Cycle 1
Health 2023-08-17 · Fire 2023-08-17
13 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Maryville, TN
Ocoee Transitional Care Center LLC
3-star overall rating with 2-star inspections with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2320 East Lamar Alexander Pkwy, Maryville, TN
(865) 273-8300
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
76
Certified beds
Average residents
48
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-10-03
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.46
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
2.08
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.81
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
3.54
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
5.02
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.27
CMS adjusted RN staffing hours
Adjusted total hours
5.03
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
823
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.25
Composite VBP score used to determine payment impact.
Payment multiplier
1.0180
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.46
Baseline 21.71% · Performance 19.39% · Measure score 4.46 · Achievement 4.41 · Improvement 4.46
Healthcare-associated infections
10
Baseline 7.56% · Performance 4.98% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
4.52
Baseline 2.66 hours · Performance 4.23 hours · Measure score 4.52 · Achievement 4.04 · Improvement 4.52
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.74% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 504 · Observed rate 9.13% · Lower 95% interval 8.92% |
| Discharge to community | 68.62% |
50.57%
18.1 pts better
|
Better than the National Rate · Eligible stays 503 · Observed rate 67.59% · Lower 95% interval 64.29% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 91.2% |
95.27%
4.1 pts worse
|
Numerator 228 · Denominator 250 |
| Falls with major injury | 1.6% |
0.77%
0.8 pts worse
|
Numerator 4 · Denominator 250 |
| Discharge self-care score | 57.37% |
53.69%
3.7 pts better
|
Numerator 109 · Denominator 190 |
| Discharge mobility score | 34.74% |
50.94%
16.2 pts worse
|
Numerator 66 · Denominator 190 |
| Pressure ulcers or injuries, new or worsened | 4% |
2.29%
1.7 pts worse
|
Numerator 10 · Denominator 250 · Adjusted rate 5.14% |
| Healthcare-associated infections requiring hospitalization | 4.98% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 262 · Observed rate 2.67% · Lower 95% interval 3.18% |
| Staff COVID-19 vaccination coverage | 3.42% |
8.2%
4.8 pts worse
|
Numerator 4 · Denominator 117 |
| Staff flu vaccination coverage | 53.51% |
42%
11.5 pts better
|
Numerator 61 · Denominator 114 |
| Discharge function score | 46.84% |
56.45%
9.6 pts worse
|
Numerator 89 · Denominator 190 |
| Transfer of health information to provider | 78.11% |
95.95%
17.8 pts worse
|
Numerator 157 · Denominator 201 |
| Transfer of health information to patient | 82.5% |
96.28%
13.8 pts worse
|
Numerator 33 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 21.19% |
25.2%
4 pts worse
|
Numerator 32 · Denominator 151 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 11.1% |
3.6%
7.5 pts worse
|
3.3%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.0% |
11.8%
0.2 pts worse
|
11.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.0% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.7% |
0.9%
4.8 pts worse
|
1.0%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.9%
1.9 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.5% |
20.2%
7.3 pts worse
|
19.8%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.5% |
| Percentage of long-stay residents with pressure ulcers | 16.2% |
5.4%
10.8 pts worse
|
5.1%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
79.6%
18.7 pts better
|
81.7%
16.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.8% · Q3 98.2% · Q4 97.8% · 4Q avg 98.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
11.2%
1.4 pts worse
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 11.5% · Expected 10.2% · 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 1.3% · Q2 0.8% · Q3 0.9% · Q4 3.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.8% |
79.8%
19 pts better
|
79.7%
19.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
22.2%
4.6 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 23.9% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-15 · Fire 2020-01-15
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-12-12 · Fire 2018-12-12
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-08-17
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-09-10
F · Potential for more than minimal harm
2023-08-17
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-08
D · Potential for more than minimal harm
2023-08-17
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 2023-09-08
D · Potential for more than minimal harm
2023-08-17
K902 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Corrected 2023-09-08
F · Potential for more than minimal harm
2020-01-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-22
D · Potential for more than minimal harm
2020-01-15
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 2020-01-30
D · Potential for more than minimal harm
2020-01-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-01-31
F · Potential for more than minimal harm
2018-12-12
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2018-12-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-23
D · Potential for more than minimal harm
2026-01-22
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 2026-02-23
D · Potential for more than minimal harm
2026-01-22
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-23
D · Potential for more than minimal harm
2026-01-22
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-02-23
F · Potential for more than minimal harm
2023-08-17
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 2023-09-10
E · Potential for more than minimal harm
2023-08-17
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-17
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-17
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-17
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 2023-09-10
D · Potential for more than minimal harm
2023-08-17
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-09-10
D · Potential for more than minimal harm
2023-08-17
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-17
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-09-10
D · Potential for more than minimal harm
2023-08-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-10
E · Potential for more than minimal harm
2020-01-15
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 2020-01-30
D · Potential for more than minimal harm
2020-01-15
F657 · Resident Assessment and Care Planning Deficiencies
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 2020-01-30
E · Potential for more than minimal harm
2018-12-12
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 2018-12-14
D · Potential for more than minimal harm
2018-12-12
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2018-12-21
Penalties and ownership
What sits behind the stars
Ownership
Ocoee Foundation Inc
5% Or Greater Direct Ownership Interest · Organization
Bradley, Don
Operational/Managerial Control · Individual
Burton, William
Operational/Managerial Control · Individual
Davis, Clinton
Operational/Managerial Control · Individual
Holcombe, Michelle
Operational/Managerial Control · Individual
Hunt, Billy
Operational/Managerial Control · Individual
Kupchynsky, Kathleen
Operational/Managerial Control · Individual
Ocoee Foundation Inc
Operational/Managerial Control · Organization
Phillips, Dorothy
Operational/Managerial Control · Individual
Phillips, Dorothy
Corporate Director · Individual
Pioneer Consulting LLC
Operational/Managerial Control · Organization
Salazar-Catron, Teresa
Operational/Managerial Control · Individual
Sheehan, John
Operational/Managerial Control · Individual
Sheehan, John
Corporate Director · Individual
Sheehan, Margaret
Operational/Managerial Control · Individual
Smith, Frank
Operational/Managerial Control · Individual
Smith, Frank
Corporate Director · Individual
Twin Rivers Health & Rehabilitation LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Asbury Place At Maryville
Maryville, TN
1-star overall rating with 2-star inspections with abuse icon flag with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Fairpark Health And Rehabilitation
Maryville, TN
2-star overall rating with 2-star inspections with $27,771 in total fines with 5 recent health deficiencies
#3
Shannondale Of Maryville Health Care Center
Maryville, TN
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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