Cycle 1
Health 2025-06-25 · Fire 2025-06-25
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Greeneville, TN
Life Care Center Of Greeneville
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
725 Crum Street, Greeneville, TN
(423) 639-8131
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
161
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1989-08-28
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
0.64
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.27
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,497
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.12
Baseline 23.84% · Performance 23.41% · Measure score 0.12 · Achievement 0 · Improvement 0.12
Healthcare-associated infections
5.08
Baseline 16.47% · Performance 10.06% · Measure score 5.08 · Achievement 0 · Improvement 5.08
Total nurse turnover
4.03
Baseline 31.88% · Performance 47.19% · Measure score 4.03 · Achievement 4.03 · Improvement 0
Adjusted total nurse staffing
0.15
Baseline 2.91 hours · Performance 3.1 hours · Measure score 0.15 · Achievement 0 · Improvement 0.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.38% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 131 · Observed rate 9.92% · Lower 95% interval 7.43% |
| Discharge to community | 38.51% |
50.57%
12.1 pts worse
|
Worse than the National Rate · Eligible stays 132 · Observed rate 31.82% · Lower 95% interval 30.53% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 90 · Denominator 90 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 90 |
| Discharge self-care score | 65.45% |
53.69%
11.8 pts better
|
Numerator 36 · Denominator 55 |
| Discharge mobility score | 58.18% |
50.94%
7.2 pts better
|
Numerator 32 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 3.33% |
2.29%
1 pts worse
|
Numerator 3 · Denominator 90 · Adjusted rate 3.74% |
| Healthcare-associated infections requiring hospitalization | 10.06% |
7.12%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 13.68% · Lower 95% interval 6.34% |
| Staff COVID-19 vaccination coverage | 4.96% |
8.2%
3.2 pts worse
|
Numerator 7 · Denominator 141 |
| Staff flu vaccination coverage | 31.67% |
42%
10.3 pts worse
|
Numerator 57 · Denominator 180 |
| Discharge function score | 76.36% |
56.45%
19.9 pts better
|
Numerator 42 · Denominator 55 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 35 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 7.55% |
25.2%
17.6 pts worse
|
Numerator 4 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
89.9%
9.8 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
94.5%
4.4 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.6%
2.3 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 0.0% · Q4 2.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.1% |
11.8%
1.7 pts better
|
11.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 10.6% · Q3 6.8% · Q4 12.5% · 4Q avg 10.1% |
| Percentage of long-stay residents who lose too much weight | 10.1% |
6.2%
3.9 pts worse
|
5.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 10.1% · Q3 9.5% · Q4 10.0% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 49.3% |
32.2%
17.1 pts worse
|
19.6%
29.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.1% · Q2 49.3% · Q3 47.4% · Q4 53.3% · 4Q avg 49.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
18.1%
2.9 pts worse
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 20.0% · Q3 23.0% · Q4 17.2% · 4Q avg 21.0% · 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 | 10.6% |
19.9%
9.3 pts better
|
16.3%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 7.6% · Q3 2.9% · Q4 13.4% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.2% |
15.3%
6.1 pts better
|
14.9%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.3% · Q3 4.2% · Q4 9.9% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
1.9%
1.2 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.4% · Q3 0.0% · Q4 5.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.0% |
20.2%
8.2 pts better
|
19.8%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 13.1% · Q3 15.0% · Q4 14.2% · 4Q avg 12.0% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.4%
0.8 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.1% · Q3 4.4% · Q4 6.4% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
79.6%
20 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
11.2%
2.7 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.9% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.6%
0.3 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 1.6% · Q4 2.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.9% |
79.8%
1.9 pts worse
|
79.7%
1.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% |
22.2%
0.3 pts worse
|
23.9%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 21.5% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-01 · Fire 2024-05-01
7 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2020-02-12 · Fire 2020-02-12
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-06-25
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 2025-08-09
D · Potential for more than minimal harm
2025-06-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-08-09
D · Potential for more than minimal harm
2024-05-01
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-05-31
D · Potential for more than minimal harm
2020-02-12
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-28
D · Potential for more than minimal harm
2020-02-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-28
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-25
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 2025-08-09
D · Potential for more than minimal harm
2025-06-25
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 2025-08-09
D · Potential for more than minimal harm
2025-06-25
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 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-09
D · Potential for more than minimal harm
2024-05-01
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-05-01
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-05-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-05-01
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-05-01
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 2024-05-31
D · Potential for more than minimal harm
2024-05-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-05-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-31
D · Potential for more than minimal harm
2023-04-12
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 2023-05-27
D · Potential for more than minimal harm
2023-04-12
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-27
D · Potential for more than minimal harm
2023-04-12
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 2023-05-27
E · Potential for more than minimal harm
2020-02-12
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 2020-03-28
D · Potential for more than minimal harm
2020-02-12
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 2020-03-28
D · Potential for more than minimal harm
2020-02-12
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2020-03-28
D · Potential for more than minimal harm
2020-02-12
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-03-28
D · Potential for more than minimal harm
2020-02-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-28
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
Corporate Director · Individual
Fletcher, Todd
Corporate Officer · Individual
Henry, Terry
Corporate Officer · Individual
Key, Misty
W-2 Managing Employee · Individual
Lay, Lisa
Corporate Director · Individual
Lay, Lisa
Corporate Officer · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Preston, Forrest
Corporate Director · Individual
Preston, Forrest
Corporate Officer · Individual
Swanker, Richard
Corporate Director · Individual
Swanker, Richard
Corporate Officer · Individual
Thurmond, Joan
Corporate Officer · Individual
Ziegler, James
Corporate Director · Individual
Ziegler, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Laughlin Health Care Center
Greeneville, TN
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
#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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