Diversicare Of Oak Ridge

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

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.

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.

53.7% 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 126 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.6% 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 59 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 0.44 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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.

Staffing

How full it usually is: this home is certified for 120 beds and averages 87.0 residents a day — about 72% occupied, or roughly 33 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 2.96 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.55 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 2.53 hrs/resident/day on weekends vs 3.13 on weekdays — 19% thinner on weekends. RN hours go from 0.59 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 58% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

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.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

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.

35 citations, most serious first. The 17 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · L2023-09-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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, observation, and interview, the facility failed to implement appropriate fall interventions to prevent falls for 4 residents (#74, #253, #149, and #89) of 6 residents reviewed for falls. The facility's failure placed residents (#74, #253, #149 and #89) in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) when Resident #74 sustained a shattered Left Acetabulum (the socket of the hipbone) and Simple Fracture of the Left Pubic Ramus (Pelvic fracture) after a fall on 8/2/2023, when Resident #253 sustained a Left Femoral Fracture (break in the thigh bone) after a fall on 7/10/2023, and when Resident #149 sustained a Right Epidural Hematoma (when blood accumulates between the skull and the covering of the brain) and Extra Axial Intracranial Hemorrhage (bleeding inside 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-09-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 develop an individualized care plan to prevent falls for 4 residents (#74, #253, #149, and #89) of 6 residents reviewed for falls. The facility's failure resulted in Resident #74 sustaining a shattered Left Acetabulum (socket of hipbone) and Fracture of the Left Pubic Ramus (Pelvic break). Resident #253 sustaining a Left Femoral Fracture (break in the thigh bone). Resident #149 sustaining a Right Epidural Hematoma (blood accumulation between the skull and the brain) and Extra Axial Intracranial Hemorrhage (bleeding inside the skull but outside the brain) and went home on palliative care which placed these residents ( #74, # 253, #149, and #89) in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). The facility failed to develop a discharge care plan for 2…

  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
• Immediate jeopardy · J2023-09-22 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 revise a comprehensive care plan timely for 3 residents (Resident #202, #61, and #16) of 28 care plans reviewed. The facility failed to revise interventions to the care plan timely for Resident #202 after the resident's family brought cigarettes and lit them, which led to 3 residents smoking unsupervised on 11/28/2023. Resident #61's care plan was not updated timely after the resident was discovered smoking unsupervised on 11/28/2022. Additionally Resident #16's care plan was not revised timely when he obtained cigarettes from a family, smoked cigarette unsupervised on 11/28/2022, attempted to bring cigarettes into the building on 4/19/2023, and tried to burn a staff member on 4/20/2023 with a lit cigarette. The facility's noncompliance placed Resident #202, #61, and #16 in Immediate Jeopardy. (IJ) (a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to…

  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
• Immediate jeopardy · J2023-09-22 · tag F0660 — isolated
  Plan the resident's discharge to meet the resident's goals and needs.
  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 ensure a safe discharge for 2 residents (Resident #249 and Resident #250) of 5 residents reviewed for discharge. The facility's failure resulted in Resident #249, who was homeless, being discharged to an unknown friend's house who did not allow the resident to stay, Resident #249 then walked to another friend's house who drove him to a motel where Resident #249 resided for approximately 2 months at which time he was evicted from the motel and hitchhiked to another friend's house. Additionally, the facility's failure resulted in Resident #250 being home alone where she sat in a wheelchair for 4 days in urine and feces before she was provided incontinence care by a home health staff. Resident #250 was hospitalized 6 days from discharge with multiple Stage I and Stage II pressure ulcers on her buttocks and sacrum from prolonged exposure to urine and feces. This failure placed Resident #249 and Resident #250 in Immediate…

  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
• Immediate jeopardy · J2023-09-22 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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, review of facility documentation, observation and interview, the facility's Administration failed to follow facility policy and procedures to ensure safe discharges for Residents #249 and #250; failed to provide adequate supervision for falls prevention, investigating, and implementing resident-centered interventions for 3 Residents (#149, #253, and #74); failed to provide effective leadership to address the elopement of 1 resident (#252); placing the Residents [#249, #250, #149, #253 and #74] in Immediate Jeopardy (IJ) , (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). Also, the facility's Administration failed to follow facility policy and procedures to ensure a safe smoking environment for Residents #202, #61, #16, and #48) which placed the residents in Immediate Jeopardy (IJ), (a situation in which the provider's…

  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
• Immediate jeopardy · J2023-09-22 · tag F0837 — isolated
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  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, review of facility documents, observation and interviews, the governing body failed to establish and implement policies regarding effective management and training of the facility's new hires in key staff positions and operation of the facility. The Governing Body's failure placed 2 resident (#250 and #249) of 6 discharged residents reviewed for the potential of unsafe and non-orderly discharge; placed 3 residents (#149, #253, and #74) of 5 residents reviewed for falls at high risk for repeat falls; and the Administrator's failure to provide adequate leadership to address the elopement of 1 resident (#252) placed the resident in an unsafe environment. The governing body's failure to ensure staff were adequately trained resulted in unsafe discharges, falls with major injury, elopement and unsafe smoking practices for Resident's (#202, #61, #16, and #48) which placed all 99 residents in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more…

