5 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Soddy-Daisy, TN
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
701 Sequoyah Road, Soddy-Daisy, TN
(423) 332-0060
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
134
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1998-03-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 facilities
Chain averages 2 overall / 3 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
RN hours / resident day
0.53
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.56
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.29
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
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
12,745
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.72
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.66
Baseline 18.72% · Performance 20.66% · Measure score 1.66 · Achievement 1.66 · Improvement 0
Healthcare-associated infections
0
Baseline 5.82% · Performance 8.54% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.43
Baseline 49.37% · Performance 57.84% · Measure score 1.43 · Achievement 1.43 · Improvement 0
Adjusted total nurse staffing
1.20
Baseline 3.30 hours · Performance 3.42 hours · Measure score 1.20 · Achievement 1.20 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.11% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 158 · Observed rate 13.29% · Lower 95% interval 8.67% |
| Discharge to community | 52.26% |
50.57%
1.7 pts better
|
No Different than the National Rate · Eligible stays 146 · Observed rate 46.58% · Lower 95% interval 45.15% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.95% |
95.27%
3.7 pts better
|
Numerator 94 · Denominator 95 |
| Falls with major injury | 2.11% |
0.77%
1.3 pts worse
|
Numerator 2 · Denominator 95 |
| Discharge self-care score | 80% |
53.69%
26.3 pts better
|
Numerator 52 · Denominator 65 |
| Discharge mobility score | 52.31% |
50.94%
1.4 pts better
|
Numerator 34 · Denominator 65 |
| Pressure ulcers or injuries, new or worsened | 2.11% |
2.29%
0.2 pts better
|
Numerator 2 · Denominator 95 · Adjusted rate 2.27% |
| Healthcare-associated infections requiring hospitalization | 8.54% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 9.8% · Lower 95% interval 4.97% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 92 |
| Staff flu vaccination coverage | 13.64% |
42%
28.4 pts worse
|
Numerator 15 · Denominator 110 |
| Discharge function score | 72.31% |
56.45%
15.9 pts better
|
Numerator 47 · Denominator 65 |
| Transfer of health information to provider | 93.1% |
95.95%
2.9 pts worse
|
Numerator 54 · Denominator 58 |
| Transfer of health information to patient | 79.17% |
96.28%
17.1 pts worse
|
Numerator 19 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 22.5% |
25.2%
2.7 pts worse
|
Numerator 9 · Denominator 40 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.6
1 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
89.9%
5.6 pts better
|
93.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 95.8% · Q3 95.9% · Q4 97.2% · 4Q avg 95.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.5%
4.1 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
3.6%
2 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.6% · Q3 8.1% · Q4 2.8% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
11.8%
11.4 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
6.2%
2.8 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.1% · Q3 11.8% · Q4 17.6% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.2% |
32.2%
4 pts better
|
19.6%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 30.0% · Q3 31.4% · Q4 23.5% · 4Q avg 28.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 36.4% |
18.1%
18.3 pts worse
|
16.7%
19.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 38.6% · Q3 34.9% · Q4 37.0% · 4Q avg 36.4% · 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 need for help with daily activities has increased | 15.6% |
15.3%
0.3 pts worse
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 28.3% · Q3 17.0% · Q4 0.0% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.9%
0.5 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.2% |
20.2%
6 pts better
|
19.8%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 11.3% · Q3 17.9% · Q4 8.0% · 4Q avg 14.2% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.4%
0.6 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.4% · Q3 7.2% · Q4 5.5% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.7% |
79.6%
2.9 pts worse
|
81.7%
5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.6% · Q2 89.7% · Q3 76.4% · Q4 64.2% · 4Q avg 76.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
11.2%
0.4 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 9.6% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.6%
1.7 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.1% · Q3 2.1% · Q4 2.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.1% |
79.8%
8.3 pts better
|
79.7%
8.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
22.2%
1.8 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 22.9% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Infection Control (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-18
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-07-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-19
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-07-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-06-21
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2018-06-21
Fire Safety
Provide primary/alternate means for communication.
Corrected 2018-06-21
Inspection history
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 2025-11-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-11-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-18
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 2025-11-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-07
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2023-06-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-18
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
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