Rocky Top Care Center

Location & what’s nearby

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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.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 117 beds and averages 83.2 residents a day — about 71% occupied, or roughly 34 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 4.02 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.93 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 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 3.63 hrs/resident/day on weekends vs 4.18 on weekdays — 13% thinner on weekends. RN hours go from 1.07 to 0.60 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%. 2 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 fewer than at the previous inspection — improving. 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.

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.

28 citations, most serious first. The 14 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · L2024-08-22 · tag F0835 — failed to run the facility competently — widespread
  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, Centers for Disease Control (CDC) recommendations and guidance review, job description review, facility assessment review, Activities of Daily Living (ADL) documentation review, facility staffing schedule review, facility staff time punch records review, medical record review, observations, and interviews, the facility's Administration failed to ensure the residents' personal laundry was handled, stored, processed, and transported in a safe and sanitary manner which had the potential to expose infectious pathogens to 85 of 90 residents whose laundry service was provided by the facility. The facility's Administration failed to provide effective leadership and oversight to ensure COVID-19 positive employees were excluded from work for the required isolation time frame recommended by the CDC. The facility allowed COVID-19 positive staff to work with Non-COVID-19 residents exposing the vulnerable residents to the COVID-19 infection, which had the potential to cause a serious adverse…

  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 · L2024-08-22 · tag F0837 — widespread
  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

  Based on facility policy review, job description review, facility documentation review, and interview, the facility's Governing Body failed to address the facility's widespread problem of unsafe and unsanitary handling, storing, and processing of the residents' contaminated and potentially hazardous personal laundry, which had the potential to expose infectious pathogens to 85 of 90 residents that utilized the facility provided laundry service. The facility's Governing Body failed to provide effective leadership and oversight of the facility's Administration to ensure COVID-19 positive employees were excluded from work for the required isolation time frame recommended by the Centers of Disease Control (CDC) to control the exposure and spread of COVID-19. The facility allowed COVID-19 positive staff to work with Non-COVID-19 residents which exposed vulnerable residents to the COVID-19 infection, leaving the potential to cause a serious adverse outcome to 90 of 90 residents in the facility. The Governing Body's failure to provide adequate leadership to oversee and maintain safe and…

  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 · L2024-08-22 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, job description review, facility assessment review, Quality Assurance and Performance Improvement (QAPI) Plan review, QAPI Meeting Minutes review, facility documentation review, and interviews, the facility's QAPI program failed to ensure an effective QAPI program that identified quality deficiencies, implement performance improvement activities to address quality concerns, and perform a root cause analysis related to poor infection control practices. The facility's QAPI committee failed to develop and implement effective processes or initiate action plans for performance improvement, when the committee failed to recognize the facility's poor infection control practices and to have an effective infection control program to mitigate the spread of disease when the residents' personal laundry was not handled, stored, processed, or transported in a safe and sanitary manner which had the potential to expose infectious pathogens to residents whose laundry service was provided by the facility. The facility's QAPI program failed to recognize and provide 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2024-08-22 · tag F0880 — failed to prevent and control infections — widespread
  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, facility assessment review, Centers for Disease (CDC) recommendations and guidance review, facility documentation review, medical record review, observations, and interviews, the facility failed to ensure residents' personal laundry was stored in a sanitary condition, and failed to ensure practices to prevent or mitigate the potential spread of infection and communicable disease were maintained through the process of handling, storing, processing, and transporting residents' personal laundry. The facility's non-compliance had the potential to affect 85 of 90 residents who resided in and whose laundry service was provided by the facility. The facility failed to ensure COVID-19 positive employees were excluded from work for the required isolation time frame recommended by the CDC to control the exposure and spread of the COVID-19 virus during the facility's COVID-19 outbreak from 6/18/2024-8/7/2024 placing 22 residents (Resident #1, #2, #20, #33, #36, #42, #46, #53, #57, #71, #72,…

