The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
FOOTHILLS TRANSITIONAL CARE AND REHABILITATION
MARYVILLE, TN · Medicare-certified · 185 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
FOOTHILLS TRANSITIONAL CARE AND REHABILITATION in Maryville, TN has a 2-star overall rating, with very low 1-star health inspection and staffing ratings despite a 5-star quality rating. It has 3.33 reported nurse staffing hours per resident per day versus the 4.1 federal benchmark, $9,982 in fines in the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3285 hrs/resident/day
Quality measures
Last inspection: February 18, 2025Penalties, last 24 months: $9,982recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3285.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 1.10
- Nurse aides
- 1.73
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.3%7.8%Improving
Residents with a fall causing major injury
1.2%1.2%No change
Residents with pressure ulcers (bedsores)
4.2%0%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
6.7%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%4.5%Improving
Residents whose ability to walk got worse
—18.6%—
Long-stay residents on antianxiety or sleep medication
36.8%30.1%Improving
Short-stay residents newly given an antipsychotic
0.9%0.7%No change
Residents with a long-term catheter
0%2%Worsening
Residents with new or worsening incontinence
23%18.1%Improving
Residents with depressive symptoms
13.5%76.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—76.6%—
Long-stay residents given the pneumonia vaccine
75.6%57.3%Worsening
Short-stay residents given the seasonal flu vaccine
—49.7%—
Short-stay residents given the pneumonia vaccine
50.6%13.5%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep essential equipment working safely. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $9,982 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,982 in total fines.
- $9,982
Federal fine
Feb 18, 2025
Operator & ownership
Recent ownership change · May 1, 2024
Now operated by Smoky Mountain Healthcare INC, previously Maryville Jamestown Opco LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 114.8 residents on an average day (62% of 185 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.