Cycle 1
Health 2023-08-23 · Fire 2023-08-23
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Chuckey, TN
Durham-Hensley Health And Rehabilitation
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
55 Nursing Home Rd, Chuckey, TN
(423) 257-6761
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
75
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2005-02-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.58
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.82
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.12
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,404
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9898
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.55
Baseline 18.88% · Performance 18.86% · Measure score 5.55 · Achievement 5.55 · Improvement 0
Healthcare-associated infections
3.72
Baseline 8.24% · Performance 6.87% · Measure score 3.72 · Achievement 3.23 · Improvement 3.72
Total nurse turnover
5.26
Performance 42.19% · Measure score 5.26 · Achievement 5.26 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 2.55 hours · Performance 2.64 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.96% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 93 · Observed rate 7.53% · Lower 95% interval 6.92% |
| Discharge to community | 67.37% |
50.57%
16.8 pts better
|
Better than the National Rate · Eligible stays 71 · Observed rate 67.61% · Lower 95% interval 55.19% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 67 · Denominator 67 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 67 |
| Discharge self-care score | 45.65% |
53.69%
8 pts worse
|
Numerator 21 · Denominator 46 |
| Discharge mobility score | 30.43% |
50.94%
20.5 pts worse
|
Numerator 14 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 4.48% |
2.29%
2.2 pts worse
|
Numerator 3 · Denominator 67 · Adjusted rate 4.21% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 6.25% · Lower 95% interval 3.75% |
| Staff COVID-19 vaccination coverage | 42.68% |
8.2%
34.5 pts better
|
Numerator 35 · Denominator 82 |
| Staff flu vaccination coverage | 28.05% |
42%
13.9 pts worse
|
Numerator 23 · Denominator 82 |
| Discharge function score | 36.96% |
56.45%
19.5 pts worse
|
Numerator 17 · Denominator 46 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 40 · Denominator 40 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 2.94% |
25.2%
22.3 pts worse
|
Numerator 1 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.6
0.6 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 3.3 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.6%
0.3 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.1% · Q3 1.9% · Q4 3.8% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.6% |
11.8%
8.8 pts worse
|
11.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 26.7% · Q3 16.7% · Q4 16.7% · 4Q avg 20.6% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
6.2%
3.1 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 11.4% · Q3 8.7% · Q4 9.5% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.5% |
32.2%
11.3 pts worse
|
19.6%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.8% · Q2 40.9% · Q3 39.1% · Q4 35.7% · 4Q avg 43.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
18.1%
1 pts worse
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 20.6% · Q3 21.6% · Q4 13.8% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 40.8% |
19.9%
20.9 pts worse
|
16.3%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.9% |
15.3%
4.6 pts worse
|
14.9%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 17.9% · Q3 26.2% · Q4 17.5% · 4Q avg 19.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
0.9%
1.4 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 2.8% · Q4 1.8% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.6% |
1.9%
6.7 pts worse
|
1.7%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.2% · Q3 7.7% · Q4 11.5% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.4% |
20.2%
8.2 pts worse
|
19.8%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 37.6% · Q3 18.1% · Q4 25.6% · 4Q avg 28.4% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
5.4%
1.5 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 5.5% · Q3 5.0% · Q4 3.2% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
79.6%
20.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
11.2%
7.2 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 3.4% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.6%
1.7 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 4.4% · Q4 7.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.0% |
79.8%
19.2 pts better
|
79.7%
19.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
22.2%
3.7 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 24.1% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-02-05 · Fire 2020-02-05
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-01-24 · Fire 2019-01-24
3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-08-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-12
D · Potential for more than minimal harm
2019-01-24
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-02-06
D · Potential for more than minimal harm
2019-01-24
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-02-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-08-23
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-22
D · Potential for more than minimal harm
2023-08-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-23
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-31
D · Potential for more than minimal harm
2023-08-23
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-08-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-31
D · Potential for more than minimal harm
2019-01-24
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-03-01
D · Potential for more than minimal harm
2019-01-24
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-03-01
D · Potential for more than minimal harm
2019-01-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-01
Penalties and ownership
What sits behind the stars
Ownership
Ball, Kathie
5% Or Greater Direct Ownership Interest · Individual
Blazer, Donna
5% Or Greater Direct Ownership Interest · Individual
Ball, Kathie
Operational/Managerial Control · Individual
Ball, Kathie
Corporate Director · Individual
Ball, Kathie
Corporate Officer · Individual
Ball, Kathie
W-2 Managing Employee · Individual
Blazer, Donna
Operational/Managerial Control · Individual
Blazer, Donna
Corporate Director · Individual
Blazer, Donna
Corporate Officer · Individual
Care Centers Management Consulting, Inc.
Operational/Managerial Control · Organization
Heath, Diana
W-2 Managing Employee · Individual
Sowers, Tammy
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Life Care Center Of Greeneville
Greeneville, TN
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Laughlin Health Care Center
Greeneville, TN
2-star overall rating with 1-star inspections with $9,770 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Signature Healthcare Of Greeneville
Greeneville, TN
5-star overall rating with 4-star inspections with $9,419 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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