Rising Star Nursing Center

Inspection findings

1. Dec 5, 2025 Health · 4 findings
   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Dec 9, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Dec 9, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0740 Quality of Life and Care Deficiencies

     Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

     Corrected Dec 9, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Dec 9, 2025 · CMS fire safety

2. Aug 9, 2024 Health · 7 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Aug 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Aug 30, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Aug 30, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Aug 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Aug 30, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 30, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 22, 2024 · CMS fire safety

3. Jun 22, 2023 Health · 5 findings
   • Not serious Scope/severity E

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected Jul 7, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Jun 23, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 11, 2023 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 2, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• DERRICK, MICHELE — corporate officer, NOT APPLICABLE, since 04/01/2017
• DONHAM, GUYLE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• DONHAM, GUYLE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• JONES, TIMOTHY — corporate director, NOT APPLICABLE, since 04/01/2017
• JONES, TIMOTHY — managing control - governing body, NOT APPLICABLE, since 04/01/2017
• KELTZ, TERRY — corporate officer, NOT APPLICABLE, since 07/01/2017
• NEAL, JOSEPH — operational/managerial control, NOT APPLICABLE, since 04/01/2017
• NEAL, JOSEPH — corporate director, NOT APPLICABLE, since 04/01/2017
• NEAL, JOSEPH — adp of the snf, NOT APPLICABLE, since 10/01/2016
• RODDIE, KIRK — corporate officer, NOT APPLICABLE, since 07/01/2021
• SCHAFFNER, MICHAEL — corporate officer, NOT APPLICABLE, since 07/01/2021
• WHITTEN, GREGORY — adp of the snf, NOT APPLICABLE, since 01/03/2020
• WHITTEN, GREGORY — corporate director, NOT APPLICABLE, since 01/03/2020
• WHITTEN, GREGORY — operational/managerial control, NOT APPLICABLE, since 01/03/2020
• JK NEAL REALTY — adp of the snf, NOT APPLICABLE, since 10/01/2016
• MCCULLOCH COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 04/14/2025
• RISING STAR SENIOR CARE LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2020
• RISING STAR SENIOR CARE LLC — adp of the snf, NOT APPLICABLE, since 04/01/2020