Cycle 1
Health 2023-11-02 · Fire 2023-11-02
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Jefferson City, TN
Jefferson City Health And Rehab Center
2-star overall rating with 2-star inspections with $8,788 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
283 W Broadway Blvd, Jefferson City, TN
(865) 475-9037
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
170
Certified beds
Average residents
152
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Prestige Administrative Services
Operator or chain grouping
Approved since
1990-03-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.40
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.23
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
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.49
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,583
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
3.45
Composite VBP score used to determine payment impact.
Payment multiplier
0.9805
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.14% · Performance 21.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.70% · Performance 8.06% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.38
Baseline 35.00% · Performance 58.04% · Measure score 1.38 · Achievement 1.38 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.95 hours · Performance 3 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.56% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 15.79% · Lower 95% interval 8.85% |
| Discharge to community | 48.36% |
50.57%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 42.11% · Lower 95% interval 39.33% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 96.97% |
95.27%
1.7 pts better
|
Numerator 64 · Denominator 66 |
| Falls with major injury | 3.03% |
0.77%
2.3 pts worse
|
Numerator 2 · Denominator 66 |
| Discharge self-care score | 54.55% |
53.69%
0.9 pts better
|
Numerator 18 · Denominator 33 |
| Discharge mobility score | 21.21% |
50.94%
29.7 pts worse
|
Numerator 7 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 1.52% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 66 · Adjusted rate 1.04% |
| Healthcare-associated infections requiring hospitalization | 8.06% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 10.53% · Lower 95% interval 4.62% |
| Staff COVID-19 vaccination coverage | 0.59% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 170 |
| Staff flu vaccination coverage | 6.93% |
42%
35.1 pts worse
|
Numerator 14 · Denominator 202 |
| Discharge function score | 39.39% |
56.45%
17.1 pts worse
|
Numerator 13 · Denominator 33 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 53 · Denominator 53 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | 4.88% |
25.2%
20.3 pts worse
|
Numerator 2 · Denominator 41 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.5% |
89.9%
0.4 pts worse
|
93.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.6% · Q2 96.8% · Q3 92.4% · Q4 90.0% · 4Q avg 89.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.6% |
94.5%
1.1 pts better
|
95.5%
0.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.6%
0.9 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.4% · Q3 2.3% · Q4 3.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.4% |
11.8%
5.4 pts better
|
11.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.6% · Q3 11.4% · Q4 4.1% · 4Q avg 6.4% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.2%
1.9 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.0% · Q3 4.9% · Q4 6.8% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.0% |
32.2%
18.2 pts better
|
19.6%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 12.6% · Q3 11.3% · Q4 14.5% · 4Q avg 14.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.6% |
18.1%
6.5 pts better
|
16.7%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 11.3% · Q3 8.2% · Q4 13.5% · 4Q avg 11.6% · 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 | 15.6% |
19.9%
4.3 pts better
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 16.4% · Q3 16.3% · Q4 18.0% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% |
15.3%
2.8 pts better
|
14.9%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 14.6% · Q3 9.2% · Q4 8.8% · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.9%
0.7 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.9%
0.1 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.6% · Q3 1.5% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
20.2%
1.7 pts worse
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 31.2% · Q3 14.5% · Q4 16.9% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 8.9% |
5.4%
3.5 pts worse
|
5.1%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 10.2% · Q3 8.2% · Q4 9.4% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.0% |
79.6%
40.6 pts worse
|
81.7%
42.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.5% · Q2 48.1% · Q3 29.9% · Q4 26.3% · 4Q avg 39.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
11.2%
3.8 pts worse
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 16.7% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.3% |
79.8%
25.5 pts worse
|
79.7%
25.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
22.2%
6.1 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 31.8% · Expected 26.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-03-04 · Fire 2020-03-04
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 2019-02-21 · Fire 2019-02-21
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-11-02
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-30
D · Potential for more than minimal harm
2019-02-21
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-03-30
Inspection history
Recent health citations
G · Actual harm
2025-06-10
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-10
F · Potential for more than minimal harm
2023-11-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-02
D · Potential for more than minimal harm
2023-11-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-06
D · Potential for more than minimal harm
2023-11-02
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-12-12
D · Potential for more than minimal harm
2023-11-02
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 2023-11-29
D · Potential for more than minimal harm
2023-11-02
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-11-02
D · Potential for more than minimal harm
2023-11-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-02
D · Potential for more than minimal harm
2019-02-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-05
Penalties and ownership
What sits behind the stars
$8,788
2025-06-10
Fine
Fine · fine $8,788
Fine
Ownership
B&Y Healthcare S Corp
5% Or Greater Direct Ownership Interest · Organization
B&Y Trust
5% Or Greater Indirect Ownership Interest · Organization
Cody Healthcare S Corp
5% Or Greater Direct Ownership Interest · Organization
Craig Flashner 2007 Trust
5% Or Greater Indirect Ownership Interest · Organization
Flashner, Craig
Operational/Managerial Control · Individual
Flashner, Craig
Corporate Director · Individual
Kirk, Kristine
W-2 Managing Employee · Individual
Norcross, Robert
Contracted Managing Employee · Individual
Northpoint Regional LLC
Operational/Managerial Control · Organization
Perlstein, Yitzchok
Operational/Managerial Control · Individual
Prestige Administrative Services, LLC
Operational/Managerial Control · Organization
Rogers, Stacey
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Life Care Center Of Jefferson City
Jefferson City, TN
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Jefferson County Nursing Home
Dandridge, TN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Morristown
Morristown, TN
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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