The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
RIVER GROVE HEALTH AND REHABILITATION
LOUDON, TN · Medicare-certified · 180 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
River Grove Health and Rehabilitation in Loudon, TN has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating and a 1-star staffing rating despite 5-star quality measures. Reported nurse staffing is 3.13 hours per resident per day, below the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1282 hrs/resident/day
Quality measures
Last inspection: August 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1282.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.95
- Nurse aides
- 1.72
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 38%
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
12.5%26.2%Worsening
Residents with a fall causing major injury
3.9%0%Improving
Residents with pressure ulcers (bedsores)
4.2%2.9%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
10.1%9.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.1%18.8%Worsening
Residents whose ability to walk got worse
0%27.4%Worsening
Long-stay residents on antianxiety or sleep medication
29%32.5%Worsening
Short-stay residents newly given an antipsychotic
0%2.3%Worsening
Residents with a long-term catheter
0%0.8%Worsening
Residents with new or worsening incontinence
18%13.2%Improving
Residents with depressive symptoms
0%8.2%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%92.9%Worsening
Short-stay residents given the seasonal flu vaccine
—93.1%—
Short-stay residents given the pneumonia vaccine
95.3%64.7%Worsening
What the inspectors found
The home failed to keep residents’ personal and medical records private and confidential. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: D
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jul 1, 2019
Now operated by River Grove Health and Rehabilitation, previously Concordia Nursing and Rehabilitation Loudon.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 84 homes · 2.5 stars avg
- Occupancy
- 97.5 residents on an average day (54% of 180 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.