Sevierville, TN

Sevierville Health And Rehabilitation Center

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

415 Catlett Rd, Sevierville, TN

(865) 453-4747

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

76

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Twin Rivers Health & Rehabilitation

Operator or chain grouping

Approved since

1980-04-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 4 overall / 4 health / 3 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

0.69

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

0.95

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.70

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.64

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

0.30

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.35

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,489

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

Performance score

32.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9872

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.79

Baseline 22.75% · Performance 21.44% · Measure score 1.79 · Achievement 0 · Improvement 1.79

Healthcare-associated infections

5.31

Baseline 9.49% · Performance 6.88% · Measure score 5.31 · Achievement 3.20 · Improvement 5.31

Total nurse turnover

4.21

Baseline 55.07% · Performance 46.48% · Measure score 4.21 · Achievement 4.21 · Improvement 2.34

Adjusted total nurse staffing

1.76

Baseline 3.64 hours · Performance 3.58 hours · Measure score 1.76 · Achievement 1.76 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.29%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 139 · Observed rate 9.35% · Lower 95% interval 7.25%
Discharge to community	64.12%	50.57% 13.6 pts better	Better than the National Rate · Eligible stays 142 · Observed rate 58.45% · Lower 95% interval 57.21%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 70 · Denominator 70
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 70
Discharge self-care score	36.54%	53.69% 17.1 pts worse	Numerator 19 · Denominator 52
Discharge mobility score	44.23%	50.94% 6.7 pts worse	Numerator 23 · Denominator 52
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 70 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.88%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 83 · Observed rate 6.02% · Lower 95% interval 4.07%
Staff COVID-19 vaccination coverage	3.33%	8.2% 4.9 pts worse	Numerator 3 · Denominator 90
Staff flu vaccination coverage	41.13%	42% 0.9 pts worse	Numerator 58 · Denominator 141
Discharge function score	42.31%	56.45% 14.1 pts worse	Numerator 22 · Denominator 52
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	93.88%	96.28% 2.4 pts worse	Numerator 46 · Denominator 49
Resident COVID-19 vaccinations up to date	30.56%	25.2% 5.4 pts better	Numerator 11 · Denominator 36

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.6 0.7 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	89.9% 9.6 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.2%	3.6% 3.6 pts worse	3.3% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.6% · Q3 5.6% · Q4 5.9% · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.9%	11.8% 6.1 pts worse	11.4% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 23.6% · Q3 17.8% · Q4 15.7% · 4Q avg 17.9%
Percentage of long-stay residents who lose too much weight	13.7%	6.2% 7.5 pts worse	5.4% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 26.7% · Q3 17.1% · Q4 2.9% · 4Q avg 13.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	40.1%	32.2% 7.9 pts worse	19.6% 20.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 39.3% · Q3 43.1% · Q4 42.1% · 4Q avg 40.1%
Percentage of long-stay residents who received an antipsychotic medication	15.4%	18.1% 2.7 pts better	16.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 15.6% · Q3 13.3% · Q4 14.0% · 4Q avg 15.4% · 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	24.3%	19.9% 4.4 pts worse	16.3% 8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 24.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.3%	15.3% 4 pts worse	14.9% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 31.2% · Q3 13.3% · Q4 11.4% · 4Q avg 19.3% · 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	3.2%	1.9% 1.3 pts worse	1.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.2% · Q3 1.9% · Q4 2.0% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.9%	20.2% 5.7 pts worse	19.8% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 32.4% · Q3 21.0% · Q4 21.9% · 4Q avg 25.9%
Percentage of long-stay residents with pressure ulcers	5.3%	5.4% 0.1 pts better	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.9% · Q3 6.7% · Q4 7.4% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	79.6% 19.3 pts better	81.7% 17.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.3% · Q3 98.4% · Q4 100.0% · 4Q avg 98.9%
Percentage of short-stay residents who had an outpatient emergency department visit	18.0%	11.2% 6.8 pts worse	12.0% 6 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 16.8% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.6% 1.2 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.7%	79.8% 17.9 pts better	79.7% 18 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.7%	22.2% 1.5 pts better	23.9% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 20.6% · Expected 23.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-11-08 · Fire 2023-11-08

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2020-01-16 · Fire 2020-01-16

4 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2018-12-05 · Fire 2018-12-05

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-11-08

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 2023-11-13

D · Potential for more than minimal harm 2023-11-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-12-04

D · Potential for more than minimal harm 2020-01-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-01-16

D · Potential for more than minimal harm 2018-12-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-01-10

D · Potential for more than minimal harm 2018-12-05

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2019-01-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2023-11-08

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 2023-12-04

D · Potential for more than minimal harm 2023-11-08

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 2023-12-06

D · Potential for more than minimal harm 2023-11-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-11-26

D · Potential for more than minimal harm 2023-11-08

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-11-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-11-30

D · Potential for more than minimal harm 2020-01-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2020-01-20

D · Potential for more than minimal harm 2020-01-16

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2020-02-13

D · Potential for more than minimal harm 2020-01-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-02-15

C · Minimal harm 2020-01-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2020-01-20

Penalties and ownership

What sits behind the stars

Ownership

Ocoee Foundation Inc

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2015-04-28

Bradley, Don