Perimeter Behavioral Center of Jackson
A psychiatric hospital in Jackson, Tennessee 38305
49 Old Hickory Blvd, Jackson, Tennessee 38305. (731) 668-7073.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 16 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Oct 14, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Oct 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Oct 14, 2025: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 620 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 35244 Based on policy review, document review, medical record review and interview, the facility failed to ensure care was provided in a safe setting for 2 of 8 (Patient #3 and #4) sampled patients reviewed. The findings included: 1. Review of the facility’s “Alleged Sexual Behavior” policy (3/2025) revealed, “ ...PROTOCOL FOR ALLEGED SEXUAL BEHAVIOR ...Nurse Immediate Actions, Response and Notifications ...Immediately separate patients ...Staff member to stay with patients until patients can be separated ...Place patients on increased level of observation (Q10, Q5, 1:1) [every 10 minutes, every 5 minutes, one on one] and SAO [sexual acting out] precautions (obtain orders) per assessment and physician order ...” 2. Review of the facility’s Incident Report for August and September 2025 revealed on 8/26/2025 Patient #3 and Patient #4 were documented as “Sexual Allegations”. 3. Medical record review for Patient #3 revealed an admission date of 8/23/2025 with diagnoses which included Post Traumatic Stress Disorder and Adjustment Disorder. Initial evaluation on 8/23/2025 revealed no history of sexually acting out behaviors. Review of a nurse’s note dated 8/26/2025 at 7:25 PM revealed a patient reported to the nurse that earlier in the day, around shower time, Patient #3 and Patient #4 were in the dayroom together without staff present. Patient #3 performed sexual acts on Patient #4. Review of a nurse’s note dated 8/26/2025 at 9:16 PM revealed Patient #3 “...remains on q15 [every 15 minutes] observation...” Type of precaution was documented as suicide and self-harm precautions. Review of patient observation records for 8/26/25 revealed Patient #3 was on q15 minute observations through midnight on 8/26/2025. Precautions were documented as suicide and self-harm precautions. Review of patient observation records for 8/27/2025 revealed Patient #3 was on q15 minute observations and suicide and self-harm precautions until 12:40 PM. At 12:40 PM, Patient #3 was changed to q10 minute observations and sexual acting out precautions (SAO) were initiated. The facility failed to increase Patient #3’s level of observation and failed to initiate sexual acting out precautions in a timely manner upon obtaining knowledge of a sexual incident between Patient #3 and Patient #4 on 8/26/2025. Observation level increase and SAO precautions were not implemented until the following day, 8/27/2025. 4. Medical record review for Patient #4 revealed an admission date of 8/10/2025 with diagnoses which included Major Depressive Disorder and Disruptive Mood Dysregulation. Initial evaluation on 8/9/2025 revealed no history of sexually acting out behaviors. Review of a nurse’s note dated 8/26/2025 at 7:25 PM revealed a patient reported to the nurse that earlier in the day, around shower time, Patient #4 and Patient #3 were in the dayroom together without staff present. Patient #3 performed sexual acts on Patient #4. Review of patient observation records for 8/26/2025 revealed Patient #4 was on q15 minute observations through midnight on 8/26/2025. Precautions were documented as homicide precautions and auditory hallucination precautions. Review of patient observation records for 8/27/2025 revealed Patient #4 was on q15 minute observations and homicide and auditory hallucination precautions until 11:15 AM, when Patient #4 was discharged home from the facility. The facility failed to increase Patient #4’s level of observation and failed to initiate sexual acting out precautions upon obtaining knowledge of a sexual incident between Patient #4 and Patient #3 on 8/26/2025. In an interview on 10/7/2025 at 11:39 AM, the facility’s Quality Director verified Patient #4’s observation levels and precautions were not increased after knowledge was obtained about SAO behavior. The Quality Director verified Patient #3’s observation level and precautions were increased the day after knowledge was obtained about SAO behavior.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 14, 2025 | Complaint inspection | 1 deficiency cited |
| Mar 11, 2025 | Complaint inspection | No deficiencies cited |
| Jun 25, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.”
- CMS publishes no patient survey results for it.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified psychiatric hospital since Jul 9, 2015.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Woodridge Behavioral Care, LLC owns an unstated share directly since Aug 8, 2013.
- 4 owners or officers are people: George Dunaway (corporate officer); Rochelle Gerber (corporate director); James Rodney Laughlin (corporate officer); Forrest Summers (runs it (operational or managerial control)).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Holdco Perimeter LLC | Owns 5% or more through other companies | 100% | Apr 22, 2025 |
| Rep WR Holdings LLC | Owns 5% or more through other companies | 100% | Apr 11, 2025 |
| Perimeter Acquisition Holdco LLC | Owns 5% or more through other companies | 100% | Apr 11, 2025 |
| Mfo Perimeter LLC | Owns 5% or more through other companies | 89.3% | Apr 11, 2025 |
| Perimeter Orchards LLC | Owns 5% or more through other companies | 62.5% | Apr 11, 2025 |
| Orchard Holdings LLC | Owns 5% or more through other companies | 33.8% | Apr 11, 2025 |
| Mitchell Family Irr Gst Tr Ua Dated December 28 2012 | Owns 5% or more through other companies | 33.4% | Apr 11, 2025 |
| Mark T Mitchell Living Trust | Owns 5% or more through other companies | 28% | Apr 11, 2025 |
| Orchard Holdings II LLC | Owns 5% or more through other companies | 18.8% | Apr 11, 2025 |
| Mitchell Family II Irrv Gst Tr Uad 10-26-16 | Owns 5% or more through other companies | 18.6% | Apr 11, 2025 |
| Orchard Holdings III LLC | Owns 5% or more through other companies | 9.4% | Apr 11, 2025 |
| Mitchell Family III Irrevocable Gst Trust | Owns 5% or more through other companies | 9.3% | Apr 11, 2025 |
| Woodridge Behavioral Care, LLC | Owns 5% or more directly | Aug 8, 2013 |
How does it compare nearby?
- Of the 3 hospitals CMS lists in Madison County, 1 has an overall star rating from CMS: 1 rated 3 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Jackson-Madison County General Hospital | 3 |
| Pathways of Tennessee, Inc. | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
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Replies
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Paid listing
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