Federal inspection record · CMS data as of October 1, 2026
Life Care Center Of Cleveland
3530 Keith St Nw, Cleveland, TN · (423) 476-3254
- Certified beds
- 142
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 19, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Life Care Center Of Cleveland carries 36 inspection points. That is fewer than 34% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights2D
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-12-17
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-03-30
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-08-14
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 50 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.5 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.1 pts better | 99.6% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 100.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.2 pts better | 4.7% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight10.8 pts worse | 16.8% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts better | 24.4% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts better | 14.7% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.6 pts better | 12.8% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better | 11.0% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.3% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts better | 14.5% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts worse | 9.3% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.2 pts better | 99.6% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse | 12.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.7% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.5 pts better | 87.7% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 23.7% | 22.6% | 23.4% |
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Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Fletcher, Todd | Corporate Director · Individual | 0% | 165 facilities |
| Fletcher, Todd | Corporate Officer · Individual | 0% | 165 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Lay, Lisa | Corporate Director · Individual | 0% | 166 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 facilities |
| Lee, Joshua | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Preston, Forrest | Corporate Director · Individual | 0% | 170 facilities |
| Preston, Forrest | Corporate Officer · Individual | 0% | 170 facilities |
| Swanker, Richard | Corporate Director · Individual | 0% | 168 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
| Ziegler, James | Corporate Director · Individual | 0% | 165 facilities |
| Ziegler, James | Corporate Officer · Individual | 0% | 165 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1D
- D
Provide a written emergency evacuation plan.
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