Cycle 1
Health 2023-10-05 · Fire 2023-10-05
14 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Greeneville, TN
Laughlin Health Care Center
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
801 E Mckee St, Greeneville, TN
(423) 638-9226
Overall
2 / 5
CMS overall stars
Health inspections
1 / 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
90
Certified beds
Average residents
41
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
Ahava Healthcare
Operator or chain grouping
Approved since
1991-04-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 2 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
1.06
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.38
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.75
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.44
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.97
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.49
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
1.04
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
38%
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
2,653
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0023
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.44
Baseline 20.39% · Performance 18.91% · Measure score 5.44 · Achievement 5.44 · Improvement 3.9
Healthcare-associated infections
2.66
Baseline 5.78% · Performance 7.04% · Measure score 2.66 · Achievement 2.66 · Improvement 0
Total nurse turnover
8.3
Baseline 67.74% · Performance 30.00% · Measure score 8.3 · Achievement 8.24 · Improvement 8.3
Adjusted total nurse staffing
3.01
Baseline 4.38 hours · Performance 3.93 hours · Measure score 3.01 · Achievement 3.01 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.13% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 9.62% · Lower 95% interval 7.06% |
| Discharge to community | 53.22% |
50.57%
2.6 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 52.94% · Lower 95% interval 40.21% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 87.1% |
95.27%
8.2 pts worse
|
Numerator 27 · Denominator 31 |
| Falls with major injury | 3.23% |
0.77%
2.5 pts worse
|
Numerator 1 · Denominator 31 |
| Discharge self-care score | 75.86% |
53.69%
22.2 pts better
|
Numerator 22 · Denominator 29 |
| Discharge mobility score | 48.28% |
50.94%
2.7 pts worse
|
Numerator 14 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 1 · Denominator 31 · Adjusted rate 3.44% |
| Healthcare-associated infections requiring hospitalization | 7.04% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 5.13% · Lower 95% interval 3.71% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 29 |
| Staff flu vaccination coverage | 92.73% |
42%
50.7 pts better
|
Numerator 51 · Denominator 55 |
| Discharge function score | 62.07% |
56.45%
5.6 pts better
|
Numerator 18 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 60% |
96.28%
36.3 pts worse
|
Numerator 15 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
89.9%
9.1 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.0% · 4Q avg 99.0% |
| 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 | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 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 who have depressive symptoms | 2.5% |
11.8%
9.3 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 0.0% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.2%
2 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.5% |
32.2%
0.7 pts better
|
19.6%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.0% |
18.1%
8.1 pts better
|
16.7%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 4.0% |
0.1%
3.9 pts worse
|
0.1%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 8.0% · Q3 0.0% · Q4 0.0% · 4Q avg 4.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
15.3%
1.4 pts worse
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.4% |
0.9%
6.5 pts worse
|
1.0%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.1% |
1.9%
2.2 pts worse
|
1.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.6% |
20.2%
7.6 pts better
|
19.8%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.6% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
5.4%
0.7 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.1% · Q3 8.4% · Q4 3.1% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
79.6%
16.8 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 98.1% · Q3 98.6% · Q4 96.2% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
11.2%
5.2 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.1% · Expected 9.5% · 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 | 100.0% |
79.8%
20.2 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
22.2%
0.1 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 17.9% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-08 · Fire 2020-01-08
1 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-12-19 · Fire 2018-12-19
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-10-05
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 2023-10-23
D · Potential for more than minimal harm
2023-10-05
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-12
F · Potential for more than minimal harm
2020-01-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-01-30
F · Potential for more than minimal harm
2020-01-08
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-01-25
D · Potential for more than minimal harm
2020-01-08
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2020-01-20
C · Minimal harm
2020-01-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-01-25
C · Minimal harm
2020-01-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-25
F · Potential for more than minimal harm
2018-12-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-01-18
D · Potential for more than minimal harm
2018-12-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-01-18
Inspection history
Recent health citations
G · Actual harm
2023-10-05
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
G · Actual harm
2023-10-05
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 2023-11-03
F · Potential for more than minimal harm
2023-10-05
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 2023-10-25
F · Potential for more than minimal harm
2023-10-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-26
E · Potential for more than minimal harm
2023-10-05
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-10-05
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 2023-11-03
D · Potential for more than minimal harm
2023-10-05
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-17
D · Potential for more than minimal harm
2023-10-05
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-05
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 2023-11-29
D · Potential for more than minimal harm
2023-10-05
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-05
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-05
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-10-31
D · Potential for more than minimal harm
2023-10-05
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-05
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-12
D · Potential for more than minimal harm
2020-01-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-14
F · Potential for more than minimal harm
2018-12-19
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 2019-01-18
Penalties and ownership
What sits behind the stars
$4,885
2023-10-05
Fine
Fine · fine $4,885
Fine
$4,885
2023-10-05
Fine
Fine · fine $4,885
Fine
$0
2023-10-05
Payment Denial
Payment Denial · denial start 2023-11-08 · 21 days
21 day denial
Ownership
Laughlin Operations Group Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Ahava Hc LLC
Operational/Managerial Control · Organization
Ballad Health
5% Or Greater Indirect Ownership Interest · Organization
Bho Operating Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Blue Ridge Medical Management Corporation
5% Or Greater Indirect Ownership Interest · Organization
Labin, Shiya
5% Or Greater Indirect Ownership Interest · Individual
Laidlaw, Lisa
Operational/Managerial Control · Individual
Laughlin Realty Group LLC
5% Or Greater Mortgage Interest · Organization
Mountain States Health Alliance
5% Or Greater Indirect Ownership Interest · Organization
Neuman, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Niederman, Anshel
5% Or Greater Indirect Ownership Interest · Individual
Niederman, Anshel
Operational/Managerial Control · Individual
Tumkur, Deepika
Operational/Managerial Control · 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
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
#3
Durham-Hensley Health And Rehabilitation
Chuckey, TN
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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