CCN 445451 · Decatur County, Tennessee
Decatur County Healthcare
726 Kentucky Avenue S, Parsons, TN 38363
Decatur County Healthcare is a 125-bed for-profit nursing home in Parsons, Tennessee, first certified for Medicare or Medicaid in 2002. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 81.3 residents a day, about 65% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $2.3 million in August 2013 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 125
- Average residents per day
- 81.3 (65.0% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Bear Creek Healthcare LLC
- Certified since
- Jul 1, 2002
- Chain or affiliated group
- The Ensign Group (344 facilities, chain average 3.2 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 | 5 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 | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.47 | 3.64 | 3.68 |
| RN hours per resident per day | 0.42 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 2.87 | ||
| Nursing staff turnover | 40.0% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 65.0% | 77.7% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 2 (Dec 10, 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). Decatur County Healthcare meets that part today: 5 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 |
|---|---|---|---|
| Rocky Top Healthcare LLCOrganization | Direct Ownership Interest | 100% | 08/12/2024 |
| Smith, KyleIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jan 1, 2025 | Bear Creek Healthcare LLC | Decatur County Health Care and Rehabilitation 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 |
|---|---|---|---|---|
| Aug 27, 2013 | 223(f) refinance or purchaseHUD project name: THM13-Decatur County Manor, 125 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $2,253,500 | Ended Apr 7, 2021Prepayment | 08122026 |
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.