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Nursing home report

AHC Union City

Registered name: UNION CITY HEALTH AND REHABILITATION

UNION CITY, TN · Medicare-certified · 115 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

AHC Union City in Union City, TN has a 1-star overall rating, with a 1-star health inspection rating and 3-star staffing and quality ratings. It was cited for recent federal penalties and $10,348 in fines over the last 24 months, and reported nurse staffing was 3.49 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.4889 hrs/resident/day

Quality measures

Last inspection: August 21, 2025Penalties, last 24 months: $10,348recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4889.

Staffing detail

Registered nurses
0.73
Licensed practical nurses
0.91
Nurse aides
1.85
Weekend nursing
3.04

Hours per resident per day.

Total staff turnover: 22%
Registered nurse turnover: 17%

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

25.5%18.8%Improving

Residents with a fall causing major injury

3.5%5.3%Worsening

Residents with pressure ulcers (bedsores)

2.6%2.3%No change

Residents with a urinary tract infection

3.5%5.3%Worsening

Residents who lost too much weight

12.7%14%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.4%5.9%Improving

Residents whose ability to walk got worse

15.6%

Long-stay residents on antianxiety or sleep medication

72.7%66.7%Improving

Short-stay residents newly given an antipsychotic

3.8%0%Improving

Residents with a long-term catheter

2.6%0%Improving

Residents with new or worsening incontinence

31.3%22.7%Improving

Residents with depressive symptoms

33.9%51.9%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

96.8%

Long-stay residents given the pneumonia vaccine

57.9%56.1%Worsening

Short-stay residents given the seasonal flu vaccine

93.3%

Short-stay residents given the pneumonia vaccine

81.1%62.3%Worsening

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, potential for harm.

View the original federal record

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

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited August 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — 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 May 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D

The home failed to provide enough food and fluids to keep residents healthy. Cited May 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: D

Recent history

  1. PENALTY

    A federal fine of $10,348 was recorded.

  2. STAFFING

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

  3. PENALTY

    A federal fine of $15,920 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $10,348 in total fines.

  • Federal fine

    Aug 21, 2025

    $10,348

Operator & ownership

Recent ownership change · Jan 1, 2025

Now operated by Union City Health and Rehabilitation, previously Ahc Union City.

Ownership
For profit - Individual
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
68.5 residents on an average day (60% of 115 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.