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Cumberland Village Care

136 Davis Lane, Lafollette, TN 37766 · For profit - Limited Liability company · 182 certified beds · (423) 562-0760 Medicare & Medicaid certified

Call the home — (423) 562-0760 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Sep 2024Behavioral-health or dementia-care citation — no harm found (F0744)$18,769 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Sep 2024
  • a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $18,769 in federal fines (most recent 2024-09-11)
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
109 Independence Ln Ste 300 · (423) 566-0958 · Call to confirm hours
Pharmacy
2109 Jacksboro Pike · (423) 566-0786 · Call to confirm hours
Grocery
Save A Lot<0.1 mi
2010 Jacksboro Pike · (423) 566-7655 · Call to confirm hours
Park
· Typically dawn to dusk
Place of worship
1906 Jacksboro Pike · (423) 562-3500

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased8.0%14.0%15.4%better
Long-stay residents who lose too much weight5.4%6.1%5.4%typical
Long-stay residents with a catheter left in their bladder0.2%0.7%0.9%better
Long-stay residents with a urinary tract infection0.0%1.8%2.0%better
Long-stay residents with depressive symptoms55.8%13.8%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.7%3.4%3.3%worse
Long-stay residents whose ability to walk worsened6.0%17.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication26.7%31.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers3.4%5.0%4.7%better
Long-stay residents with worsening bladder/bowel control2.5%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table15.9%16.8%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.4%1.7%1.4%better
Short-stay residents given the seasonal flu vaccine95.0%79.8%79.4%better
Short-stay residents rehospitalized after admission25.2%22.6%22.6%worse
Short-stay residents with an outpatient ER visit6.9%11.2%12.0%better
Long-stay hospitalizations per 1,000 resident days1.821.671.67typical
Long-stay outpatient ER visits per 1,000 resident days1.061.561.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

