11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Covington, TN
1-star overall rating with 1-star inspections with $41,399 in total fines with 11 recent health deficiencies
1992 Hwy 51 S, Covington, TN
(901) 476-1820
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
156
Certified beds
Average residents
95
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
2002-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 facilities
Chain averages 2 overall / 3 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
RN hours / resident day
0.40
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.57
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.94
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
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
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.21
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
40%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
9,281
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.59
Baseline 24.37% · Performance 22.83% · Measure score 1.59 · Achievement 0 · Improvement 1.59
Healthcare-associated infections
0.55
Baseline 9.59% · Performance 9.11% · Measure score 0.55 · Achievement 0 · Improvement 0.55
Total nurse turnover
6.47
Baseline 77.39% · Performance 40.79% · Measure score 6.47 · Achievement 5.6 · Improvement 6.47
Adjusted total nurse staffing
1.07
Baseline 2.83 hours · Performance 3.29 hours · Measure score 1.07 · Achievement 0.75 · Improvement 1.07
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.04% |
10.72%
3.3 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 20.39% · Lower 95% interval 10.61% |
| Discharge to community | 37.75% |
50.57%
12.8 pts worse
|
Worse than the National Rate · Eligible stays 101 · Observed rate 26.73% · Lower 95% interval 28.29% |
| Medicare spending per beneficiary | 1.37 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 97.83% |
95.27%
2.6 pts better
|
Numerator 45 · Denominator 46 |
| Falls with major injury | 4.35% |
0.77%
3.6 pts worse
|
Numerator 2 · Denominator 46 |
| Discharge self-care score | 54.55% |
53.69%
0.9 pts better
|
Numerator 12 · Denominator 22 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 12 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 10.87% |
2.29%
8.6 pts worse
|
Numerator 5 · Denominator 46 · Adjusted rate 10.91% |
| Healthcare-associated infections requiring hospitalization | 9.1% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 15.63% · Lower 95% interval 5.41% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 69 |
| Staff flu vaccination coverage | 35.63% |
42%
6.4 pts worse
|
Numerator 31 · Denominator 87 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 12 · Denominator 22 |
| Transfer of health information to provider | 77.27% |
95.95%
18.7 pts worse
|
Numerator 17 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.6
0.7 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 59.8% |
89.9%
30.1 pts worse
|
93.4%
33.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.4% · Q2 54.9% · Q3 60.3% · Q4 64.7% · 4Q avg 59.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
94.5%
3 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.6%
About the same
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.2% · Q3 4.1% · Q4 3.5% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.8%
11.8 pts better
|
11.4%
11.4 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 who lose too much weight | 0.7% |
6.2%
5.5 pts better
|
5.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.7% |
32.2%
7.5 pts better
|
19.6%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 26.1% · Q3 25.0% · Q4 24.7% · 4Q avg 24.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
18.1%
9.6 pts better
|
16.7%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 14.3% · Q3 4.1% · Q4 3.7% · 4Q avg 8.5% · 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 | 6.4% |
19.9%
13.5 pts better
|
16.3%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.8% |
15.3%
7.5 pts better
|
14.9%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 3.2% · Q3 1.5% · Q4 8.2% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.9%
1.1 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.4% · Q3 2.7% · Q4 2.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.2% |
20.2%
13 pts better
|
19.8%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 3.1% · Q3 2.8% · Q4 5.1% · 4Q avg 7.2% |
| Percentage of long-stay residents with pressure ulcers | 11.7% |
5.4%
6.3 pts worse
|
5.1%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 12.6% · Q3 11.8% · Q4 11.6% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.0% |
79.6%
17.6 pts worse
|
81.7%
19.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.8% · Q2 66.2% · Q3 68.6% · Q4 60.9% · 4Q avg 62.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
11.2%
1.5 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 12.9% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.0% |
79.8%
9.2 pts better
|
79.7%
9.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% |
22.2%
5.6 pts worse
|
23.9%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 29.0% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (13 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-10-05
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 2019-10-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-10-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-05
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2018-11-23
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 2018-11-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-11-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-12-04
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2018-12-04
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2018-12-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-12-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-11-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-11-23
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2018-12-04
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2018-12-04
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2018-12-04
Fire Safety
Develop a communication plan.
Corrected 2019-01-11
Fire Safety
Provide emergency officials' contact information.
Corrected 2018-12-04
Fire Safety
Provide primary/alternate means for communication.
Corrected 2018-12-04
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2018-11-23
Fire Safety
Provide family notifications of emergency plan.
Corrected 2019-01-11
Fire Safety
Establish emergency prep training and testing.
Corrected 2018-11-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2018-11-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-01-10
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2018-12-04
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2018-12-04
Inspection history
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-10-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-02
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-10-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-02
Health
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.
Corrected 2025-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-02
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-10-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-02
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-02
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-07-03
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 2022-01-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-23
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2022-01-23
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-23
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-01-23
Health
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.
Corrected 2022-01-23
Health
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.
Corrected 2022-01-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-01-23
Health
Respond appropriately to all alleged violations.
Corrected 2022-01-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-23
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-01-23
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-01-23
Health
Put firmly secured handrails on each side of hallways.
Corrected 2022-01-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-03
Health
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.
Corrected 2019-10-03
Penalties and ownership
Fine · fine $26,130
Fine
Fine · fine $15,269
Fine
Payment Denial · denial start 2023-06-30 · 3 days
3 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Covington, TN
3-star overall rating with 3-star inspections with 3 recent health deficiencies
Gallaway, TN
1-star overall rating with 1-star inspections with abuse icon flag with $121,140 in total fines with 8 recent health deficiencies
Ripley, TN
2-star overall rating with 2-star inspections with $66,472 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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