsville Holdco LLCOrganization | Direct Ownership Interest | 100% | 06/01/2019 |
| Bdv Inv Holdco, LLCOrganization | Indirect Ownership Interest | 20% | 11/26/2004 |
| Ecm Holdings LLCOrganization | Indirect Ownership Interest | 10% | 06/01/2019 |
| Hardin, JackIndividual | Operational / Managerial Control | n/a | 02/15/2023 |
| Treece, NicholasIndividual | Operational / Managerial Control | n/a | 10/21/2022 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jun 1, 2019 | Adamsville Operating Group LLC | Adamsville Healthcare LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 18, 2025 | 223(f) refinance or purchaseHUD project name: Adamsville Healthcare and Rehabilitation Center, 125 beds. Lender at endorsement: Greystone Funding Company LLC | $8,320,000 | Active: 5.89%, $8,252,475 balanceMatures Oct 1, 2060. Servicer: Greystone Servicing Company | 08622066 |
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.