Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Avondale Health and Rehabilitation Center, LLC

HUMBOLDT, TN · 89 certified beds · Last Life Safety survey July 22, 2026

CMS Certification Number 445454 · first certified July 2002

Ownership

Operated by CHAMPION CARE · For profit - Limited Liability company

  • New ownershipOwnership changed December 1, 2024 (change of ownership)from HUMBOLDT HEALTHCARE AND REHAB CENTER, LLC
8
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TN

8 citations — more than 50% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 5 citations; the earlier surveys on file averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2027 — about 11 months from now. This facility’s last Life Safety survey was July 2026. Facilities in TN are typically surveyed 15–44 months after the last one (median 32), measured over 322 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations in CMS's current file

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility8TN median8National median11
Citations in CMS's current file, compared
MeasureCitations
This facility8
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0902025-0152026-07
Citations at each Life Safety survey
Survey dateCitations
September 22, 20233
January 9, 20250
July 22, 20265

Most-cited tags

Most-cited tags at this facility
K-07411K-03531K-07611K-03241K-09201K-03451K-09141K-07811
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12023-09-22
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-07-22
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12026-07-22
K-0324Provide properly protected cooking facilities.12026-07-22
K-0920Ensure proper usage of power strips and extension cords.12023-09-22
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-07-22
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12026-07-22
K-0781Have restrictions on the use of portable space heaters.12023-09-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 22, 2026 — 5 citations

Citations issued on July 22, 2026
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 7, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 7, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 10, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 10, 2026)

September 22, 2023 — 3 citations

Citations issued on September 22, 2023
TagWhat the surveyor checksStatus
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 19, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (October 10, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 9, 2023)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.