Federal inspection record · CMS data as of October 1, 2026
Foothills Transitional Care And Rehabilitation
1012 Jamestown Way, Maryville, TN · (865) 984-7400
- Certified beds
- 185
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1990
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Foothills Transitional Care And Rehabilitation carries 62 inspection points. That is fewer than 19% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights5E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or obtain dental services for each resident.
- D
Provide or obtain dental services for each resident.
Environmental2E
- E
Keep all essential equipment working safely.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2024-01-10
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2020-02-12
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2019-01-16
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 28 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 53% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$9,982 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-18 | Fine | $9,982 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32.4 pts worse | 57.1% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts worse | 89.7% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms44.6 pts worse | 59.5% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts better | 2.9% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts worse | 32.1% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts better | 7.8% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.2 pts worse | 19.6% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better | 8.6% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 2.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse | 19.9% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 1.2% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine54.5 pts worse | 24.9% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse | 12.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.1% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine52.9 pts worse | 26.3% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.6 pts better | 14.0% | 22.6% | 23.4% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Rocky Top Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Albrechtsen, Tyler | Corporate Officer · Individual | 0% | 12 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Dietrich, Charles | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dietrich, Charles | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Onshift Inc | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| Salazar-Catron, Teresa | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Salazar-Catron, Teresa | Adp Of The SNF · Individual | 0% | 5 facilities |
| Sato, Ami | Corporate Officer · Individual | 0% | 151 facilities |
| Thatcher, Brent | Corporate Officer · Individual | 0% | 17 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
Miscellaneous2D
- D
Provide a written emergency evacuation plan.
- D
Provide a written emergency evacuation plan.
Egress1F
- F
Install proper backup exit lighting.
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Other homes nearby
-
Shannondale Of Maryville Health Care Center
Maryville, TN · Covenant Living
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0
-
Fairpark Health And Rehabilitation
Maryville, TN · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 48 min
- Fines
- $0
-
Ocoee Transitional Care Center LLC
Maryville, TN · Twin Rivers Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0