0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Chattanooga, TN
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
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
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
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
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
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
| 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
| 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
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-06-30
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
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-06-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-14
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-10-17
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2020-03-31
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2020-03-31
Inspection history
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-28
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-11-28
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
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-28
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
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-28
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
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
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
Health
Post nurse staffing information every day.
Corrected 2023-11-28
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-28
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-28
Health
Provide activities to meet all resident's needs.
Corrected 2020-03-31
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
Fine · fine $93,919
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Chattanooga, TN
4-star overall rating with 3-star inspections with 4 recent health deficiencies
Chattanooga, TN
3-star overall rating with 2-star inspections with $8,512 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Rossville, GA
2-star overall rating with 1-star inspections with $57,077 in total fines
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