Church Hill Post-Acute And Rehabilitation Center has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Tennessee. Families considering this Church Hill facility should carefully review its inspection history and quality metrics.
Staffing at Church Hill Post-Acute And Rehabilitation Center is near the national average, with 3.83 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 34 deficiencies at Church Hill Post-Acute And Rehabilitation Center, including 12 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.83 | 3.8 | Average |
| Registered Nurses (RN) | 0.45 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.43 | 2.4 | Average |
| Weekend Total Nursing | 3.15 | 3.8 | Below Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Jan 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity LEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nov 17, 2024 · Nursing and Physician Services Deficiencies
- Tag 0835 Severity LAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Nov 17, 2024 · Administration Deficiencies
- Tag 0837 Severity LEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appointsNov 17, 2024 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.1% | 4.5% | Average |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 15.3% | 14.5% | Average |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 21.0% | 14.0% | Worse |
| Excessive weight loss | 17.1% | 7.5% | Worse |
| New/worsened incontinence | 18.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $250,780
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 0★ → 0 pts (max 40)
- Health Inspection Rating: 0★ → 0 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 0★ → 0 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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