Federal inspection record · CMS data as of October 1, 2026
Oneida Nursing And Rehab Center
18805 Alberta Dr, Oneida, TN · (423) 569-8382
- Certified beds
- 56
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 7, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Oneida Nursing And Rehab Center carries 136.5 inspection points. That is fewer than 5% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
K
Ensure services provided by the nursing facility meet professional standards of quality.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights1D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-06-17
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-09-22
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2020-01-24
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
4 h 1 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 83% of nursing staff and 83% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.5 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 93.3% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 97.1% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14 pts better | 0.9% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 6.8% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 28.3% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.2 pts better | 8.8% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened15 pts worse | 30.4% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased19.8 pts worse | 33.3% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder7 pts worse | 7.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection10.4 pts worse | 12.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts better | 18.5% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts worse | 9.3% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts better | 89.1% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.7 pts worse | 24.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.5% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.9 pts worse | 74.3% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.9 pts worse | 32.5% | 22.6% | 23.4% |
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Who owns and runs it
27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Defoor, Perry | 5% Or Greater Direct Ownership Interest · Individual | 51% | 1 facilities |
| Defoor, Kenneth | 5% Or Greater Direct Ownership Interest · Individual | 49% | 1 facilities |
| Chitwood-Owens, Angela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chitwood-Owens, Angela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cotton, Christopher | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Cotton, Christopher | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Cotton, Christopher | Adp Of The SNF · Individual | 0% | 2 facilities |
| Defoor, Ansley | Corporate Director · Individual | 0% | 1 facilities |
| Defoor, Ansley | Corporate Officer · Individual | 0% | 1 facilities |
| Defoor, Ansley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Defoor, Ansley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fults, Melissa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fults, Melissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fults, Melissa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Guardian Pharmacy Of Knoxville, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Holcombe, Michelle | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Merkle, Mary | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Merkle, Mary | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mj Mental Health, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Prema Financial Solutions, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Quality Care Rehab Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Saltmarsh | Adp Of The SNF · Organization | 0% | 3 facilities |
| Shepherd, Jessica | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Shepherd, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shepherd, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Souchet, Ember | Corporate Officer · Individual | 0% | 1 facilities |
| Taylor, Craig | Corporate Officer · Individual | 0% | 1 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2D
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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Huntsville Post-Acute And Rehabilitation Center
Huntsville, TN · Plainview Healthcare Partners
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 23 min
- Fines
- $9,062
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Signature Healthcare of McCreary County Rehab and
Pine Knot, KY · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0
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Beech Tree Health And Rehabilitation
Jellico, TN · Plainview Healthcare Partners · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 58 min
- Fines
- $138,802