Red Boiling Springs, TN

Red Boiling Springs Tn Opco LLC

2-star overall rating with 2-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

309 Main St, Red Boiling Springs, TN

(615) 699-2238

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1994-06-01

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

0.31

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

1.84

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.18

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.25

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

0.29

CMS adjusted RN staffing hours

Adjusted total hours

2.94

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,044

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

Performance score

21.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.33

Baseline 43.48% · Performance 46.00% · Measure score 4.33 · Achievement 4.33 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.27 hours · Performance 3.16 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.25%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 48 · Observed rate 12.5% · Lower 95% interval 7.21%
Discharge to community 46.09%
50.57%
4.5 pts worse
No Different than the National Rate · Eligible stays 34 · Observed rate 41.18% · Lower 95% interval 34.81%
Medicare spending per beneficiary 1.16
1.02
0.1 pts worse
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 55
Staff flu vaccination coverage 30.16%
42%
11.8 pts worse
Numerator 19 · Denominator 63
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

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 · 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 96.3%
94.5%
1.8 pts better
95.5%
0.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3%
Percentage of long-stay residents experiencing one or more falls with major injury 1.5%
3.6%
2.1 pts better
3.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 1.5% · 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 1.9%
6.2%
4.3 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.1%
32.2%
0.9 pts worse
19.6%
13.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 34.1% · Q3 32.6% · Q4 34.1% · 4Q avg 33.1%
Percentage of long-stay residents who received an antipsychotic medication 21.7%
18.1%
3.6 pts worse
16.7%
5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 21.4% · Q3 18.8% · Q4 17.9% · 4Q avg 21.7% · 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 13.5%
19.9%
6.4 pts better
16.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.1%
15.3%
3.2 pts better
14.9%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 23.8% · Q3 10.0% · Q4 5.3% · 4Q avg 12.1% · 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 2.1%
1.9%
0.2 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 2.0% · Q4 2.2% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.3%
20.2%
5.9 pts better
19.8%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 18.4% · Q3 8.8% · Q4 10.2% · 4Q avg 14.3%
Percentage of long-stay residents with pressure ulcers 5.5%
5.4%
0.1 pts worse
5.1%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.1% · Q3 4.8% · Q4 3.6% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.5%
79.6%
15.9 pts better
81.7%
13.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 97.7% · Q3 97.4% · Q4 93.8% · 4Q avg 95.5%
Percentage of short-stay residents who newly received an antipsychotic medication 4.4%
1.6%
2.8 pts worse
1.6%
2.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q3 5.0% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.2%
79.8%
13.4 pts better
79.7%
13.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-09-28 · Fire 2022-09-28

7 health deficiencies

Top issue: Administration (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2019-07-24 · Fire 2019-07-24

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2018-10-31 · Fire 2018-10-31

5 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-09-28

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2022-11-10

D · Potential for more than minimal harm 2022-09-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-10

D · Potential for more than minimal harm 2019-07-24

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2019-08-20

D · Potential for more than minimal harm 2018-10-31

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-11-27

D · Potential for more than minimal harm 2018-10-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-11-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-08-15

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-09-08

F · Potential for more than minimal harm 2022-09-28

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-11-16

D · Potential for more than minimal harm 2022-09-28

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 2022-11-16

D · Potential for more than minimal harm 2022-09-28

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 2022-11-16

D · Potential for more than minimal harm 2022-09-28

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 2022-11-16

D · Potential for more than minimal harm 2022-09-28

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2022-11-16

D · Potential for more than minimal harm 2022-09-28

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-11-16

D · Potential for more than minimal harm 2022-09-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-16

F · Potential for more than minimal harm 2019-07-24

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 2019-08-20

E · Potential for more than minimal harm 2019-07-24

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 2019-08-20

D · Potential for more than minimal harm 2019-07-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-08-20

D · Potential for more than minimal harm 2018-10-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-11-19

D · Potential for more than minimal harm 2018-10-31

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2018-11-19

D · Potential for more than minimal harm 2018-10-31

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 2018-11-19

D · Potential for more than minimal harm 2018-10-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-11-19

Penalties and ownership

What sits behind the stars

Ownership

Clearview Tn SNF Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2021-12-01
Clearview Healthcare Management Tn LLC

Operational/Managerial Control · Organization

0% 10 facilities 2020-01-01
Dies, Ann

W-2 Managing Employee · Individual

0% 1 facilities 2023-09-05
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

Operational/Managerial Control · Individual

0% 33 facilities 2020-01-01
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

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