  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 · Ecited before2026-03-04 · 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 documentation, observations, and interviews, the facility failed to ensure 2 of 3 microwaves for resident use were maintained in a clean and sanitary condition. The findings include:Review of the facility Daily/Weekly Cleaning Logs dated 2/1/2026 - 2/28/2026, revealed the Nourishment Rooms which included microwaves were not listed on the Daily/Weekly cleaning schedule. During an observation and interview on 3/2/2026 at 9:45 AM, with Regional Certified Dietary Manager (Regional CDM) L, Certified Dietary Manager (CDM) A, and Regional CDM M revealed, the microwave in Nourishment room [ROOM NUMBER] was observed with brown, tan, and orange substances splattered on the top, sides, and bottom of the interior. Gray and white crusty substances and food debris were observed on the right side of the interior and on the glass plate. [NAME] crumbs and food debris were observed on the bottom of the microwave's interior. CDM A confirmed the microwave was dirty. During an observation and interview on 3/2/2026…

  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 before2026-03-04 · 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 interviews, the facility failed to provide resident and resident representative notice of quarterly care plan conferences for 1 resident (Resident #8) of 14 residents and resident representatives interviewed for participation in care plan conferences. The findings include: Review of the facility's policy titled, Care Conference Guideline, dated 11/2017, revealed .involve residents .and their representatives with goals and preferences of care, and to integrate with those of the interdisciplinary team (IDT) .should be completed at the time of admission, regular intervals .Attendees .Resident .Resident/Patient Representative .Pre-Conference .Social Services Director or Designee distributes care conference invitation to resident .and/or their representative prior to the scheduled care conference .During the Conference .Interdisciplinary team, resident, and/or resident representative reviews the current plan of care and if necessary .physical, mental, and…

  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 · D2026-03-04 · tag F0813 — isolated
  Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  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 ensure safety requirements were met for food storage for 2 residents (Resident #40 and Resident #17) of 10 resident refrigerators observed. The findings include: Review of the facility's policy titled, Use & Storage of Food from Outside Sources, dated 11/1/2016, revealed .due to the potential for foodborne illness or interference with nutritional treatment, family members and/or visitors who bring food in from the outside will be educated on safe food handling practices .Food .brought in from the outside will be monitored by nursing staff for spoilage, contamination and safety .Food .items may be stored in .resident's personal room refrigerators .Foods that do not require refrigeration may be stored in a resident's room .Food .in the original container that is past the manufacturer's expiration date will be discarded by nursing staff .All cooked or prepared food brought in for a resident and stored 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 · F2024-08-22 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 assessment review, medical record review, facility ADL (Activities of Daily Living) documentation review, facility staffing schedule review, facility staffing time punch review, observations, and interviews, the facility failed to maintain adequate staffing levels to ensure 2 residents (Residents #9 and #83) were provided transportation to an outside physician appointment of 4 residents reviewed for transportation needs, and failed to meet the ADL needs (scheduled showers) for 5 residents (Residents #33, #39, #49, #77, and #84 ) of 24 residents reviewed for ADL care. The findings include: Review of the facility assessment dated [DATE] revealed .Staffing Plan .Based on the resident .population and their needs for care and support .there are sufficient team members to meet the needs of the residents .at any given time .The administrator is responsible for assuring .adequate team member coverage is in place to care for residents . Review of the medical record revealed Resident #9 was admitted 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-22 · 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 — the official record, unedited, may be distressing

  Based on facility policy review, observation, and interview the facility failed to ensure a dietary aid wore a protective beard covering while working in the kitchen food preparation area which had the potential to affect 90 of 90 residents. The findings include: Review of the facility's policy titled, Team Member Sanitary Practices, dated 1/1/2017, revealed .center to promote guidelines for employee sanitary practices .wear hairnets or restraints .all hair including facial hair must be completely covered . During an observation in the food preparation area on 8/12/2024 at 10:48 AM, with the Dietary Manager (DM), revealed 1 dietary aid without the presence of a protective beard covering to ensure all the facial hair was covered and contained. During an interview on 8/12/2024 at 10:50 AM, the DM confirmed the dietary aid's beard was not fully covered in the food preparation area. The DM stated all hair, including facial hair, should be covered while working in the kitchen.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-22 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 ensure 4 of 10 residents (Residents #34, #10, #57, and #33) were treated with dignity during the lunch meal in the dining room on 8/12/2024 when residents at the same table were not served the meal at the same time. The findings include: Review of the facility policy titled, Resident's Rights and Quality of Life, dated 5/1/2012, revealed .It is the policy .all residents have the right to a dignified existence .with .access to .services inside .the facility . Review of the facility policy titled, Dining and Meal Service, dated 1/1/2017, revealed .The dining experience will be person-centered with the purpose of enhancing each individual resident's .quality of life .Individuals at the same table will be served and assisted at the same time . Review of the medical record revealed Resident #34 was admitted to the facility on [DATE] with diagnoses including Dementia, Hypoglycemia, Major depressive Disorder,…

