Cycle 1
Health 2023-08-02 · Fire 2023-08-02
0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Athens, TN
Life Care Center Of Athens
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
1234 Frye Street, Athens, TN
(423) 745-8181
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
128
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1992-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 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
0.93
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.52
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.17
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
695
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.20
Composite VBP score used to determine payment impact.
Payment multiplier
1.0195
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.10% · Performance 16.79% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
6.92
Baseline 5.54% · Performance 5.77% · Measure score 6.92 · Achievement 6.92 · Improvement 0
Total nurse turnover
7.14
Baseline 37.66% · Performance 34.48% · Measure score 7.14 · Achievement 7.14 · Improvement 1.98
Adjusted total nurse staffing
2.01
Baseline 3.62 hours · Performance 3.65 hours · Measure score 2.01 · Achievement 2.01 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.03% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 159 · Observed rate 5.66% · Lower 95% interval 6.38% |
| Discharge to community | 47.2% |
50.57%
3.4 pts worse
|
No Different than the National Rate · Eligible stays 153 · Observed rate 42.48% · Lower 95% interval 40.7% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.91% |
95.27%
3.6 pts better
|
Numerator 91 · Denominator 92 |
| Falls with major injury | 2.17% |
0.77%
1.4 pts worse
|
Numerator 2 · Denominator 92 |
| Discharge self-care score | 67.09% |
53.69%
13.4 pts better
|
Numerator 53 · Denominator 79 |
| Discharge mobility score | 59.49% |
50.94%
8.6 pts better
|
Numerator 47 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 2.17% |
2.29%
0.1 pts better
|
Numerator 2 · Denominator 92 · Adjusted rate 2.25% |
| Healthcare-associated infections requiring hospitalization | 5.77% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 2.17% · Lower 95% interval 2.95% |
| Staff COVID-19 vaccination coverage | 11.31% |
8.2%
3.1 pts better
|
Numerator 19 · Denominator 168 |
| Staff flu vaccination coverage | 43.59% |
42%
1.6 pts better
|
Numerator 85 · Denominator 195 |
| Discharge function score | 79.75% |
56.45%
23.3 pts better
|
Numerator 63 · Denominator 79 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 57 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 26% |
25.2%
0.8 pts better
|
Numerator 13 · Denominator 50 |
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 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
89.9%
8.1 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 98.7% · Q3 97.4% · Q4 98.6% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
94.5%
4.2 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.6%
0.1 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.9% · Q3 3.9% · Q4 4.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
11.8%
8.5 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.8% · Q3 2.8% · Q4 4.9% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.2%
0.5 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 8.3% · Q3 10.0% · Q4 4.3% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.2% |
32.2%
2 pts better
|
19.6%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 30.6% · Q3 33.3% · Q4 27.1% · 4Q avg 30.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.0% |
18.1%
11.9 pts worse
|
16.7%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 30.2% · Q3 31.7% · Q4 28.6% · 4Q avg 30.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.3% |
0.1%
1.2 pts worse
|
0.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.6% · Q3 1.3% · Q4 0.0% · 4Q avg 1.3% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.1% |
19.9%
3.8 pts better
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 26.5% · Q3 8.7% · Q4 8.6% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.0% |
15.3%
7.7 pts worse
|
14.9%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 38.2% · Q3 28.1% · Q4 8.2% · 4Q avg 23.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.9%
0.1 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 2.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.9%
1.2 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.3% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.7% |
20.2%
0.5 pts better
|
19.8%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 21.6% · Q3 25.1% · Q4 16.7% · 4Q avg 19.7% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
5.4%
0.4 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.3% · Q3 5.5% · Q4 4.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.7% |
79.6%
0.9 pts worse
|
81.7%
3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.7% · Q2 77.3% · Q3 82.3% · Q4 91.5% · 4Q avg 78.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
11.2%
1.2 pts better
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 10.3% · Expected 11.4% · 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 1.4% · Q2 1.2% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.2% |
79.8%
3.4 pts better
|
79.7%
3.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 10.7% |
22.2%
11.5 pts better
|
23.9%
13.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.3% · Expected 22.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-11-14 · Fire 2019-11-14
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2018-12-05 · Fire 2018-12-05
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-08-02
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-01
E · Potential for more than minimal harm
2023-08-02
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-02
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-02
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-02
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-09-01
B · Minimal harm
2019-11-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-20
F · Potential for more than minimal harm
2018-12-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-12-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2019-11-14
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 2019-12-15
E · Potential for more than minimal harm
2019-11-14
F920 · Environmental Deficiencies
Health
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected 2019-12-15
D · Potential for more than minimal harm
2019-11-14
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2019-12-15
D · Potential for more than minimal harm
2019-11-14
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 2019-12-15
Penalties and ownership
What sits behind the stars
Ownership
Preston, Forrest
5% Or Greater Direct Ownership Interest · Individual
Cross, Cindy
Corporate Officer · Individual
Fletcher, Todd
Operational/Managerial Control · Individual
Fletcher, Todd
Corporate Director · Individual
Fletcher, Todd
Corporate Officer · Individual
Goodman, Susan
Operational/Managerial Control · Individual
Henry, Terry
Corporate Officer · Individual
Lay, Lisa
Operational/Managerial Control · Individual
Lay, Lisa
Corporate Director · Individual
Lay, Lisa
Corporate Officer · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Malone, Joshue
Operational/Managerial Control · Individual
Preston, Aubrey
Operational/Managerial Control · Individual
Preston, Forrest
Operational/Managerial Control · Individual
Preston, Forrest
Corporate Director · Individual
Preston, Forrest
Corporate Officer · Individual
Solomon, Jennifer
Operational/Managerial Control · Individual
Swanker, Richard
Operational/Managerial Control · Individual
Swanker, Richard
Corporate Director · Individual
Swanker, Richard
Corporate Officer · Individual
Thurmond, Joan
Corporate Officer · Individual
Turnbough, Vickie
Operational/Managerial Control · Individual
Ziegler, James
Operational/Managerial Control · Individual
Ziegler, James
Corporate Director · Individual
Ziegler, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Nhc Healthcare, Athens
Athens, TN
4-star overall rating with 4-star inspections with 6 recent health deficiencies
#2
Starr Regional Health & Rehabilitation
Etowah, TN
3-star overall rating with 3-star inspections with $8,697 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Etowah Health And Rehabilitation
Etowah, TN
2-star overall rating with 2-star inspections with $21,692 in total fines with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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