41.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 69 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.9%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
67.1%U.S. median 56.6%
Met the expected recovery
0.58U.S. median 0.31
Therapy hours / resident / day
0.27hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 67.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 70 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.58 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF41.9%CMS range 29.0–53.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 8.5–17.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge67.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge61.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge52.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.0%CMS range 4.4–12.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.831.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.51
RN hours/ resident / day
0.88
LPN hours/ resident / day
1.94
Aide hours/ resident / day
3.32
Total nurse hours/ resident / day
0.22
RN hoursweekends
26.1%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 182 beds and averages 149.5 residents a day — about 82% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.53 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.62 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2025-01-14)
1
at the previous standard inspection (2021-10-20)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · E2025-01-30 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, interviews, and observation, the facility failed to ensure the kitchen equipment was maintained in good working order for 1 dishwasher and 1 hot water heater for the kitchen to ensure proper sanitization of kitchen and foodware, which had the potential to affect 156 of 158 residents. The findings include: Review of the facility's policy titled, Equipment, dated 9/2017, revealed .all foodservice equipment will be .in proper working order . During an interview on 1/30/2025 at 7:31 AM, the Maintenance Director stated the facility utilized one dishwasher in the kitchen that relied upon the hot water heater (hot water heater designated for the kitchen area) to supply the hot water and the booster temperature regulator (built-in mechanism within the dishwasher to boost water temperatures) to ensure water temperatures met regulations to sanitize dishes. The Maintenance Director stated the hot water heater for the kitchen was only working .half the time . which resulted in an increased workload for the booster temperature regulator box to heat water…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observations, and interviews, the facility failed to ensure the kitchen cooking and serving equipment was maintained in a sanitary condition and failed to ensure 3 dented cans and 2 containers of expired juice were discarded, which had the potential to affect 148 of 152 residents. The findings include: Review of the facility's policy titled, Equipment, dated 9/2017, revealed .All foodservice equipment will be clean, sanitary, and in proper working order .All food contact equipment will be cleaned and sanitized after every use .All non-food contact equipment will be clean and free of debris . Review of the facility's policy titled, Receiving, dated 2/2023, revealed .Safe food handling . All canned goods will be appropriately inspected for dents .Damaged cans will be segregated and clearly identified for return to vendor or disposal . During an observation of the dry storage area on 1/12/2025 at 11:05 AM, with the Assistant Dietary Account Manager ([NAME]), revealed 3 dented cans…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to obtain a physician's orders for dialysis site monitoring, failed to document dialysis site assessments for thrill, bruit, and infection, and failed to complete dialysis communications records for 1 resident (Resident #71) of 1 resident reviewed for dialysis. The findings include: Review of the facility's policy titled, Dialysis: Hemodialysis (HD)- Communication and Documentation, dated 6/15/2022, revealed .Center staff will communicate with the certified dialysis facility regarding the ongoing assessment of the patient's condition by monitoring for complications before and after hemodialysis (HD) treatments .Prior to patient leaving the center .licensed nurse will complete the top portion of the Hemodialysis Communication Record .send with patient to .HD facility . Following completion of the HD, the dialysis facility nurse should complete and return the form .to the Center with the patient .Upon return…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-14 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 2 of 3 dumpsters (dumpsters #1 and #2) and the outside dumpster area was not maintained in a sanitary condition. The findings include: Review of the facility's policy titled, Dispose of Garbage and Refuse, dated 8/2017, revealed .all garbage and refuse will be collected and disposed of in a safe and efficient manner .ensure the area surrounding the exterior dumpster area is maintained in a manner free of rubbish or other debris . During an observation of the outside dumpster area and interview on 1/12/2025 at 11:46 AM, with the Assistant Dietary Account Manager ([NAME]), revealed 3 dumpsters present for waste disposal. Further observation revealed dumpsters #1 and #2's top left panels had fallen into both dumpsters and did not properly cover both dumpsters' contents. The large openings from the improper covering to the top left panels of dumpster #1 and #2 resulted in the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-14 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observation, and interview, the facility failed to offer hand hygiene assistance to residents prior to meals for 6 residents (Residents #88, #57, #105, #94, #99, and #302), of 6 residents observed on 1 of 3 hallways observed for meal tray distribution and failed to ensure staff donned appropriate Personal Protective Equipment for 1 resident (Resident #35) of 4 residents observed on Enhanced Barrier Precautions (EBP). The findings include: Review of the facility's policy titled, Patient Hand Hygiene, dated 5/1/2024, revealed .Staff should assist patients/residents .with hand hygiene after toileting and before meals .Wash hands with soap and water when hands are visibly soiled .Use alcohol based hand rubs for routine decontamination .when hands are not visibly dirty, alcohol-based hand rubs are preferred method for hand hygiene . Review of the facility's policy titled, Enhanced Barrier Precautions, dated 12/16/2024, revealed .In addition to Standard Precautions, Enhanced Barrier…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review and interviews, the facility failed to ensure physician orders were followed for 1 resident (Resident #3) of 5 residents reviewed for elevated fingerstick blood sugar (BS) levels. The findings include: Review of the facility policy titled, Procedure: Fingerstick Glucose Measurement, revised 6/15/2022, revealed .Report .test results to the physician/advanced practice provider .Document .notification and response . Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Cerebral Infarction, Hypertension, Diabetes Type 2, Epilepsy, and Non-compliance with Medical Treatment. Review of a Physician's Order for Resident #3 dated 8/21/2024, revealed to administer Humalog (injectable insulin medication used to treat Diabetes) before meals and at bedtime per the sliding scale. Further review revealed for fingerstick BS levels above 401, administer 12 units of Humalog and notify a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, facility investigation review, observations, and interviews the facility failed to protect the residents' right to be free from physical abuse by another resident for 4 residents (Resident #17 and #5, #3, and #10) of 14 sampled residents reviewed for abuse. On 4/11/2024, Resident #18 hit Resident #17 and caused a laceration above his right eye and abrasion to his left elbow. On 1/31/2024, Resident #6 hit Resident #5 in the face causing a nosebleed. On 1/11/2024, Resident #4 struck Resident #3 in the head. On 4/29/2024 Resident #11 struck Resident #10 in the arm. The findings include: Review of the facility's policy titled, Abuse Prohibition, revised 10/24/2022, revealed .Centers prohibit abuse .This includes .physical .Abuse is defined as the willful infliction of injury .Instances of abuse of all patients .irrespective of any .physical condition, cause physical harm .It includes .physical abuse .Willful, as used in this definition of abuse, means the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review and interviews, the facility failed to ensure physician orders were followed for 1 resident (Resident #3) of 5 residents reviewed for elevated fingerstick blood sugar (BS) levels. The findings include: Review of the facility policy titled, Procedure: Fingerstick Glucose Measurement, revised 6/15/2022, revealed .Report .test results to the physician/advanced practice provider .Document .notification and response . Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Cerebral Infarction, Hypertension, Diabetes Type 2, Epilepsy, and Non-compliance with Medical Treatment. Review of a Physician's Order for Resident #3 dated 8/21/2024, revealed to administer Humalog (injectable insulin medication used to treat Diabetes) before meals and at bedtime per the sliding scale. Further review revealed for fingerstick BS levels above 401, administer 12 units of Humalog and notify a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-10-20 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to maintain an accurate medical record for 1 resident (#131) of 32 medical records reviewed. Medical record review showed Resident #131 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including Peripheral Vascular Disease, Restless Leg Syndrome, and Vitamin B-12 Deficiency Anemia. Review of Resident #131's medical record showed a Tennessee Physician Orders for Scope of Treatment (POST) form from a local hospital dated [DATE] .CARDIOPULMONARY RESUSCITATION (CPR) . Further review showed the POST form had been signed by the Physician and Resident #131. Review of current active Physician Orders showed .FULL CODE . with an order date of [DATE]. Review of an admission Minimum Data Set (MDS) dated [DATE], showed Resident #131 had a Brief Interview for Mental Status (BIMS) of 12, indicating the resident was moderately cognitively impaired. Review of Resident #131's Comprehensive Care Plan dated [DATE], showed .FULL CODE…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2019-10-29 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, observation, and interview, the facility failed to ensure all expired medications were discarded for 1 of 3 medication storage rooms observed. The findings include: Review of the facility policy, Storage and Expiration Dating of Medications, Biologicals, Syringes, and Needles, dated 10/31/16, revealed .Facility should destroy or return all discontinued, outdate/expired, or deteriorated medications . Observation and Interview with the Assistant Director of Nursing (ADON) on 10/29/19, at 8:15 AM, in the central medication store room, revealed the following expired medications: 1. 2 bottles (full, unopened)-Zinc (supplement to treat zinc deficiency) 220 mg (milligrams) 100 tablets with an expiration date of 5/2018; 2. 2 bottles (full, unopened)- Vitamin B 6 (supplement to treat Vitamin B 6 deficiency) 150 mg, 100 tablets, with an expiration date of 5/2018; 3. 2 bottles (full, unopened)-Vitamin B 1(supplement to treat Vitamin B 1 deficiency), 100 mg, 100 tablets, with an expiration date of 9/2019; 4. 2 bottles (full, unopened) One A Day Vitamins…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · Fcited before2019-10-29 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, observation, and interview the facility failed to dispose of garbage and refuse properly and failed to maintain a clean environment in the dumpster area for around 3 of 3 trash dumpsters and in 1 of 1 cardboard dumpster observed. The findings include: Review of the facility policy, Environment revised 9/2017 revealed .All trash will be contained in covered, leak-proof containers that prevent cross contamination .All trash will be properly disposed of in external receptacles [dumpsters] and the surrounding area will be free of debris . Observation and interview with the Dietary Manager (DM) and the District Dietary Manager (DDM) on 10/27/19 at 10:16 AM, of the dumpster area, surrounding the 3 dumpsters and 1 cardboard dumpster revealed the following; A) 1 plastic spoon. B) 2 plastic 30 milliliter (ml) medication cups. C) 1 metal fork. D) 1 pink sugar packet E) 1 white plastic glove. F) 1 plastic clear soufflé top off of a soufflé cup. G) 2 medium sized plastic blue bags. H) 1 plastic clear torn food wrapping paper. I) 1 medium brown plastic drinking…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-10-29 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the facility policy review, medical record review, observation, and interview, the facility failed to complete an assessment for self-administration of medications for 2 residents (#4) and (#70) of 6 residents reviewed for medication administration. The findings include: Review of facility's Medication Administration Policy, revised 7/1/19, revealed .Administer medication .Remain with patient until administration is complete .Do not leave medications at the patient's bedside . Review of the facility's Policy, Medications: Self-administration