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
3 of 5 overall
FOOTHILLS TRANSITIONAL CARE AND REHABILITATION in Maryville, TN has a 3-star overall rating, with weak health inspection and staffing ratings (2 stars each) despite a 5-star quality measures rating. It also reported nurse staffing below the federal benchmark (3.54 vs. 4.1 hours/resident/day), $9,982 in fines in the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5407 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 3.5407.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.18
- Nurse aides
- 1.86
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.5%Worsening
Residents with a fall causing major injury
1.5%Improving
Residents with pressure ulcers (bedsores)
2.7%Improving
Residents with a urinary tract infection
2.1%Steady
Residents who lost too much weight
4.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.1%Improving
Residents whose ability to walk got worse
24%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
33.7%Worsening
Short-stay residents newly given an antipsychotic
1.2%Improving
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
23.1%Improving
Residents with depressive symptoms
36.7%Worsening
Long-stay residents given the seasonal flu vaccine
76.6%Steady
Long-stay residents given the pneumonia vaccine
63%Worsening
Short-stay residents given the seasonal flu vaccine
49.7%Steady
Short-stay residents given the pneumonia vaccine
36.9%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
Penalties & enforcement
On record with Medicare: 2 fines · $17,883 in total fines.
- $9,982
Federal fine
Feb 18, 2025
- $7,901
Federal fine
Aug 11, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 104.8 residents on an average day (57% 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.