Cycle 1
Health 2023-04-13 · Fire 2023-04-13
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Knoxville, TN
Lyonsview Health And Rehabilitation Center
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $99,788 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
5837 Lyons View Pike, Knoxville, TN
(865) 584-3902
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
222
Certified beds
Average residents
159
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Champion Care
Operator or chain grouping
Approved since
1977-01-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.25
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.33
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
3.60
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.39
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.24
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,739
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.05
Composite VBP score used to determine payment impact.
Payment multiplier
1.0017
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.79
Baseline 17.01% · Performance 17.82% · Measure score 7.79 · Achievement 7.79 · Improvement 0
Healthcare-associated infections
5.94
Baseline 8.10% · Performance 6.10% · Measure score 5.94 · Achievement 5.80 · Improvement 5.94
Total nurse turnover
4.64
Baseline 97.44% · Performance 60.14% · Measure score 4.64 · Achievement 0.87 · Improvement 4.64
Adjusted total nurse staffing
0.85
Baseline 3.11 hours · Performance 3.32 hours · Measure score 0.85 · Achievement 0.85 · Improvement 0.30
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.09% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 157 · Observed rate 10.83% · Lower 95% interval 8.25% |
| Discharge to community | 31.91% |
50.57%
18.7 pts worse
|
Worse than the National Rate · Eligible stays 118 · Observed rate 25.42% · Lower 95% interval 23.33% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 93.33% |
95.27%
1.9 pts worse
|
Numerator 112 · Denominator 120 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 120 |
| Discharge self-care score | 47.13% |
53.69%
6.6 pts worse
|
Numerator 41 · Denominator 87 |
| Discharge mobility score | 32.18% |
50.94%
18.8 pts worse
|
Numerator 28 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 7.5% |
2.29%
5.2 pts worse
|
Numerator 9 · Denominator 120 · Adjusted rate 5.89% |
| Healthcare-associated infections requiring hospitalization | 6.1% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 4.4% · Lower 95% interval 3.73% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 180 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 43.68% |
56.45%
12.8 pts worse
|
Numerator 38 · Denominator 87 |
| Transfer of health information to provider | 93.33% |
95.95%
2.6 pts worse
|
Numerator 28 · Denominator 30 |
| Transfer of health information to patient | 93.33% |
96.28%
3 pts worse
|
Numerator 28 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 4.23% |
25.2%
21 pts worse
|
Numerator 3 · Denominator 71 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.6
About the same
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.6
0.4 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 29.4% |
89.9%
60.5 pts worse
|
93.4%
64 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 26.6% · Q3 16.8% · Q4 10.7% · 4Q avg 29.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.5% |
94.5%
14 pts worse
|
95.5%
15 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.6%
1.1 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.1% · Q3 2.2% · Q4 4.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
11.8%
10.1 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 0.0% · Q4 0.8% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.2%
1.7 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.8% · Q3 4.9% · Q4 2.5% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
32.2%
4.8 pts better
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 25.4% · Q3 26.6% · Q4 33.3% · 4Q avg 27.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
18.1%
2.6 pts better
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 17.8% · Q3 15.2% · Q4 12.4% · 4Q avg 15.5% · 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 | 58.0% |
19.9%
38.1 pts worse
|
16.3%
41.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 65.4% · Q3 66.6% · Q4 25.0% · 4Q avg 58.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.9% |
15.3%
15.6 pts worse
|
14.9%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 35.5% · Q3 39.3% · Q4 24.8% · 4Q avg 30.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0% |
0.9%
1.1 pts worse
|
1.0%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 1.3% · Q3 0.6% · Q4 0.0% · 4Q avg 2.0% · 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 0.7% · Q3 1.5% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
20.2%
0.2 pts better
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 24.8% · Q3 18.5% · Q4 21.7% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
5.4%
2.7 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 10.5% · Q3 9.7% · Q4 3.4% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.8% |
79.6%
48.8 pts worse
|
81.7%
50.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.1% · Q2 32.0% · Q3 21.2% · Q4 21.1% · 4Q avg 30.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
11.2%
1.4 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 10.1% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.6%
0.8 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.0% · Q3 2.7% · Q4 2.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.2% |
79.8%
31.6 pts worse
|
79.7%
31.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.2% |
| 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 22.9% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-30 · Fire 2021-06-30
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-08-21 · Fire 2019-08-21
4 health deficiencies
Top issue: Environmental (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-04-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-09
F · Potential for more than minimal harm
2019-08-21
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-10-10
E · Potential for more than minimal harm
2019-08-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-12
E · Potential for more than minimal harm
2019-08-21
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-10
D · Potential for more than minimal harm
2019-08-21
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 2019-09-10
Inspection history
Recent health citations
J · Immediate jeopardy
2024-07-24
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 2024-07-24
D · Potential for more than minimal harm
2024-07-24
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 2024-08-12
L · Immediate jeopardy
2023-04-13
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 2023-05-26
L · Immediate jeopardy
2023-04-13
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-05-26
L · Immediate jeopardy
2023-04-13
F837 · Administration Deficiencies
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2023-05-26
L · Immediate jeopardy
2023-04-13
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-05-26
G · Actual harm
2023-04-13
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 2023-05-26
G · Actual harm
2023-04-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-26
G · Actual harm
2023-04-13
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-05-26
F · Potential for more than minimal harm
2023-04-13
F841 · Nursing and Physician Services Deficiencies
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-04-13
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 2023-05-26
D · Potential for more than minimal harm
2023-04-13
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-04-13
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-05-25
D · Potential for more than minimal harm
2021-06-30
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 2021-07-31
F · Potential for more than minimal harm
2019-08-21
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 2019-10-10
F · Potential for more than minimal harm
2019-08-21
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2019-10-10
D · Potential for more than minimal harm
2019-08-21
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 2019-10-10
D · Potential for more than minimal harm
2019-08-21
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 2019-10-10
Penalties and ownership
What sits behind the stars
$12,038
2024-07-24
Fine
Fine · fine $12,038
Fine
$87,750
2023-04-13
Fine
Fine · fine $87,750
Fine
$0
2023-04-13
Payment Denial
Payment Denial · denial start 2023-05-12 · 14 days
14 day denial
Ownership
Smoky Mountains Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Ruvel, Menachem
5% Or Greater Indirect Ownership Interest · Individual
Weinberg, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Landa, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Hasemeier, Eric
Operational/Managerial Control · Individual
Ruvel, Menachem
Corporate Officer · Individual
Smoky Mountains Realty LLC
5% Or Greater Mortgage Interest · Organization
Stiefel, Benjamin
Operational/Managerial Control · Individual
Weinberg, Yisroel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
West Hills Health And Rehab
Knoxville, TN
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Legacy Park Health And Rehabilitation
Knoxville, TN
1-star overall rating with 2-star inspections with $184,672 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Wellpark At Shannondale
Knoxville, TN
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Jump out