  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
• Immediate jeopardy · J2023-09-22 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, facility document review, medical record review, observation and interview, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to reassess and monitor ongoing concerns with falls (Residents #149, #253, and #74) and elopement (Resident #252). The facility failed develop an effective QAPI program that recognized concerns related to safe smoking by Resident's (#202, #61, #16, and #48) and failed to ensure systems and processes were in place and consistently followed by staff to prevent an elopement, falls and an unsafe smoking environment. The failure of the QAPI Committee to ensure a safe environment for smoking and to develop corrective actions for elopement and falls, placed all residents in Immediate Jeopardy (IJ). The Administrator was notified of the Immediate Jeopardy (IJ) on 9/18/2023 at 6:10 PM, in the Administrator's Office. The facility was cited Immediate Jeopardy at F865. The facility was cited at F865 at a scope and severity of J. The Immediate Jeopardy began on 11/28/2022 and was removed 9/22/2023. An…

  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 · Fcited before2025-05-29 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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

  Based on observations and interview the facility failed to maintain prepared foods in the dietary department within safe serving temperature ranges during the lunch meal service on 5/27/2025. The findings include: During an observation of the dietary department on 5/27/2025 at 12:45 PM, revealed the facility gas range and commercial dish washer was inoperable due to the gas supply being shut off for a gas leak. Foods were heated in the facility's electric convection oven, placed into disposable aluminum pans, which were then placed inside the steam table pans for temperature management during the meal service. Continued observation of the meal service during the latter third of the tray pass, revealed the steam table controls were set to the high setting. The food temperatures were checked with the facility's calibrated thermometers and revealed the following Fahrenheit (F) temperature readings: Baked chicken 107 degrees, barbeque pork 120.4 degrees, pureed corn 108 degrees, and the cooked spinach 104 degrees. The remaining 2 items on the tray line were maintained at safe…

  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 before2025-02-13 · 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 documentation review, and interview, the facility failed to protect the residents' right to be free from sexual abuse for 1 resident (Resident #1) by Resident #2 of 14 residents reviewed for abuse. The findings include: Review of the facility's abuse policy dated 1/2019, revealed .Purpose: To prohibit and prevent abuse .includes .sexual abuse .Sexual Abuse: Nonconsensual sexual contact of any type with a resident/patient . Review of the medical records and facility investigation documentation revealed on 2/1/2025 sexual contact between 2 residents occurred when Resident #1 and Resident #2 were observed in Resident #2's room having sexual intercourse. Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses including Dementia, Anxiety, and Schizoaffective Disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 scored a 4 on the Brief Interview…

  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 · D2024-08-20 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 provide a homelike environment for 1 resident room (#512) of 7 resident rooms observed for homelike conditions and failed to prevent foul odors for 1 hallway of 5 hallways observed. The findings include: Review of the facility's policy titled, Resident's Rights and Quality of Life, dated 5/1/2012, revealed .It is the policy .that all residents have the right to a dignified existence .A resident has the right .To receive services in a facility environment that is safe, clean, and comfortable . Review of the medical record revealed Resident #40 was admitted to the facility on [DATE] with diagnoses including Paraplegia, Pressure Ulcer of Left Heel, Severe Protein-Calorie Malnutrition, and Muscle Weakness. Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #40 scored 15 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. Review of 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-20 · 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 documentation review, observation, and interview, the facility failed to protect the residents' right to be free from physical abuse by a resident for 2 residents (Resident #1 and #7) and verbal abuse by a resident for 2 residents (Resident #7, and #9) of 22 residents reviewed for abuse. The findings include: Review of a facility policy titled, Abuse, Neglect, Misappropriation, Exploitation Policy, dated January 2019, revealed .Abuse: The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish Willful, as used in this definition of abuse, means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm .Physical Abuse: includes, but is not limited to, hitting, slapping, punching, biting and kicking .Verbal abuse .includes the use of oral, written, or gestured communication, or sounds, to residents…

  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 · D2024-08-20 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 documentation review, and interview, the facility failed to report an allegation of sexual assault to the State Agency within 2 hours as required, for 1 resident (Resident #10) of 22 resident's reviewed for abuse. The findings include: Review of the facility policy titled, Abuse, Neglect, Misappropriation, Exploitation Policy, dated 1/2019, revealed .To prohibit and prevent abuse, neglect, exploitation, misappropriation of resident property and to ensure reporting and investigation of alleged violations .in accordance with Federal and State Laws .Abuse .includes .sexual abuse .Nonconsensual sexual contact of any type with a resident/patient .Reporting/Response .Alleged violations/violations will be reported to the Administrator, designee immediately. Immediately reporting all alleged violations to the Administrator, designee, state agency, adult protective services and to all other required agencies .with specified timeframes . Review…

