Cycle 1
Health 2022-12-07 · Fire 2022-12-07
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Manchester, TN
Manchester Center For Rehabilitation And Healing L
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
395 Interstate Drive, Manchester, TN
(931) 723-8744
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
109
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1997-03-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 3 health / 2 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
0.60
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.19
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.14
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.20
CMS adjusted total nurse staffing hours
Case-mix index
1.77
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,407
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.05
Baseline 20.06% · Performance 19.55% · Measure score 4.05 · Achievement 4.05 · Improvement 1.18
Healthcare-associated infections
1.60
Baseline 6.51% · Performance 7.36% · Measure score 1.60 · Achievement 1.60 · Improvement 0
Total nurse turnover
1.95
Baseline 68.89% · Performance 58.09% · Measure score 1.95 · Achievement 1.37 · Improvement 1.95
Adjusted total nurse staffing
0.58
Baseline 3.23 hours · Performance 3.24 hours · Measure score 0.58 · Achievement 0.58 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.89% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 180 · Observed rate 11.67% · Lower 95% interval 7.65% |
| Discharge to community | 55.54% |
50.57%
5 pts better
|
No Different than the National Rate · Eligible stays 168 · Observed rate 50.6% · Lower 95% interval 48.38% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 176 · Denominator 176 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 176 |
| Discharge self-care score | 49.23% |
53.69%
4.5 pts worse
|
Numerator 64 · Denominator 130 |
| Discharge mobility score | 47.69% |
50.94%
3.2 pts worse
|
Numerator 62 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 176 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.36% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 131 · Observed rate 7.63% · Lower 95% interval 5.09% |
| Staff COVID-19 vaccination coverage | 0.6% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 166 |
| Staff flu vaccination coverage | 23.53% |
42%
18.5 pts worse
|
Numerator 52 · Denominator 221 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 78 · Denominator 130 |
| Transfer of health information to provider | 95.24% |
95.95%
0.7 pts worse
|
Numerator 40 · Denominator 42 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 100 · Denominator 100 |
| Resident COVID-19 vaccinations up to date | 14% |
25.2%
11.2 pts worse
|
Numerator 14 · Denominator 100 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.6
0.7 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
89.9%
9.4 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
94.5%
4.3 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 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 who have depressive symptoms | 17.0% |
11.8%
5.2 pts worse
|
11.4%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 18.2% · Q3 18.0% · Q4 14.5% · 4Q avg 17.0% |
| Percentage of long-stay residents who lose too much weight | 9.6% |
6.2%
3.4 pts worse
|
5.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 14.0% · Q3 9.3% · Q4 6.9% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.8% |
32.2%
15.4 pts better
|
19.6%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 15.0% · Q3 16.4% · Q4 17.2% · 4Q avg 16.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.5% |
18.1%
2.4 pts worse
|
16.7%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 19.0% · Q3 19.5% · Q4 11.4% · 4Q avg 20.5% · 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 | 14.0% |
19.9%
5.9 pts better
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 20.4% · Q3 23.3% · Q4 0.0% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.3% |
15.3%
3 pts better
|
14.9%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 16.7% · Q3 10.2% · Q4 6.0% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.9%
0.1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.9%
0.8 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.5% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
20.2%
1 pts better
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 22.7% · Q3 19.6% · Q4 15.8% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
5.4%
3.4 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.1% · Q3 2.4% · Q4 3.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
79.6%
15.4 pts better
|
81.7%
13.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 96.0% · Q3 94.4% · Q4 93.8% · 4Q avg 95.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
11.2%
3.3 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 7.7% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 1.1% · Q4 1.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.9% |
79.8%
14.1 pts better
|
79.7%
14.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.5% |
22.2%
5.7 pts better
|
23.9%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 16.9% · Expected 24.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-07 · Fire 2019-08-07
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2018-06-20 · Fire 2018-06-20
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-12-07
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 2022-12-30
D · Potential for more than minimal harm
2022-12-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-12-30
D · Potential for more than minimal harm
2022-12-07
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2022-12-30
D · Potential for more than minimal harm
2019-08-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-21
D · Potential for more than minimal harm
2018-06-20
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 2018-07-05
C · Minimal harm
2018-06-20
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2018-07-17
C · Minimal harm
2018-06-20
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-08-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-24
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 2024-07-11
F · Potential for more than minimal harm
2022-12-07
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 2023-01-20
D · Potential for more than minimal harm
2022-12-07
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-01-20
D · Potential for more than minimal harm
2022-12-07
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 2023-01-20
D · Potential for more than minimal harm
2022-12-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-20
D · Potential for more than minimal harm
2019-08-07
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 2019-09-21
D · Potential for more than minimal harm
2019-08-07
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-09-21
D · Potential for more than minimal harm
2019-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-21
F · Potential for more than minimal harm
2018-06-20
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 2018-08-04
D · Potential for more than minimal harm
2018-06-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-08-04
Penalties and ownership
What sits behind the stars
Ownership
Md Friedman Family 2017 Trust
5% Or Greater Direct Ownership Interest · Organization
Neal Einhorn Family 2017 Trust
5% Or Greater Direct Ownership Interest · Organization
Schwartz, Eliezer
5% Or Greater Direct Ownership Interest · Individual
Zucker, Yossie
5% Or Greater Direct Ownership Interest · Individual
Adderly, Darren
Operational/Managerial Control · Individual
Clark, Anastasia
Operational/Managerial Control · Individual
Friedman, Mark
Corporate Officer · Individual
Hopkins, Holly
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Legacy Health And Rehab
Manchester, TN
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Life Care Center Of Tullahoma
Tullahoma, TN
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Nhc Healthcare, Tullahoma
Tullahoma, TN
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out