Life Care Center Of Ooltewah ratings, inspections, staffing, and fines

1

How this home got 5 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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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.
Quality measures

+1 star

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Life Care Center Of Ooltewah carries 15 inspection points. That is fewer than 71% 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

7 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts

E 1 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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 Planning3D

D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
April 29, 2026 · Standard · F656 · Corrected May 29, 2026
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 14, 2022 · Standard · F842 · Corrected January 18, 2023
D
Ensure each resident receives an accurate assessment.
September 25, 2019 · Standard · F641 · Corrected October 11, 2019

Quality of Life and Care2D

D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
December 14, 2022 · Standard · F684 · Corrected January 18, 2023
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 14, 2022 · Standard · F689 · Corrected January 18, 2023

Infection Control1E

E
Provide and implement an infection prevention and control program.
April 29, 2026 · Standard · F880 · Corrected May 29, 2026

Pharmacy Service1D

D
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.
April 29, 2026 · Standard · F761 · Corrected May 29, 2026

Inspection history

2026-04-29
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2022-12-14
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2019-09-25
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 18 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.

This home

4 h 18 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 54% of nursing staff and 50% 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 days0.8 pts better	0.8	1.6	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better	0.6	1.5	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better	93.3%	89.5%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better	94.3%	93.8%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better	0.0%	3.3%	3.2%
Percentage of long-stay residents who have depressive symptoms13.9 pts better	1.0%	14.9%	13.5%
Percentage of long-stay residents who lose too much weight3.6 pts worse	9.6%	6.0%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts better	28.4%	31.7%	19.5%
Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse	18.5%	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 worsened15.7 pts worse	31.1%	15.4%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts worse	14.9%	13.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better	0.0%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection0.9 pts better	0.8%	1.7%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse	21.9%	19.0%	18.3%
Percentage of long-stay residents with pressure ulcers19.5 pts worse	24.3%	4.8%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better	81.5%	79.4%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse	12.4%	11.3%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better	1.4%	1.7%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.5 pts worse	77.7%	79.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better	18.3%	22.6%	23.4%

·

Who owns and runs it

31 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
Borja, Ashley	Managing Control - Governing Body · Individual	0%	1 facilities
Borja, Ashley	Operational/Managerial Control · Individual	0%	1 facilities
Borja, Ashley	Adp Of The SNF · Individual	0%	1 facilities
Cross, Cindy	Corporate Officer · Individual	0%	183 facilities
Developers Investment Company Inc	Indirect Ownership Interest · Organization	0%	71 facilities
Developers Investment Company Inc	Operational/Managerial Control · Organization	0%	71 facilities
Fletcher, Todd	Operational/Managerial Control · 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
Life Care Affiliates Ii	Operational/Managerial Control · Organization	0%	16 facilities
Life Care Affiliates Ii	General Partnership Interest · Organization	0%	16 facilities
Life Care Affiliates Ii	Adp Of The SNF · Organization	0%	16 facilities
Life Care Centers Of America, Inc.	Operational/Managerial Control · Organization	0%	194 facilities
Life Care Centers Of America, Inc.	Adp Of The SNF · Organization	0%	194 facilities
Murphy, Joshua	Operational/Managerial Control · Individual	0%	3 facilities
Murphy, Joshua	Adp Of The SNF · Individual	0%	3 facilities
Ooltewah Medical Investors LP	Operational/Managerial Control · Organization	0%	1 facilities
Ooltewah Medical Investors LP	Adp Of The SNF · Organization	0%	1 facilities
Payne, Julie	Managing Control - Governing Body · Individual	0%	1 facilities
Payne, Julie	Operational/Managerial Control · Individual	0%	1 facilities
Preston, Aubrey	Operational/Managerial Control · Individual	0%	162 facilities
Preston, Forrest	Indirect Ownership Interest · Individual	0%	170 facilities
Preston, Forrest	Limited Partnership Interest · Individual	0%	170 facilities
Preston, Forrest	Adp Of The SNF · Individual	0%	170 facilities
Solomon, Jennifer	Managing Control - Governing Body · Individual	0%	29 facilities
Solomon, Jennifer	Operational/Managerial Control · Individual	0%	29 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	Operational/Managerial Control · Individual	0%	165 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2D

D
Provide properly protected cooking facilities.
December 14, 2022 · K324 · Corrected January 11, 2023
D
Inspect, test, and maintain automatic sprinkler systems.
December 14, 2022 · K353 · Corrected January 11, 2023

Miscellaneous1D

D
Have restrictions on the use of portable space heaters.
April 29, 2026 · K781 · Corrected May 29, 2026

Construction1E

E
Use approved construction type or materials.
December 14, 2022 · K161 · Corrected January 11, 2023

Egress1F

F
Install proper backup exit lighting.
September 25, 2019 · K281 · Corrected October 11, 2019

·

Other homes nearby

Life Care Center Of Collegedale
Collegedale, TN · Life Care Centers Of America

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 23 min

Fines
$0
Chattanooga Health And Rehab Center
Chattanooga, TN · Vertical Health Services

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 14 min

Fines
$0
The Health Center At Standifer Place
Chattanooga, TN

Worst citation, 3 yrs
D

Nursing / resident / day
3 h 39 min

Fines
$0

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