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Nursing home report

MOUNTAIN CITY CARE & REHABILITATION CENTER

MOUNTAIN CITY, TN · Medicare-certified · 120 beds

In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall

Mountain City Care & Rehabilitation Center has an overall 5-star rating, with 5 stars for health inspections and 4 stars for quality, but staffing is only 3 stars and reported nurse staffing (3.43 hours per resident per day) is below the federal benchmark of 4.1. It had no fines in the last 24 months, though recent inspection citations included medication review, accident-hazard supervision, and care-planning issues.

Facility ratings

Health inspections

Staffing

3.4347 hrs/resident/day

Quality measures

Last inspection: April 22, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4347.

Staffing detail

Registered nurses
0.75
Licensed practical nurses
0.92
Nurse aides
1.76
Weekend nursing
2.90

Hours per resident per day.

Total staff turnover: 35%
Registered nurse turnover: 27%

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

13%6.7%Improving

Residents with a fall causing major injury

3%1.8%Improving

Residents with pressure ulcers (bedsores)

2.7%4.6%Worsening

Residents with a urinary tract infection

0%3.7%Worsening

Residents who lost too much weight

0%6.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.8%10.9%Worsening

Residents whose ability to walk got worse

15.5%4%Improving

Long-stay residents on antianxiety or sleep medication

31%26.5%Improving

Short-stay residents newly given an antipsychotic

0%3.2%Worsening

Residents with a long-term catheter

0%1%Worsening

Residents with new or worsening incontinence

16.9%17.9%Worsening

Residents with depressive symptoms

10.7%17%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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

79.7%

Short-stay residents given the pneumonia vaccine

96.2%99%Improving

What the inspectors found

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited October 2019 — limited pattern, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: E

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: D

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2019 — isolated incident, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D

The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited October 2019 — isolated incident, potential for harm.

View the original federal record

F-Tag 758 — 42 CFR §483.45(e) — S/S: D

The nursing home failed to keep medication mistakes below the allowed level. Cited October 2019 — isolated incident, potential for harm.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
72.1 residents on an average day (60% of 120 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 37 years

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.