{"schema_version":"1.0.0","facility":{"id":"cms-445239","ccn":"445239","name":"Life Care Center of Morgan County","source_name":"LIFE CARE CENTER OF MORGAN COUNTY","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TN","address":{"line1":"419 South Kingston Street","city":"Wartburg","state":"TN","zip":"37887","county_name":"Morgan County","county_fips":"47129","county_method":"name_match","ssa_county_code":"640","urban":true},"location":{"lat":36.1003,"lon":-84.595,"method":"cms_published_coordinates"},"phone":"4233466691","certification":{"authority":"CMS","ccn":"445239","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1989-11-28","certified_beds":124,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/445239"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":124,"avg_residents_per_day":66.3},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"WARTBURG MEDICAL INVESTORS LP","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":3},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.75524,"lpn_hprd":1.03608,"rn_hprd":0.65068,"licensed_hprd":1.68676,"total_nurse_hprd":3.442,"weekend_total_nurse_hprd":2.8796,"weekend_rn_hprd":0.37651,"pt_hprd":0.08331,"nursing_turnover_pct":31.4,"rn_turnover_pct":22.2,"administrators_left":0,"case_mix_index":1.50563,"case_mix_index_ratio":1.06763,"case_mix_total_nurse_hprd":4.16467,"adjusted_total_nurse_hprd":3.19866,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-07-08","cycle1_deficiencies":2,"cycle1_score":8,"cycle2_date":"2022-11-16","cycle23_deficiencies":11,"cycle23_score":88,"total_weighted_score":28},"cms_penalty_counts":{"fines":2,"fine_total":8512,"payment_denials":0,"total":2},"chain":{"id":"cms-chain-311","cms_chain_id":"311","name":"LIFE CARE CENTERS OF AMERICA"},"operator_id":"op-wartburg-medical-investors-lp","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/445239","provenance":[{"source_id":"cms_provider_info","source_record_id":"445239","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"445239","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-07-08","latest_standard_health":"2026-07-08","earliest_date":"2019-09-05","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":24,"health_count":14,"fire_count":10,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":0,"serious_count":2,"complaint_count":2,"by_severity":{"potential":22,"actual_harm":2},"by_scope_severity":{"F":3,"D":18,"G":2,"E":1},"by_concept":{"environment_life_safety":10,"clinical_care":8,"food_nutrition":1,"resident_rights":4,"medication":1},"type_ids":["cms-k0521","cms-k0921","cms-k0222","cms-k0321","cms-k0511","cms-f0641","cms-f0658","cms-f0656","cms-f0689","cms-k0363","cms-f0812","cms-f0583","cms-f0600","cms-f0609","cms-f0610","cms-f0688","cms-f0690","cms-f0842","cms-k0353","cms-f0759"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":8512,"payment_denials":0,"latest_date":"2024-09-17"},"ownership_summary":{"disclosures":26,"organizations":3,"individuals":20,"not_available":false}},"row":{"id":"cms-445239","ccn":"445239","name":"Life Care Center of Morgan County","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TN","city":"Wartburg","zip":"37887","county_fips":"47129","county_name":"Morgan County","address":"419 South Kingston Street","beds":124,"residents":66.3,"ownership":"for_profit","operator_id":"op-wartburg-medical-investors-lp","operator_name":"Wartburg Medical Investors LP","chain_id":"cms-chain-311","chain_name":"Life Care Centers of America","lat":36.1003,"lon":-84.595,"overall":3,"health_rating":3,"staffing_rating":3,"qm_rating":3,"nurse_hprd":3.44,"turnover":31.4,"inspections":7,"last_inspection":"2026-07-08","deficiencies":24,"serious":2,"ij":0,"open":0,"penalties":2,"fines_total":8512,"deficiency_type_ids":["cms-k0521","cms-k0921","cms-k0222","cms-k0321","cms-k0511","cms-f0641","cms-f0658","cms-f0656","cms-f0689","cms-k0363","cms-f0812","cms-f0583","cms-f0600","cms-f0609","cms-f0610","cms-f0688","cms-f0690","cms-f0842","cms-k0353","cms-f0759"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-wartburg-medical-investors-lp","name":"Wartburg Medical Investors LP","legal_name":"WARTBURG MEDICAL INVESTORS LP","facility_count":1,"states":["TN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-311","name":"Life Care Centers of America","cms_chain_id":"311","facility_count":194,"states":["AZ","CO","FL","GA","HI","ID","IN","KS","KY","MA","MI","MO","NC","NE","NM","NV","OH","OR","PA","RI","SC","TN","TX","VA","WA","WY"],"cms_reported":{"facility_count":194,"avg_overall_rating":3.4,"avg_health_inspection_rating":2.9,"avg_staffing_rating":3.4,"avg_qm_rating":4.5}},"ownership":[{"owner_type":"individual","owner_name":"Forrest