  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 · E2024-08-22 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 Activity of Daily Living (ADL) related to showers for 5 residents (Resident #33, #39, #49, #77, and #84) of 24 residents reviewed for ADL's. The findings include: Review of a facility policy titled, Resident's Right and Quality of Life, dated 5/1/2012, revealed .all residents have the right to a dignified existence, self-determination .services inside .the facility . Review of the medical record revealed Resident #33 was admitted to the facility on [DATE] with diagnoses including Diabetes Type 2, Autism, and Hypertension. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #33 scored a 15 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. The resident required supervision or touching assistance from staff for showers. Review of the facility ADL documentation for Resident #33 dated 5/1/2024-5/31/2024,…

  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 · E2024-08-22 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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 Review of the medical record revealed Resident #39 was admitted to the facility on [DATE] with diagnoses including Wernicke's Encephalopathy, Contractures of Left Hip, Left Knee, Right Ankle, Left Ankle, Anxiety Disorder, Dementia, Major Depressive Disorder, Epilepsy, and Peripheral Vascular Disease. Review of a quarterly [NAME] Data Set (MDS) assessment dated [DATE], revealed a BIMS assessment score of 00, which indicated Resident #39 had severe cognitive impairment and was dependent with all ADLS. Review of a comprehensive care plan for Resident #39 dated 7/31/2024, revealed .requires total assistance with ADL self-care performance deficit . Review of the facility ADL documentation for Resident #39 dated 5/1/2024-5/31/2024, revealed the resident received 1 bed bath and 0 showers of 8 scheduled showers during the month of 5/2024. Continued review of the ADL documentation revealed several days which were left blank or was documented as RNA or N/A. Review of the facility ADL documentation for Resident #39 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 · D2024-08-22 · 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, medical record review, observation, and interview, the facility failed to provide a clean, homelike environment for 1 resident (Resident #77) of 90 residents reviewed for a clean, homelike environment. Review of the facility's policy titled, Residents Rights and Quality of Life, dated 5/1/2012, revealed, .all residents have the right to a dignified existence .with access to services inside and outside the facility .to receive services in a facility environment that is safe, clean and comfortable . Review of the medical record revealed Resident #77 was admitted to the facility on [DATE] with diagnoses including Difficulty Walking, Weakness, and Lack of Coordination. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #77 scored a 7 on the Brief Interview for Mental for Status (BIMS) assessment which indicated the resident had severe cognitive impairment. During observations in room [ROOM NUMBER] on 8/12/2024 at 11:00 AM; on 8/13/2024 at 2:45 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-22 · 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, observations, and interviews, the facility failed to protect the resident's right to be free from physical abuse from another resident for 2 residents (Resident #22 and #54) when Resident #45 punched Resident #22 in the face and when Resident #13 struck Resident #54 twice in the face of 90 residents reviewed for abuse. The findings include: Review of the facility's policy titled, Abuse, Neglect, Misappropriation, Exploitation Policy, dated 1/2019, revealed .Abuse .infliction of injury, unreasonable confinement, intimidation, or punishment .Willful .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 .a resident to resident altercation will be reviewed as .a situation of abuse .resident to resident event include .physically aggressive behavior, such as hitting .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

“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

$86,768 in federal fines across 1 penalty.

• $86,768 — penalty dated 2024-08-22

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.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

What families pay in TN