Cycle 1
Health 2024-12-11 · Fire 2024-12-11
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Knoxville, TN
Holston Health & Rehabilitation Center
5-star overall rating with 5-star inspections with 1 recent health deficiencies
3916 Boyds Bridge Pike, Knoxville, TN
(865) 524-1500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1995-02-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
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
0.70
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,292
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0046
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.12
Baseline 17.36% · Performance 17.67% · Measure score 8.12 · Achievement 8.12 · Improvement 0
Healthcare-associated infections
7.40
Baseline 7.41% · Performance 5.62% · Measure score 7.40 · Achievement 7.40 · Improvement 6.90
Total nurse turnover
3.75
Baseline 53.49% · Performance 48.35% · Measure score 3.75 · Achievement 3.75 · Improvement 1.29
Adjusted total nurse staffing
0.91
Baseline 3.37 hours · Performance 3.34 hours · Measure score 0.91 · Achievement 0.91 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.41% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 196 · Observed rate 13.27% · Lower 95% interval 8.95% |
| Discharge to community | 69.12% |
50.57%
18.6 pts better
|
Better than the National Rate · Eligible stays 193 · Observed rate 63.21% · Lower 95% interval 61.44% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 107 · Denominator 107 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 107 |
| Discharge self-care score | 68.54% |
53.69%
14.9 pts better
|
Numerator 61 · Denominator 89 |
| Discharge mobility score | 65.17% |
50.94%
14.2 pts better
|
Numerator 58 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 107 · Adjusted rate 0.78% |
| Healthcare-associated infections requiring hospitalization | 5.62% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 122 · Observed rate 3.28% · Lower 95% interval 3.6% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 130 |
| Staff flu vaccination coverage | 28.48% |
42%
13.5 pts worse
|
Numerator 45 · Denominator 158 |
| Discharge function score | 75.28% |
56.45%
18.8 pts better
|
Numerator 67 · Denominator 89 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.1% |
96.28%
0.8 pts better
|
Numerator 67 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 22.64% |
25.2%
2.6 pts worse
|
Numerator 12 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
89.9%
8.4 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 100.0% · Q4 96.8% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.2% |
94.5%
5.3 pts worse
|
95.5%
6.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.4% |
3.6%
1.8 pts worse
|
3.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.7% · Q3 6.6% · Q4 4.8% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.8% |
11.8%
About the same
|
11.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 11.1% · Q3 13.7% · Q4 7.5% · 4Q avg 11.8% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
6.2%
1.3 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.0% · Q3 0.0% · Q4 5.8% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.4% |
32.2%
8.8 pts better
|
19.6%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 27.5% · Q3 23.1% · Q4 17.0% · 4Q avg 23.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.9% |
18.1%
11.2 pts better
|
16.7%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.8% · Q3 4.3% · Q4 6.5% · 4Q avg 6.9% · 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 | 9.4% |
19.9%
10.5 pts better
|
16.3%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.9% |
15.3%
10.4 pts better
|
14.9%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.4% · Q3 8.7% · Q4 2.1% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
1.9%
1 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.4% · Q3 3.3% · Q4 3.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% |
20.2%
3.4 pts better
|
19.8%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 9.8% · Q3 12.8% · Q4 17.3% · 4Q avg 16.8% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.4%
3.9 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 2.3% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
79.6%
17.7 pts better
|
81.7%
15.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 98.7% · Q3 98.7% · Q4 94.6% · 4Q avg 97.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.5% |
11.2%
8.7 pts better
|
12.0%
9.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.5% · Observed 2.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.6%
1.2 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.1% |
79.8%
12.3 pts better
|
79.7%
12.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.8% |
22.2%
7.4 pts better
|
23.9%
9.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 13.3% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-23 · Fire 2022-03-23
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-11-06 · Fire 2019-11-06
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-11
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-11
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-02-01
D · Potential for more than minimal harm
2024-12-11
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 2025-01-17
E · Potential for more than minimal harm
2022-03-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-05-01
D · Potential for more than minimal harm
2022-03-23
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-04-30
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Baldwin, Brittany
Operational/Managerial Control · Individual
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Jones, Melissa
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Mckenzie, Daniel
Operational/Managerial Control · Individual
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
Nason Jr., Howard
Operational/Managerial Control · Individual
Nason Jr., Howard
Corporate Officer · Individual
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Ussery, Robert
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
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
#2
Nhc Healthcare, Knoxville
Knoxville, TN
2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies
#3
Creekview Health And Rehabilitation
Knoxville, TN
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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