Crossville, TN

Wyndridge Health And Rehab Ctr

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

456 Wayne Avenue, Crossville, TN

(931) 484-6129

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

157

Certified beds

Average residents

95

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-11-09

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

0.70

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.16

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.99

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.85

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

0.66

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

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.57

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,906

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

Performance score

34.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9885

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.79% · Performance 21.86% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.82

Baseline 6.03% · Performance 6.69% · Measure score 3.82 · Achievement 3.82 · Improvement 0

Total nurse turnover

5.95

Baseline 30.77% · Performance 39.36% · Measure score 5.95 · Achievement 5.95 · Improvement 0

Adjusted total nurse staffing

4.08

Baseline 4.22 hours · Performance 4.24 hours · Measure score 4.08 · Achievement 4.08 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.39%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 89 · Observed rate 10.11% · Lower 95% interval 6.63%
Discharge to community	37.68%	50.57% 12.9 pts worse	Worse than the National Rate · Eligible stays 91 · Observed rate 28.57% · Lower 95% interval 30.04%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	96.47%	95.27% 1.2 pts better	Numerator 82 · Denominator 85
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 85
Discharge self-care score	22%	53.69% 31.7 pts worse	Numerator 11 · Denominator 50
Discharge mobility score	28%	50.94% 22.9 pts worse	Numerator 14 · Denominator 50
Pressure ulcers or injuries, new or worsened	3.53%	2.29% 1.2 pts worse	Numerator 3 · Denominator 85 · Adjusted rate 3.46%
Healthcare-associated infections requiring hospitalization	6.69%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage	0.48%	8.2% 7.7 pts worse	Numerator 1 · Denominator 210
Staff flu vaccination coverage	5.31%	42% 36.7 pts worse	Numerator 11 · Denominator 207
Discharge function score	30%	56.45% 26.5 pts worse	Numerator 15 · Denominator 50
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 51 · Denominator 51
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	19.57%	25.2% 5.6 pts worse	Numerator 9 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.6 0.3 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.2 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.6 0.7 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	89.9% 7.1 pts better	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 95.2% · Q3 96.4% · Q4 100.0% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	94.5% 2.1 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	5.8%	3.6% 2.2 pts worse	3.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.8% · Q3 7.2% · Q4 6.1% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.2%	11.8% 6.6 pts better	11.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 6.5% · Q4 12.5% · 4Q avg 5.2%
Percentage of long-stay residents who lose too much weight	5.9%	6.2% 0.3 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 10.1% · Q3 6.1% · Q4 1.5% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.0%	32.2% 6.2 pts better	19.6% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 26.8% · Q3 25.7% · Q4 24.3% · 4Q avg 26.0%
Percentage of long-stay residents who received an antipsychotic medication	19.3%	18.1% 1.2 pts worse	16.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 18.4% · Q3 17.3% · Q4 13.7% · 4Q avg 19.3% · 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	21.8%	19.9% 1.9 pts worse	16.3% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q3 22.0% · Q4 9.1% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.9%	15.3% 5.6 pts worse	14.9% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 19.4% · Q3 20.7% · Q4 14.0% · 4Q avg 20.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.6%	0.9% 2.7 pts worse	1.0% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 3.5% · Q3 1.1% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.9% 1.3 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.7%	20.2% 3.5 pts worse	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 28.8% · Q3 24.5% · Q4 18.3% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers	7.9%	5.4% 2.5 pts worse	5.1% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.5% · Q3 6.9% · Q4 9.5% · 4Q avg 7.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	79.6% 16.8 pts better	81.7% 14.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 96.5% · Q3 97.4% · Q4 95.3% · 4Q avg 96.4%
Percentage of short-stay residents who had an outpatient emergency department visit	17.6%	11.2% 6.4 pts worse	12.0% 5.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 18.5% · Expected 11.7% · 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 0.0% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.3%	79.8% 13.5 pts better	79.7% 13.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.6%	22.2% 12.4 pts worse	23.9% 10.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.6% · Observed 37.0% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-11-30 · Fire 2022-11-30

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

14 fire-safety deficiencies

Top issue: Egress (5 deficiencies)

Cycle 2 Health 2019-08-14 · Fire 2019-08-14

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2018-08-29 · Fire 2018-08-29

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-05-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-01

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-01

K251 · Egress Deficiencies

Fire Safety

Conform to length requirements for dead end corridors.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-01

K252 · Egress Deficiencies

Fire Safety

Provide at least two remote exits on each floor or fire section of the building.

Corrected 2025-05-29

F · Potential for more than minimal harm 2022-11-30

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2023-01-14

F · Potential for more than minimal harm 2022-11-30

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-01-14

E · Potential for more than minimal harm 2022-11-30

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-12-29

E · Potential for more than minimal harm 2022-11-30

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 2023-01-14

D · Potential for more than minimal harm 2022-11-30

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2022-12-29

D · Potential for more than minimal harm 2022-11-30

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-01-14

D · Potential for more than minimal harm 2022-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-14

D · Potential for more than minimal harm 2019-08-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-15

E · Potential for more than minimal harm 2018-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-10-19

D · Potential for more than minimal harm 2018-08-29

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 2018-09-20

D · Potential for more than minimal harm 2018-08-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-10-19

D · Potential for more than minimal harm 2018-08-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-09-20

D · Potential for more than minimal harm 2018-08-29

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2018-09-13

C · Minimal harm 2018-08-29

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2018-09-17

C · Minimal harm 2018-08-29

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2018-09-12

C · Minimal harm 2018-08-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-09-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-06-27

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 2023-07-17

D · Potential for more than minimal harm 2023-06-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-17

E · Potential for more than minimal harm 2022-11-30

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 2023-01-01

D · Potential for more than minimal harm 2022-11-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-22

D · Potential for more than minimal harm 2022-11-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-01-24

D · Potential for more than minimal harm 2019-08-14

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 2019-08-29

D · Potential for more than minimal harm 2019-08-14

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2019-08-29

D · Potential for more than minimal harm 2019-08-14

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-08-29

G · Actual harm 2018-08-29

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 2018-10-05

G · Actual harm 2018-08-29

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 2018-10-05

D · Potential for more than minimal harm 2018-08-29

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 2018-10-05

D · Potential for more than minimal harm 2018-08-29

F690 · Quality of Life and Care Deficiencies

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 2018-10-05

Penalties and ownership