Federal inspection record · CMS data as of October 1, 2026
Renaissance Terrace
257 Patton Lane, Harriman, TN · (865) 354-3941
- Certified beds
- 130
- Residents per day
- 41
- Ownership
- For-Profit
- Chain
- Community Eldercare Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 15, 1989
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
★★★★★−1 star
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
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
Renaissance Terrace carries 61 inspection points. That is fewer than 19% 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
27 health citations on record since 2019. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning6F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- F
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care6F
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F
Provide activities to meet all resident's needs.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Rights4F
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
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.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Post nurse staffing information every day.
Administration2F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1F
- F
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Pharmacy Service1D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspection history
2026-07-08
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2023-09-20
18 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2019-12-04
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 4 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 4 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 70% of registered nurses left in the past year, along with 2 administrators.
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts worse | 89.3% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts better | 95.3% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 8.9% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 6.1% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts better | 20.5% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1 pts better | 16.0% | 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 worsened0.5 pts worse | 15.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts worse | 22.6% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 17.5% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.1% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.7 pts worse | 45.7% | 79.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.4 pts worse | 47.8% | 79.2% | 80.1% |
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Who owns and runs it
5 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 |
|---|---|---|---|
| Community Eldercare Services, LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Lawrence, Richard | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lawrence, Richard | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wakham, Mancel | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Wakham, Mancel | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
Emergency Preparedness4F
- F
Conduct testing and exercise requirements.
- D
Establish staff and initial training requirements.
- D
Conduct risk assessment and an All-Hazards approach.
- D
Include a process for Emergency Preparedness collaboration.
Egress3F
- D
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.
- F
Have exits that are accessible at all times.
- D
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.
Gas, Vacuum, and Electrical Systems3F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Signature Healthcare Of Rockwood Rehab & Wellness
Rockwood, TN · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Life Care Center Of Morgan County
Wartburg, TN · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 27 min
- Fines
- $8,512
-
The Preserve At Fairfield Glade
Crossville, TN · Liberty Senior Living
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0