Chattanooga, TN

Siskin Subacute West

2-star overall rating with 1-star inspections with $93,919 in total fines with 3 fire-safety deficiencies in the latest cycle

1 Sisken Plaza, Chattanooga, TN

(423) 847-4100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

36

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

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

1.92

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.19

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

3.00

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

6.11

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

3.11

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

5.84

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

1.48

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.39

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

2.07

CMS adjusted RN staffing hours

Adjusted total hours

6.59

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

22%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,208

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

Performance score

58.80

Composite VBP score used to determine payment impact.

Payment multiplier

1.0140

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.87% · Performance 22.38% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.79

Baseline 4.10% · Performance 6.11% · Measure score 5.79 · Achievement 5.79 · Improvement 0

Total nurse turnover

7.73

Baseline 26.67% · Performance 32.07% · Measure score 7.73 · Achievement 7.73 · Improvement 0

Adjusted total nurse staffing

10

Baseline 5.57 hours · Performance 6.02 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.97%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 377 · Observed rate 6.1% · Lower 95% interval 7.44%
Discharge to community 69.69%
50.57%
19.1 pts better
Better than the National Rate · Eligible stays 391 · Observed rate 80.82% · Lower 95% interval 66.77%
Medicare spending per beneficiary 0.76
1.02
0.3 pts better
Drug regimen review with follow-up 92.49%
95.27%
2.8 pts worse
Numerator 197 · Denominator 213
Falls with major injury 0.94%
0.77%
0.2 pts worse
Numerator 2 · Denominator 213
Discharge self-care score 67.39%
53.69%
13.7 pts better
Numerator 124 · Denominator 184
Discharge mobility score 46.2%
50.94%
4.7 pts worse
Numerator 85 · Denominator 184
Pressure ulcers or injuries, new or worsened 0.47%
2.29%
1.8 pts better
Numerator 1 · Denominator 213 · Adjusted rate 0.91%
Healthcare-associated infections requiring hospitalization 6.1%
7.12%
1 pts better
No Different than the National Rate · Eligible stays 175 · Observed rate 2.86% · Lower 95% interval 3.64%
Staff COVID-19 vaccination coverage 5.05%
8.2%
3.1 pts worse
Numerator 5 · Denominator 99
Staff flu vaccination coverage 45.1%
42%
3.1 pts better
Numerator 46 · Denominator 102
Discharge function score 64.67%
56.45%
8.2 pts better
Numerator 119 · Denominator 184
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 165 · Denominator 165
Transfer of health information to patient 97.87%
96.28%
1.6 pts better
Numerator 46 · Denominator 47
Resident COVID-19 vaccinations up to date 17.48%
25.2%
7.7 pts worse
Numerator 18 · Denominator 103

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
79.6%
18.4 pts better
81.7%
16.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 97.3% · Q3 98.3% · Q4 98.6% · 4Q avg 98.0%
Percentage of short-stay residents who had an outpatient emergency department visit 8.0%
11.2%
3.2 pts better
12.0%
4 pts better
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 6.3% · Expected 8.8% · 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 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.7%
79.8%
15.9 pts better
79.7%
16 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.2%
22.2%
5 pts better
23.9%
6.7 pts better
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 10.7% · Expected 14.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-16 · Fire 2025-04-16

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-10-29 · Fire 2023-10-29

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2020-02-20 · Fire 2020-02-20

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-16

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-16

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 2025-05-16

D · Potential for more than minimal harm 2025-04-16

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-06-30

F · Potential for more than minimal harm 2023-10-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-11-14

D · Potential for more than minimal harm 2023-10-29

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-10-17

F · Potential for more than minimal harm 2020-02-20

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2020-03-31

D · Potential for more than minimal harm 2020-02-20

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2020-03-31

Inspection history

Recent health citations

K · Immediate jeopardy 2023-10-29

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 2023-11-28

K · Immediate jeopardy 2023-10-29

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 2023-11-28

K · Immediate jeopardy 2023-10-29

F835 · Administration Deficiencies

Health

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

Corrected 2023-11-28

K · Immediate jeopardy 2023-10-29

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2023-11-28

K · Immediate jeopardy 2023-10-29

F867 · Administration Deficiencies

Health

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

Corrected 2023-11-28

F · Potential for more than minimal harm 2023-10-29

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-11-28

F · Potential for more than minimal harm 2023-10-29

F909 · Environmental Deficiencies

Health

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.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-10-29

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 2023-11-28

D · Potential for more than minimal harm 2023-10-29

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 2023-11-28

D · Potential for more than minimal harm 2023-10-29

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 2023-11-28

D · Potential for more than minimal harm 2023-10-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-10-29

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-10-29

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 2023-11-28

D · Potential for more than minimal harm 2023-10-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-10-29

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-11-28

D · Potential for more than minimal harm 2020-02-20

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2020-03-31

C · Minimal harm 2020-02-20

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2020-03-31

Penalties and ownership

What sits behind the stars

$93,919 2023-10-29

Fine

Fine · fine $93,919

Fine

Ownership

Siskin Hospital For Physical Rehabilitation

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2014-07-01
Arant, Charles

Corporate Director · Individual

0% 1 facilities 2016-07-01
Arnhart, Carol

Corporate Officer · Individual

0% 1 facilities 2010-07-01
Arnhart, Carol

W-2 Managing Employee · Individual

0% 1 facilities 2014-07-01
Berke, Monique

Corporate Director · Individual

0% 1 facilities 2014-07-01
Binder, David

Corporate Director · Individual

0% 1 facilities 2020-07-01
Decosimo, Rose

Corporate Director · Individual

0% 1 facilities 2016-11-01
Fillauer, Michael

Corporate Director · Individual

0% 1 facilities 2017-07-01
Gibson, Matthew

Corporate Director · Individual

0% 1 facilities 2020-01-29
Gibson, Matthew

Corporate Officer · Individual

0% 1 facilities 2020-01-29
Gibson, Matthew

W-2 Managing Employee · Individual

0% 1 facilities 2020-01-29
Godbold, William

Corporate Director · Individual

0% 1 facilities 2022-07-01
Graefe, Maria

Corporate Director · Individual

0% 1 facilities 2022-07-01
Harper, Trudy

Corporate Director · Individual

0% 1 facilities 2015-07-01
Harper, Trudy

Corporate Officer · Individual

0% 1 facilities 2017-10-01
Krogh, Jones

Corporate Director · Individual

0% 1 facilities 2016-07-01
Krogh, Jones

Corporate Officer · Individual

0% 1 facilities 2017-07-01
Mathis, Michael

Corporate Director · Individual

0% 1 facilities 2015-07-01
Mathis, Michael

Corporate Officer · Individual

0% 1 facilities 2019-07-01
Mccright, Elizabeth

Corporate Director · Individual

0% 1 facilities 2017-07-01
Mccright, Elizabeth

Corporate Officer · Individual

0% 1 facilities 2021-07-01
Mckenney, Richard

Corporate Director · Individual

0% 1 facilities 2015-07-01
Rutledge, Valerie

Corporate Director · Individual

0% 1 facilities 2014-07-01
Shah, Ruchir

Corporate Director · Individual

0% 1 facilities 2022-07-01
Shaw, Marcus

Corporate Director · Individual

0% 1 facilities 2018-07-01
Weaver, Jennifer

Corporate Director · Individual

0% 1 facilities 2016-07-01
Wilder, William

Corporate Director · Individual

0% 1 facilities 2019-07-01

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