revised 5/1/19, revealed .Patients who request to self-administer medications will be assessed for capability . Medical record review revealed Resident #4 was admitted to the facility on [DATE] with diagnoses including Depression, Anemia, Osteoarthritis, Hypertension, Heart Disease, Type II Diabetes, Cerebrovascular Disease, and Deficiency of Other Vitamins. Medical record review of a Quarterly Minimum Data Set assessment dated [DATE], revealed Brief Interview of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-10-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to provide nail care for 1 resident (#36) of 31 residents reviewed. The findings include: Review of the facility policy, Activities of Daily Living (ADLs), dated 11/28/16, revealed .the Center must provide the necessary care and services to ensure that a patient's abilities in activities of daily living do not diminish . Review of the facility policy, Toe Nail Trimming, dated 3/1/18, revealed Toe nail trimming may be performed by a licensed nurse . Medical record review revealed Resident #36 was admitted to the facility on [DATE], with diagnoses including Schizophrenia, Heart Failure, Psychosis, Major Depressive Disorder, and Hypertension. Medical record review of a Quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #36 was moderately cognitively impaired, required supervision of 1 staff for personal hygiene, toilet use and dressing. Medical record review of Resident #36's care plan revised…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-10-29 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview the facility failed to monitor 1 resident (#111) with wandering behaviors of 31 residents reviewed. The findings include: Review of the facility policy, Behaviors: Management Symptoms, revised 8/15/17 revealed .Patients exhibiting behavioral symptoms will be individually evaluated .Behavior rounds are recommmended as best practice to identify and manage symptoms .PURPOSE .To identify, prevent, and manage behavioral symptoms by .Promoting a therapeutic and safe enviroment . for patients with behavioral symptoms and /or dementia . Medical record review revealed Resident #111 was admitted to the facility on [DATE] with diagnoses including Dementia with Behavior Disturbance, Anxiety Disorder, Major Depressive Disorder, and Psychosis. Medical record review of a Quarterly Minimum Data Set (MDS) dated [DATE], revealed the resident had severe cognitive impairment, required limited assistance for walking and had wandering behavior daily.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-10-29 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to obtain and maintain a hospice plan of care and hospice visit notes in the medical record for 1 resident (#52) of 3 residents reviewed for hospice. The findings include: Review of the facility policy, Hospice, revised 3/1/18 revealed .Each patient's written plan of care includes both the most recent hospice plan of care and a description of the services furnished by the Center attain or maintain the patient's highest practicable physical, mental, and psychosocial well being .A Communication process, including the method for documenting the communicayion between the Center and hospice provider to ensure that the patient's needs are met 24 hours per day .plans for residents receiving hospice will include the most recent hospice plan of care as well as the care and services provided by the Center . Review of the facility policy, Person-Centered Care Plan, dated 7/1/19 revealed .The Interdisciplinary Team (IDT) includes…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-10-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, observation, and interview, the facility failed to maintain infection control guidelines during a meal service for 1 of 3 hallways. The findings include: Review of the facility policy, Hand Hygiene, revised 11/28/17 revealed .Adherence to hand hygiene practices is maintained by all Center personnel .when hands are not visibly dirty, alcohol-based hand sanitizers are the preferred method for hand hygiene .Perform hand hygiene .After contact with the patient's environment . Observation of Certified Nursing Assistant (CNA) #1 on 10/27/19 at 12:09 PM to 12:13 PM, on the 200 hallway, revealed CNA #1 entered a resident's room to deliver a bowl of fruit and silverware for the lunch meal. Continued observation revealed CNA #1 touched the resident's bed controls to adjust the head of the bed and adjusted the over bed table then exited the room without performing hand hygiene. Further observation revealed CNA #1 then entered another resident's room to deliver a bowl of fruit and silverware for the lunch meal. Continued observation revealed CNA#1 adjusted the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$18,769 in federal fines across 1 penalty.

  • $18,769 — penalty dated 2024-09-11

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 52.4+1.6 vs chain
Health inspection 4 of 52.3+1.7 vs chain
Staffing 2 of 52.5-0.5 vs chain
Quality measures 4 of 53.5+0.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
REGENCY HEALTH SERVICES, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 02/02/2015
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2012
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2012
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2012
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2012
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
SUN HEALTHCARE GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2012
SUNBRIDGE HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2008
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/01/2012
BERG, MICHAELIndividualCORPORATE OFFICERsince 12/01/2012
BRIDGEFORD, LAURAIndividualCORPORATE OFFICERsince 04/01/2024
MENDELSON, AVIIndividualCORPORATE OFFICERsince 04/01/2024
FLOWERS, ROBIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/23/2017
MANSOUR, ELIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023

CMS files one row per role, so the 17 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$18.9M
Net patient revenuemost recent cost report
+20.7%
Operating marginrevenue minus expenses
$1.6M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 79%Medicare 9%Other / private 12%

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$258per resident / day
operating cost
$7,828per month
≈ monthly operating cost
$325per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Tennessee Medicaid page.

Typical monthly cost in Tennessee
$9,429/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,845/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 445276. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-14, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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