Cycle 1
Health 2025-07-23 · Fire 2022-06-09
5 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chattanooga, TN
The Health Center At Standifer Place
5-star overall rating with 4-star inspections with 5 recent health deficiencies
2626 Walker Rd, Chattanooga, TN
(423) 490-1599
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
444
Certified beds
Average residents
381
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-05-26
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
Staffing
Hours and turnover
RN hours / resident day
0.45
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.97
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,158
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9880
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.95
Baseline 19.13% · Performance 19.14% · Measure score 4.95 · Achievement 4.95 · Improvement 0
Healthcare-associated infections
3.19
Baseline 5.83% · Performance 6.88% · Measure score 3.19 · Achievement 3.19 · Improvement 0
Total nurse turnover
4.22
Baseline 51.42% · Performance 46.43% · Measure score 4.22 · Achievement 4.22 · Improvement 1.38
Adjusted total nurse staffing
1.16
Baseline 2.80 hours · Performance 3.29 hours · Measure score 1.16 · Achievement 0.75 · Improvement 1.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.79% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 163 · Observed rate 14.11% · Lower 95% interval 8.09% |
| Discharge to community | 54.44% |
50.57%
3.9 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 38.3% · Lower 95% interval 44.11% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 110 · Denominator 110 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 110 |
| Discharge self-care score | 50.6% |
53.69%
3.1 pts worse
|
Numerator 42 · Denominator 83 |
| Discharge mobility score | 43.37% |
50.94%
7.6 pts worse
|
Numerator 36 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 110 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.88% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 113 · Observed rate 8.85% · Lower 95% interval 4.12% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 780 |
| Staff flu vaccination coverage | 11.26% |
42%
30.7 pts worse
|
Numerator 77 · Denominator 684 |
| Discharge function score | 45.78% |
56.45%
10.7 pts worse
|
Numerator 38 · Denominator 83 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 34 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 56.92% |
25.2%
31.7 pts better
|
Numerator 37 · Denominator 65 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
89.9%
9.1 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.8% · Q3 99.4% · Q4 99.4% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.7% |
94.5%
5.2 pts better
|
95.5%
4.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.6%
1.2 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.9% · Q3 2.1% · Q4 1.5% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.5% |
11.8%
5.3 pts better
|
11.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.6% · Q3 7.3% · Q4 6.7% · 4Q avg 6.5% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.2%
0.4 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 6.1% · Q3 5.2% · Q4 5.2% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.3% |
32.2%
0.9 pts better
|
19.6%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 32.4% · Q3 29.9% · Q4 28.4% · 4Q avg 31.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.1% |
18.1%
4 pts worse
|
16.7%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 23.1% · Q3 21.6% · Q4 21.7% · 4Q avg 22.1% · 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 | 9.1% |
19.9%
10.8 pts better
|
16.3%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 12.9% · Q3 6.7% · Q4 11.3% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
15.3%
3.5 pts better
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 14.8% · Q3 10.0% · Q4 9.8% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
1.9%
About the same
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.6% · Q3 2.5% · Q4 1.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.7% |
20.2%
8.5 pts better
|
19.8%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 14.2% · Q3 11.5% · Q4 10.3% · 4Q avg 11.7% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
5.4%
1 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.0% · Q3 4.0% · Q4 3.8% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
79.6%
12.3 pts better
|
81.7%
10.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 93.7% · Q3 91.2% · Q4 90.6% · 4Q avg 91.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% |
11.2%
2.8 pts better
|
12.0%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 11.1% · Expected 14.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.6%
0.6 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.0% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.1% |
79.8%
14.3 pts better
|
79.7%
14.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.1% |
22.2%
4.1 pts better
|
23.9%
5.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 24.8% · Expected 32.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-09 · Fire 2019-07-31
4 health deficiencies
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2019-07-31 · Fire 2018-08-01
7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-07-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-14
E · Potential for more than minimal harm
2019-07-31
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-09-14
D · Potential for more than minimal harm
2019-07-31
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-09-14
D · Potential for more than minimal harm
2019-07-31
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-09-14
D · Potential for more than minimal harm
2019-07-31
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-09-14
D · Potential for more than minimal harm
2019-07-31
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-09-14
E · Potential for more than minimal harm
2018-08-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-09-15
E · Potential for more than minimal harm
2018-08-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-15
E · Potential for more than minimal harm
2018-08-01
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-09-15
D · Potential for more than minimal harm
2018-08-01
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2018-09-15
D · Potential for more than minimal harm
2018-08-01
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-09-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-23
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 2025-08-16
D · Potential for more than minimal harm
2025-07-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-31
D · Potential for more than minimal harm
2025-07-23
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-09-06
D · Potential for more than minimal harm
2025-07-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-16
D · Potential for more than minimal harm
2025-07-23
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-08-16
D · Potential for more than minimal harm
2023-03-27
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-10
D · Potential for more than minimal harm
2022-06-09
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 2022-07-24
D · Potential for more than minimal harm
2022-06-09
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-07-24
D · Potential for more than minimal harm
2022-06-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-24
D · Potential for more than minimal harm
2019-07-31
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2019-09-13
D · Potential for more than minimal harm
2019-07-31
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 2019-09-13
D · Potential for more than minimal harm
2019-07-31
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-09-13
D · Potential for more than minimal harm
2019-07-31
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 2019-09-13
D · Potential for more than minimal harm
2019-07-31
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-09-13
C · Minimal harm
2019-07-31
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2019-09-13
Penalties and ownership
What sits behind the stars
Ownership
Covenant Health Services LLC
5% Or Greater Direct Ownership Interest · Organization
Strawn, John
5% Or Greater Indirect Ownership Interest · Individual
Boozer, David
Operational/Managerial Control · Individual
Breakey, Angela
Operational/Managerial Control · Individual
Covenant Health Services LLC
Operational/Managerial Control · Organization
Pendley, Bruce
Operational/Managerial Control · Individual
Strawn, John
Operational/Managerial Control · Individual
Strawn, John
Corporate Officer · Individual
Nearby options
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#2
Life Care Center Of Collegedale
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4-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Ooltewah
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5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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