Preston","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1994-12-28","owner_name_raw":"PRESTON, FORREST"},{"owner_id":"org-developers-investment-company-inc","owner_type":"organization","owner_name":"Developers Investment Company Inc","role":"partner","role_raw":"GENERAL PARTNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1994-12-28"},{"owner_type":"individual","owner_name":"Forrest Preston","role":"partner","role_raw":"LIMITED PARTNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1979-03-01","owner_name_raw":"PRESTON, FORREST"},{"owner_type":"individual","owner_name":"Jennifer Solomon","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2019-05-01","owner_name_raw":"SOLOMON, JENNIFER"},{"owner_type":"individual","owner_name":"Donald Tyndall","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-06-01","owner_name_raw":"TYNDALL, DONALD"},{"owner_type":"individual","owner_name":"Tracy Widby","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2016-04-19","owner_name_raw":"WIDBY, TRACY"},{"owner_id":"org-developers-investment-company-inc","owner_type":"organization","owner_name":"Developers Investment Company Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1994-12-28"},{"owner_id":"org-life-care-centers-of-america-inc","owner_type":"organization","owner_name":"Life Care Centers of America, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1979-07-23"},{"owner_id":"org-wartburg-medical-investors-lp","owner_type":"organization","owner_name":"Wartburg Medical Investors LP","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1980-07-01"},{"owner_type":"individual","owner_name":"Todd Fletcher","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-13","owner_name_raw":"FLETCHER, TODD"},{"owner_type":"individual","owner_name":"Aubrey Preston","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-13","owner_name_raw":"PRESTON, AUBREY"},{"owner_type":"individual","owner_name":"Jennifer Solomon","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-05-01","owner_name_raw":"SOLOMON, JENNIFER"},{"owner_type":"individual","owner_name":"Donald Tyndall","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-06-01","owner_name_raw":"TYNDALL, DONALD"},{"owner_type":"individual","owner_name":"Tracy Widby","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-04-19","owner_name_raw":"WIDBY, TRACY"},{"owner_type":"individual","owner_name":"Dwight Willett","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2010-10-01","owner_name_raw":"WILLETT, DWIGHT"},{"owner_type":"individual","owner_name":"James Ziegler","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-13","owner_name_raw":"ZIEGLER, JAMES"},{"owner_type":"individual","owner_name":"Cindy Cross","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1994-04-21","owner_name_raw":"CROSS, CINDY"},{"owner_type":"individual","owner_name":"Terry Henry","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1999-08-16","owner_name_raw":"HENRY, TERRY"},{"owner_type":"individual","owner_name":"Lisa Lay","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-09","owner_name_raw":"LAY, LISA"},{"owner_type":"individual","owner_name":"Richard Swanker","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2011-04-01","owner_name_raw":"SWANKER, RICHARD"},{"owner_type":"individual","owner_name":"Joan Thurmond","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2000-09-22","owner_name_raw":"THURMOND, JOAN"},{"owner_id":"org-life-care-centers-of-america-inc","owner_type":"organization","owner_name":"Life Care Centers of America, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-20"},{"owner_id":"org-wartburg-medical-investors-lp","owner_type":"organization","owner_name":"Wartburg Medical Investors LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2003-10-10"},{"owner_type":"individual","owner_name":"Forrest Preston","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2003-10-10","owner_name_raw":"PRESTON, FORREST"},{"owner_type":"individual","owner_name":"Donald Tyndall","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-20","owner_name_raw":"TYNDALL, DONALD"},{"owner_type":"individual","owner_name":"Dwight