3 health deficiencies
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Sparta, TN
4-star overall rating with 5-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
508 Mose Drive, Sparta, TN
(931) 738-9430
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
2000-10-18
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
RN hours / resident day
0.37
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.25
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
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.09
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
6,386
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9875
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.09
Baseline 16.80% · Performance 20.46% · Measure score 2.09 · Achievement 2.09 · Improvement 0
Healthcare-associated infections
0
Baseline 6.74% · Performance 9.82% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.91
Baseline 28.57% · Performance 27.27% · Measure score 8.91 · Achievement 8.91 · Improvement 2.99
Adjusted total nurse staffing
2.23
Baseline 3.79 hours · Performance 3.71 hours · Measure score 2.23 · Achievement 2.23 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.97% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 239 · Observed rate 12.13% · Lower 95% interval 8.99% |
| Discharge to community | 51.53% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 251 · Observed rate 49.4% · Lower 95% interval 44.47% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 95.95% |
95.27%
0.7 pts better
|
Numerator 142 · Denominator 148 |
| Falls with major injury | 1.35% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 148 |
| Discharge self-care score | 82.5% |
53.69%
28.8 pts better
|
Numerator 66 · Denominator 80 |
| Discharge mobility score | 81.25% |
50.94%
30.3 pts better
|
Numerator 65 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 2.03% |
2.29%
0.3 pts better
|
Numerator 3 · Denominator 148 · Adjusted rate 2.4% |
| Healthcare-associated infections requiring hospitalization | 9.82% |
7.12%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 12.14% · Lower 95% interval 6.86% |
| Staff COVID-19 vaccination coverage | 0.57% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 176 |
| Staff flu vaccination coverage | 20.1% |
42%
21.9 pts worse
|
Numerator 41 · Denominator 204 |
| Discharge function score | 83.75% |
56.45%
27.3 pts better
|
Numerator 67 · Denominator 80 |
| Transfer of health information to provider | 97.62% |
95.95%
1.7 pts better
|
Numerator 41 · Denominator 42 |
| Transfer of health information to patient | 93.83% |
96.28%
2.5 pts worse
|
Numerator 76 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 4.49% |
25.2%
20.7 pts worse
|
Numerator 4 · Denominator 89 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 5.3% |
3.6%
1.7 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.2% · Q3 4.0% · Q4 3.6% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.8% |
11.8%
8 pts better
|
11.4%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.3% · Q3 4.5% · Q4 6.2% · 4Q avg 3.8% |
| 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 3.8% · Q2 4.8% · Q3 10.9% · Q4 7.5% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.1% |
32.2%
10.9 pts worse
|
19.6%
23.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 46.5% · Q3 48.9% · Q4 35.8% · 4Q avg 43.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.1% |
18.1%
13 pts better
|
16.7%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.1% · Q3 7.7% · Q4 0.0% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.1%
0.4 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.1% |
19.9%
7.8 pts better
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.5% |
15.3%
4.8 pts better
|
14.9%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 15.4% · Q3 11.6% · Q4 6.4% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.9%
0.8 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.8% · Q3 1.9% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.9%
0.5 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.2% · Q3 4.0% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.0% |
20.2%
8.8 pts worse
|
19.8%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 23.8% · Q3 32.0% · Q4 32.8% · 4Q avg 29.0% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
5.4%
0.9 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 4.2% · Q3 2.3% · Q4 2.3% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
79.6%
18.9 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.6% · Q3 97.8% · Q4 99.3% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.2%
0.6 pts worse
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 11.3% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.6%
0.9 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.0% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.0% |
79.8%
13.2 pts better
|
79.7%
13.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.6% |
22.2%
7.4 pts worse
|
23.9%
5.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 27.3% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-06-16
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-06-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-06-16
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-06-16
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2025-06-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-16
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-12-27
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-12-27
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2019-01-11
Health
Provide and implement an infection prevention and control program.
Corrected 2019-01-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Organization
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Limited Partnership Interest · Individual
Corporate Officer · Individual
Nearby options
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2-star overall rating with 2-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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