Mount Pleasant, TN

Mt Pleasant Healthcare And Rehabilitation

3-star overall rating with 3-star inspections with $7,443 in total fines with 7 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle

904 Hidden Acres Dr, Mount Pleasant, TN

(931) 379-5502

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

72

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1996-06-01

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

Hours and turnover

RN hours / resident day

0.54

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.14

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

1.70

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.19

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.12

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,128

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

24.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.79

Performance 19.68% · Measure score 3.79 · Achievement 3.79 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.78

Performance 7.30% · Measure score 1.78 · Achievement 1.78 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

1.94

Baseline 32.43% · Performance 55.74% · Measure score 1.94 · Achievement 1.94 · Improvement 0

Adjusted total nurse staffing

2.35

Baseline 3.49 hours · Performance 3.75 hours · Measure score 2.35 · Achievement 2.35 · Improvement 0.64

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.86%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 11.11% · Lower 95% interval 7.51%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.04
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 44 · Denominator 44
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 44
Discharge self-care score 16.67%
53.69%
37 pts worse
Numerator 5 · Denominator 30
Discharge mobility score 23.33%
50.94%
27.6 pts worse
Numerator 7 · Denominator 30
Pressure ulcers or injuries, new or worsened 4.55%
2.29%
2.3 pts worse
Numerator 2 · Denominator 44 · Adjusted rate 4.01%
Healthcare-associated infections requiring hospitalization 7.3%
7.12%
0.2 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 3.78%
Staff COVID-19 vaccination coverage 1.79%
8.2%
6.4 pts worse
Numerator 1 · Denominator 56
Staff flu vaccination coverage 28.57%
42%
13.4 pts worse
Numerator 16 · Denominator 56
Discharge function score 26.67%
56.45%
29.8 pts worse
Numerator 8 · Denominator 30
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 31.03%
25.2%
5.8 pts better
Numerator 9 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.6
1.1 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · 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 96.4%
94.5%
1.9 pts better
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury 1.6%
3.6%
2 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · 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 2.9%
6.2%
3.3 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.6% · Q3 2.9% · Q4 2.7% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.6%
32.2%
5.4 pts worse
19.6%
18 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 35.1% · Q3 33.3% · Q4 44.7% · 4Q avg 37.6%
Percentage of long-stay residents who received an antipsychotic medication 36.1%
18.1%
18 pts worse
16.7%
19.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 38.7% · Q3 34.6% · Q4 35.7% · 4Q avg 36.1% · 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 23.1%
19.9%
3.2 pts worse
16.3%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.4%
15.3%
0.1 pts worse
14.9%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 9.7% · Q3 26.7% · Q4 6.2% · 4Q avg 15.4% · 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 3.3%
1.9%
1.4 pts worse
1.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.1% · Q3 6.1% · Q4 2.3% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.7%
20.2%
8.5 pts better
19.8%
8.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.0% · Q3 14.3% · Q4 10.9% · 4Q avg 11.7%
Percentage of long-stay residents with pressure ulcers 4.1%
5.4%
1.3 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.0% · Q3 2.9% · Q4 3.8% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
79.6%
19.6 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2%
Percentage of short-stay residents who had an outpatient emergency department visit 14.0%
11.2%
2.8 pts worse
12.0%
2 pts worse
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 14.9% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 4.9%
1.6%
3.3 pts worse
1.6%
3.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.6% · Q3 6.7% · Q4 3.8% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.0%
79.8%
7.2 pts better
79.7%
7.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.8%
22.2%
5.4 pts better
23.9%
7.1 pts better
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 17.0% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

7 health deficiencies

Top issue: Nursing and Physician Services (3 deficiencies)

18 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)

Cycle 2 Health 2019-12-18 · Fire 2019-12-18

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-02-12 · Fire 2019-02-12

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

15 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-28

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-14

D · Potential for more than minimal harm 2025-03-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K222 · Egress Deficiencies

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 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-28

D · Potential for more than minimal harm 2025-03-20

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-04-28

D · Potential for more than minimal harm 2019-12-18

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K222 · Egress Deficiencies

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 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-12-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-01-31

D · Potential for more than minimal harm 2019-02-12

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

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 2019-02-12

D · Potential for more than minimal harm 2019-02-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-05-11

D · Potential for more than minimal harm 2019-02-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-04-25

D · Potential for more than minimal harm 2019-02-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-03-18

D · Potential for more than minimal harm 2019-02-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-05-11

D · Potential for more than minimal harm 2019-02-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-05-11

D · Potential for more than minimal harm 2019-02-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-05-11

D · Potential for more than minimal harm 2019-02-12

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2019-03-28

D · Potential for more than minimal harm 2019-02-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-03-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-20

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 2025-04-22

D · Potential for more than minimal harm 2025-03-20

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-20

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-20

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-20

F761 · Pharmacy Service Deficiencies

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 2025-04-22

G · Actual harm 2023-09-20

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 2023-10-09

D · Potential for more than minimal harm 2023-09-20

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 2023-10-09

D · Potential for more than minimal harm 2019-12-18

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2020-01-31

Penalties and ownership

What sits behind the stars

$7,443 2023-09-20

Fine

Fine · fine $7,443

Fine

Ownership

Tn M53 Spe Opco Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2021-12-01
Brown, Charmaine

W-2 Managing Employee · Individual

0% 1 facilities 2023-12-18
Clearview Healthcare Management Tn LLC

Operational/Managerial Control · Organization

0% 10 facilities 2020-01-01
Clearview Tn SNF Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2021-12-01
Hc Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 59 facilities 2021-12-01
Shnz Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2021-12-01
Sweet Home Management LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 29 facilities 2021-12-01
Vujanovic, Mick

Corporate Officer · Individual

0% 33 facilities 2020-01-01
Zanziper Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2021-12-01

Nearby options

Other facilities in reach

#2

Ahc Lewis County

Hohenwald, TN

1-star overall rating with 1-star inspections with $396,269 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$396,269
#3

Nhc Healthcare, Columbia

Columbia, TN

4-star overall rating with 3-star inspections with 4 recent health deficiencies

Overall
4 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0

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