  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 · D2024-08-20 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 document review, Resident Assessment Instrument (RAI) Manual 3.0 review, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #8) of 13 residents reviewed. The findings include: Review of an undated, facility document titled, RN [Registered Nurse] Nurse Assessment Coordinator, revealed .supervises, coordinates and facilitates the timely and accurate completion of the RAI process .ensures accurate and timely MDS assessments according to state and federal regulations . Review of the RAI Manual 3.0 dated 10/1/2023, revealed .the assessment [MDS] accurately reflects the resident's status . Review of the medical record revealed Resident #8 was admitted to the facility on [DATE], with diagnoses included Dementia with behavioral Disturbance, Psychosis, Major Depressive Disorder, Anxiety Disorder, and Senile Degermation of Brain, Cerebellar Ataxia. Review of a quarterly Minimum Data Set (MDS) assessment dated…

  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 · D2024-08-20 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 ensure professional standards of practice were followed when transportaion was not provided to outpatient scheduled appointments for 2 residents (Resident #25 and Resident #34) of 6 residents reviewed for transportation needs. The finding include: Review of the facility policy titled, Standards of Practice, undated, revealed .The expectation set forth by .management is that nurses comply with current standards of practice .this includes following orders for outside appointments/referrals .center can arrange transportation if required . Review of the medical record revealed Resident #25 was admitted to the facility on [DATE] with diagnoses including Diabetes Mellitus, Atherosclerotic Heart Disease, Foot Drop, and Muscle Weakness. Continued review revealed the resident discharged out of the facility with family on 5/13/2024. Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #25…

  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 · E2023-09-22 · tag F0802 — failed to prepare enough nourishing food — pattern
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, review of facility documentation, and interview, the facility failed to maintain competent staff in the kitchen to deliver the evening meal service on 9/3/2023, for 22 residents of 28 residents reviewed. The findings include: Review of the facility policy Department Staffing, revised 9/2017, showed, .The Dinning Services department will employ sufficient staff, with appropriate competencies and skill sets to carry out the functions of food and nutrition services in a manner that is safe and effective .All employees will be provided with job descriptions and appropriate education and tools for executing their duties . Review of facility document/Menu showed the following: dinner meal for 9/3/2023, garlic herb pork loin, seasoned cabbage, garlic roasted red skin potatoes, dinner roll, and apple crisp. Review of facility document/Mealtimes dated 1/29/2020, showed, .Supper .5:00pm-6:30pm . Further review showed the last tray cart was to be delivered by 6:00 PM. Review of facility document/food delivery service receipt dated 9/3/2023, showed at 7:23 PM…

  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 · D2023-09-22 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  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 record review and interview, the facility failed to manage the Resident Trust Accounts for 6 residents (Resident #19, Resident #20, Resident #27, Resident #33, Resident #37, and Resident #50) to ensure they did not exceed the allowable Medicaid limit of $2,000.00 and failed to refund personal trust fund monies within 30 days of death for Resident #151, of 36 resident Trust Accounts reviewed. The findings include: Review of the facility's individual Resident Statement Landscape monthly trust accounts showed the following residents' trust accounts contained more than the Medicaid allowable amount of $2,000.00 which could result in the resident being ineligible for Medicaid benefits: Resident #19 $4,061.36 Resident #20 $4649.78 Resident #27 $6904.19 Resident #33 $6071.28 Resident #37 $23,501.10 Resident #50 $5,241.50 Medical record review revealed Resident #151 was admitted to the facility on [DATE] and expired in the facility on [DATE]. Review of Resident #151's Resident Statement Landscape trust report,…

  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 · D2023-09-22 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation and interview, the facility failed to assist 1 resident (#14) with obtaining glasses of 28 residents reviewed. The findings include: Resident #14 was admitted to the facility to the facility on 4/19/2022 with diagnoses including Congestive Heart Failure, Diabetes, Chronic Obstructive Pulmonary Disease, Depression and Anxiety. Review of Resident 14's quarterly Minimum Data Set (MDS) assessment showed a Brief Interview of Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. During observation and interview on 09/07/2023 at 10:00 AM, Resident #14 stated she believed her eyesight, especially when watching television, worsened over the last year and thought glasses were prescribed in the last year but she never received them. She stated her insurance should not be a problem. During facility record review and interview on 9/8/2023 at 10:30 AM, with the Social Services Director (SSD), she showed Resident #14 did have an eye exam 9/2022. Interview confirmed the resident's insurance coverage would cover the expense 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.

  Quality of Life and Care 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.

Fines & penalties

$205,329 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $205,329 — penalty dated 2023-09-22
• Medicare payment denial — starting 2023-10-21 for 38 days

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 DIVERSICARE HEALTHCARE — 44 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 →

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

CMS files one row per role, so the 21 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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