Cycle 1
Health 2025-06-11 · Fire 2025-06-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Knoxville, TN
Fort Sanders Tcu
5-star overall rating with 5-star inspections
1901 Clinch Ave, Knoxville, TN
(865) 541-1111
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
18
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Covenant Health
Operator or chain grouping
Approved since
1994-05-31
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 3 health / 5 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
3.78
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.20
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
6.86
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
4.98
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
5.56
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
2.51
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.27
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
3.95
CMS adjusted RN staffing hours
Adjusted total hours
7.17
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
167
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
80.32
Composite VBP score used to determine payment impact.
Payment multiplier
1.0259
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.59
Baseline 17.00% · Performance 17.45% · Measure score 8.59 · Achievement 8.59 · Improvement 0
Healthcare-associated infections
10
Baseline 4.60% · Performance 4.44% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
5.51
Baseline 20.00% · Performance 41.18% · Measure score 5.51 · Achievement 5.51 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.85% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 276 · Observed rate 10.14% · Lower 95% interval 7.97% |
| Discharge to community | 78.2% |
50.57%
27.6 pts better
|
Better than the National Rate · Eligible stays 254 · Observed rate 76.77% · Lower 95% interval 71.85% |
| Medicare spending per beneficiary | 0.66 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 96.08% |
95.27%
0.8 pts better
|
Numerator 49 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 51 |
| Discharge self-care score | 27.5% |
53.69%
26.2 pts worse
|
Numerator 11 · Denominator 40 |
| Discharge mobility score | 47.5% |
50.94%
3.4 pts worse
|
Numerator 19 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 1.96% |
2.29%
0.3 pts better
|
Numerator 1 · Denominator 51 · Adjusted rate 3.21% |
| Healthcare-associated infections requiring hospitalization | 4.44% |
7.12%
2.7 pts better
|
Better than the National Rate · Eligible stays 157 · Observed rate 0.64% · Lower 95% interval 2.43% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 242 |
| Staff flu vaccination coverage | 95.18% |
42%
53.2 pts better
|
Numerator 79 · Denominator 83 |
| Discharge function score | 30% |
56.45%
26.5 pts worse
|
Numerator 12 · Denominator 40 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 22 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 4.17% |
25.2%
21 pts worse
|
Numerator 1 · Denominator 24 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.9% |
79.6%
6.3 pts better
|
81.7%
4.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.8% · Q2 87.2% · Q3 89.1% · Q4 85.2% · 4Q avg 85.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.9% |
11.2%
10.3 pts better
|
12.0%
11.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.9% · Observed 0.8% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.6%
0.6 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 0.7% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
79.8%
15.6 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
22.2%
1.2 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 18.3% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-17 · Fire 2024-04-17
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 2021-11-03 · Fire 2021-11-03
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-11-03
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-12-10
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Covenant Health
5% Or Greater Direct Ownership Interest · Organization
Culbertson, Tabitha
Corporate Officer · Individual
Delong, Amy
Corporate Officer · Individual
Dolan, Joseph
Corporate Officer · Individual
Lett, Brian
Corporate Officer · Individual
Orthoefer, Carl
Operational/Managerial Control · Individual
Ross, Yasheta
Operational/Managerial Control · Individual
Ross, Yasheta
Corporate Officer · Individual
Vandersteeg, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Nhc Healthcare, Ft Sanders
Knoxville, TN
3-star overall rating with 3-star inspections with $9,770 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Nhc Healthcare, Knoxville
Knoxville, TN
2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies
#3
Island Home Park Health And Rehab
Knoxville, TN
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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