Cycle 1
Health 2024-01-05 · Fire 2024-01-05
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Pigeon Forge, TN
Smoky Mountain Post-Acute And Rehabilitation Cente
1-star overall rating with 2-star inspections with $61,180 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
415 Cole Drive, Pigeon Forge, TN
(865) 428-5454
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Plainview Healthcare Partners
Operator or chain grouping
Approved since
1996-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 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
0.46
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
73%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,088
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.85
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.69
Baseline 19.21% · Performance 20.19% · Measure score 2.69 · Achievement 2.69 · Improvement 0
Healthcare-associated infections
6.36
Baseline 7.18% · Performance 5.93% · Measure score 6.36 · Achievement 6.36 · Improvement 5.21
Total nurse turnover
0
Baseline 60.27% · Performance 70.97% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.10
Baseline 2.73 hours · Performance 3.52 hours · Measure score 2.10 · Achievement 1.56 · Improvement 2.10
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.74% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 91 · Observed rate 10.99% · Lower 95% interval 7.28% |
| Discharge to community | 51.92% |
50.57%
1.4 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 47.44% · Lower 95% interval 42.53% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 53 · Denominator 53 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 53 |
| Discharge self-care score | 62.16% |
53.69%
8.5 pts better
|
Numerator 23 · Denominator 37 |
| Discharge mobility score | 48.65% |
50.94%
2.3 pts worse
|
Numerator 18 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 3.77% |
2.29%
1.5 pts worse
|
Numerator 2 · Denominator 53 · Adjusted rate 4% |
| Healthcare-associated infections requiring hospitalization | 5.93% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 2.27% · Lower 95% interval 3% |
| Staff COVID-19 vaccination coverage | 79.57% |
8.2%
71.4 pts better
|
Numerator 74 · Denominator 93 |
| Staff flu vaccination coverage | 27.91% |
42%
14.1 pts worse
|
Numerator 36 · Denominator 129 |
| Discharge function score | 54.05% |
56.45%
2.4 pts worse
|
Numerator 20 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 20 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 11.43% |
25.2%
13.8 pts worse
|
Numerator 4 · Denominator 35 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.6
About the same
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.2% |
89.9%
7.7 pts worse
|
93.4%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.9% · Q2 83.8% · Q3 84.1% · Q4 83.6% · 4Q avg 82.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 73.6% |
94.5%
20.9 pts worse
|
95.5%
21.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 73.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
3.6%
0.5 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.9% · Q3 2.9% · Q4 1.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.6% |
11.8%
4.2 pts better
|
11.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 6.3% · Q3 10.7% · Q4 1.7% · 4Q avg 7.6% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
6.2%
0.2 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 7.3% · Q3 3.4% · Q4 13.0% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.0% |
32.2%
4.2 pts better
|
19.6%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 30.4% · Q3 23.3% · Q4 25.5% · 4Q avg 28.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.7% |
18.1%
9.4 pts better
|
16.7%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 9.3% · Q3 10.9% · Q4 4.8% · 4Q avg 8.7% · 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 | 40.6% |
19.9%
20.7 pts worse
|
16.3%
24.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.9% |
15.3%
7.6 pts worse
|
14.9%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 30.2% · Q3 15.8% · Q4 10.9% · 4Q avg 22.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.9%
1.9 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 21.0% |
20.2%
0.8 pts worse
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 18.9% · Q3 17.8% · Q4 19.9% · 4Q avg 21.0% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.4%
2.1 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.3% · Q3 5.2% · Q4 3.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.9% |
79.6%
18.7 pts worse
|
81.7%
20.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.8% · Q2 64.6% · Q3 59.3% · Q4 42.1% · 4Q avg 60.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 28.3% |
11.2%
17.1 pts worse
|
12.0%
16.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 26.4% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.6%
0.4 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.5% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.4% |
79.8%
17.4 pts worse
|
79.7%
17.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% |
22.2%
6 pts worse
|
23.9%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 24.5% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-16 · Fire 2021-06-16
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-09-11 · Fire 2019-09-11
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-01-05
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-02
F · Potential for more than minimal harm
2024-01-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-30
F · Potential for more than minimal harm
2024-01-05
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-30
F · Potential for more than minimal harm
2024-01-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-30
E · Potential for more than minimal harm
2024-01-05
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-01-30
D · Potential for more than minimal harm
2024-01-05
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 2024-01-30
D · Potential for more than minimal harm
2024-01-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-30
F · Potential for more than minimal harm
2021-06-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-07-16
F · Potential for more than minimal harm
2021-06-16
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-07-13
E · Potential for more than minimal harm
2021-06-16
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2021-07-08
E · Potential for more than minimal harm
2019-09-11
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-10-16
D · Potential for more than minimal harm
2019-09-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-10-16
Inspection history
Recent health citations
G · Actual harm
2024-06-21
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
J · Immediate jeopardy
2024-04-05
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 2024-04-08
J · Immediate jeopardy
2024-04-05
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-04-08
G · Actual harm
2024-04-05
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-22
E · Potential for more than minimal harm
2024-01-05
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-01-26
D · Potential for more than minimal harm
2024-01-05
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-01-26
D · Potential for more than minimal harm
2024-01-05
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-26
D · Potential for more than minimal harm
2024-01-05
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 2024-01-26
D · Potential for more than minimal harm
2024-01-05
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 2024-01-26
D · Potential for more than minimal harm
2024-01-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-26
F · Potential for more than minimal harm
2019-09-11
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2019-10-19
E · Potential for more than minimal harm
2019-09-11
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 2019-10-19
E · Potential for more than minimal harm
2019-09-11
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2019-10-19
E · Potential for more than minimal harm
2019-09-11
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 2019-10-19
D · Potential for more than minimal harm
2019-09-11
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 2019-10-19
D · Potential for more than minimal harm
2019-09-11
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 2019-10-19
Penalties and ownership
What sits behind the stars
$17,255
2024-04-05
Fine
Fine · fine $17,255
Fine
$43,925
2024-04-05
Fine
Fine · fine $43,925
Fine
$0
2024-04-05
Payment Denial
Payment Denial · denial start 2024-05-02 · 81 days
81 day denial
Ownership
Nearby options
Other facilities in reach
#1
Sevierville Health And Rehabilitation Center
Sevierville, TN
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Jefferson County Nursing Home
Dandridge, TN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Asbury Place At Maryville
Maryville, TN
1-star overall rating with 2-star inspections with abuse icon flag with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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