Sweetwater, TN

Wood Village

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

520 Old Highway 68, Sweetwater, TN

(423) 351-1105

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

89

Certified beds

Average residents

75

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-11-17

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

0.52

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,991

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

Performance score

52.43

Composite VBP score used to determine payment impact.

Payment multiplier

1.0070

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.83

Baseline 18.23% · Performance 18.73% · Measure score 5.83 · Achievement 5.83 · Improvement 0

Healthcare-associated infections

4.65

Baseline 7.00% · Performance 6.44% · Measure score 4.65 · Achievement 4.65 · Improvement 2.25

Total nurse turnover

8.15

Performance 30.36% · Measure score 8.15 · Achievement 8.15 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.34

Baseline 4.06 hours · Performance 3.74 hours · Measure score 2.34 · Achievement 2.34 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.75%
10.72%
1 pts worse
No Different than the National Rate · Eligible stays 119 · Observed rate 11.76% · Lower 95% interval 8.37%
Discharge to community 48.3%
50.57%
2.3 pts worse
No Different than the National Rate · Eligible stays 119 · Observed rate 45.38% · Lower 95% interval 39.09%
Medicare spending per beneficiary 1.29
1.02
0.3 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 66 · Denominator 66
Falls with major injury 3.03%
0.77%
2.3 pts worse
Numerator 2 · Denominator 66
Discharge self-care score 61.54%
53.69%
7.9 pts better
Numerator 32 · Denominator 52
Discharge mobility score 36.54%
50.94%
14.4 pts worse
Numerator 19 · Denominator 52
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 66 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.44%
7.12%
0.7 pts better
No Different than the National Rate · Eligible stays 59 · Observed rate 3.39% · Lower 95% interval 3.85%
Staff COVID-19 vaccination coverage 1.03%
8.2%
7.2 pts worse
Numerator 1 · Denominator 97
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 50%
56.45%
6.5 pts worse
Numerator 26 · Denominator 52
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 35 · Denominator 35
Resident COVID-19 vaccinations up to date 12.82%
25.2%
12.4 pts worse
Numerator 5 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
1.6
0.5 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.6
0.2 pts worse
1.8
About the same
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.9%
10.1 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.5%
5.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 6.5%
3.6%
2.9 pts worse
3.3%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 7.3% · Q3 8.9% · Q4 5.2% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.5%
11.8%
11.3 pts better
11.4%
10.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight 6.0%
6.2%
0.2 pts better
5.4%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.2% · Q3 4.4% · Q4 8.0% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 47.4%
32.2%
15.2 pts worse
19.6%
27.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 48.8% · Q2 44.0% · Q3 50.0% · Q4 47.1% · 4Q avg 47.4%
Percentage of long-stay residents who received an antipsychotic medication 24.6%
18.1%
6.5 pts worse
16.7%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 30.0% · Q3 18.4% · Q4 20.8% · 4Q avg 24.6% · 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 21.9%
19.9%
2 pts worse
16.3%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.8%
15.3%
0.5 pts worse
14.9%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 17.4% · Q3 13.0% · Q4 11.8% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.5%
0.9%
1.6 pts worse
1.0%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.5% · Q3 1.4% · Q4 2.8% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.4%
1.9%
1.5 pts worse
1.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.9% · Q3 5.7% · Q4 3.5% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.4%
20.2%
3.8 pts better
19.8%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 17.4% · Q3 12.4% · Q4 9.9% · 4Q avg 16.4%
Percentage of long-stay residents with pressure ulcers 4.6%
5.4%
0.8 pts better
5.1%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.2% · Q3 5.1% · Q4 3.7% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
79.6%
20.1 pts better
81.7%
18 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of short-stay residents who had an outpatient emergency department visit 10.2%
11.2%
1 pts better
12.0%
1.8 pts better
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 10.3% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.6%
0.7 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.0%
79.8%
12.2 pts better
79.7%
12.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.2%
22.2%
2 pts better
23.9%
3.7 pts better
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 20.6% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-21 · Fire 2025-05-21

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

5 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 2 Health 2022-06-15 · Fire 2022-06-15

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-05-08 · Fire 2019-05-08

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-21

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-05-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-05-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-05-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-05-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-21

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-21

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 2025-06-06

Penalties and ownership

What sits behind the stars

Ownership

Ocoee Foundation Inc

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2022-12-15
Beverley, Tracey

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-15
Bradley, Don

Operational/Managerial Control · Individual

0% 9 facilities 2022-12-15
Burton, William

Operational/Managerial Control · Individual

0% 9 facilities 2022-12-15
Davis, Clinton

Operational/Managerial Control · Individual

0% 12 facilities 2022-12-15
Holcombe, Michelle

Operational/Managerial Control · Individual

0% 12 facilities 2022-12-15
Kupchynsky, Kathleen

Operational/Managerial Control · Individual

0% 9 facilities 2022-12-15
Ocoee Foundation Inc

Operational/Managerial Control · Organization

0% 9 facilities 2022-12-15
Phillips, Dorothy

Operational/Managerial Control · Individual

0% 9 facilities 2022-12-15
Pioneer Consulting LLC

Operational/Managerial Control · Organization

0% 12 facilities 2022-12-15
Sheehan, John

Operational/Managerial Control · Individual

0% 12 facilities 2022-12-15
Sheehan, John

Corporate Officer · Individual

0% 12 facilities 2022-12-15
Sheehan, Margaret

Operational/Managerial Control · Individual

0% 9 facilities 2022-12-15
Sheehan, Margaret

Corporate Officer · Individual

0% 9 facilities 2022-12-15
Smith, Frank

Operational/Managerial Control · Individual

0% 9 facilities 2022-12-15
Stephens, Shelia

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-15
Twin Rivers Health & Rehabilitation LLC

Operational/Managerial Control · Organization

0% 12 facilities 2022-12-15

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Waters Of Sweetwater A Rehabilitation & Nursing

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2-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$0
#2

Monroe Health And Rehabilitation Center

Madisonville, TN

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0
#3

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Loudon, TN

1-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$0

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