The home failed to ensure residents’ medications were free from unnecessary drugs. Cited September 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: F
Nursing home report
The Palace Health Care and Rehabilitation Center
Registered name: RED BOILING SPRINGS TN OPCO LLC
RED BOILING SPRINGS, TN · Medicare-certified · 119 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
The Palace Health Care and Rehabilitation Center has a 3-star overall rating, with strong health inspection and quality ratings (4 stars each) but very low staffing at 1 star. Reported nurse staffing is 3.09 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0858 hrs/resident/day
Quality measures
Last inspection: March 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0858.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.11
- Nurse aides
- 1.65
- Weekend nursing
- 2.66
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 80%
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
17.2%13.3%Improving
Residents with a fall causing major injury
0%2.3%Worsening
Residents with pressure ulcers (bedsores)
4.8%3.4%Improving
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
0%15.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%22.2%Worsening
Residents whose ability to walk got worse
—19.7%—
Long-stay residents on antianxiety or sleep medication
32.6%33.3%Worsening
Short-stay residents newly given an antipsychotic
—5%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.8%36.3%Worsening
Residents with depressive symptoms
0%0%No change
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
—96.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.2%—
Short-stay residents given the pneumonia vaccine
97.4%88.9%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2019 — 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 complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — 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 September 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Nov 1, 2019
Now operated by Red Boiling Springs Tn Opco LLC, previously Palace Rbs LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 84 homes · 2.5 stars avg
- Occupancy
- 50.9 residents on an average day (43% of 119 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.