Willett","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-20","owner_name_raw":"WILLETT, DWIGHT"}],"inspections":[{"id":"cms-445239-20260708-fire","ccn":"445239","date":"2026-07-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-21","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-21","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-21","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-21","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-21","std":1,"tv":"New"}]},{"id":"cms-445239-20260708-health","ccn":"445239","date":"2026-07-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-31","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-31","std":1}]},{"id":"cms-445239-20240917-health","ccn":"445239","date":"2024-09-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-09","cmp":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-09","cmp":1}]},{"id":"cms-445239-20221116-fire","ccn":"445239","date":"2022-11-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2022-12-31","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1,"tv":"New"}]},{"id":"cms-445239-20221116-health","ccn":"445239","date":"2022-11-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0583","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2022-12-31","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2022-12-31","std":1}]},{"id":"cms-445239-20190905-fire","ccn":"445239","date":"2019-09-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2019-09-06","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-20","std":1,"tv":"New"}]},{"id":"cms-445239-20190905-health","ccn":"445239","date":"2019-09-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-01","std":1}]}],"deficiency_types":{"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0921":{"code":"K-0921","title":"Ensure that testing and maintenance of electrical equipment is performed.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-445239-pen-f33614","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-09-17","amount":4256,"fine_id":"33614","evidence_class":"VERIFIED","source_record_id":"445239|Fine|33614"},{"id":"cms-445239-pen-f33634","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-09-17","amount":4256,"fine_id":"33634","evidence_class":"VERIFIED","source_record_id":"445239|Fine|33634"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445239&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TN","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.7,"staffing_rating":2.5,"avg_residents_per_day":83.4,"cycle1_health_deficiencies":4.3,"cycle1_fire_deficiencies":3.6,"nurse_aide_hprd":2.14,"lpn_hprd":1.08,"rn_hprd":0.5969,"licensed_hprd":1.68,"total_nurse_hprd":3.81924,"weekend_total_nurse_hprd":3.32104,"weekend_rn_hprd":0.39,"pt_hprd":0.08,"nursing_turnover_pct":48.6,"rn_turnover_pct":43.2,"administrators_left":0.6,"case_mix_index":1.48006,"fines":0.5,"fine_amount":20665,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TN","name":"Tennessee"},"county":{"fips":"47129","name":"Morgan County"},"zip":"37887","city":"Wartburg"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-445167","ccn":"445167","name":"Life Care Center of Crossville","address":"80 Justice St","city":"Crossville","state":"TN","zip":"38555","beds":122,"overall":4,"inspections":8,"last_inspection":"2026-03-18","deficiencies":19,"serious":1,"ij":0,"open":0,"fines_total":8824,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445215","ccn":"445215","name":"The Heritage Center","address":"1026 Mcfarland Street","city":"Morristown","state":"TN","zip":"37814","beds":197,"overall":2,"inspections":6,"last_inspection":"2025-06-04","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445228","ccn":"445228","name":"Life Care Center of Greeneville","address":"725 Crum Street","city":"Greeneville","state":"TN","zip":"37743","beds":161,"overall":3,"inspections":6,"last_inspection":"2025-06-25","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445236","ccn":"445236","name":"Life Care Center of Columbia","address":"841 W. James Campbell Blvd.","city":"Columbia","state":"TN","zip":"38401","beds":123,"overall":4,"inspections":7,"last_inspection":"2026-08-21","deficiencies":18,"serious":0,"ij":0,"open":3,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445238","ccn":"445238","name":"Life Care Center of Tullahoma","address":"1715 N Jackson St","city":"Tullahoma","state":"TN","zip":"37388","beds":169,"overall":3,"inspections":7,"last_inspection":"2026-05-13","deficiencies":14,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445240","ccn":"445240","name":"Life Care Center of Red Bank","address":"1020 Runyan Dr","city":"Chattanooga","state":"TN","zip":"37405","beds":148,"overall":1,"inspections":7,"last_inspection":"2024-07-17","deficiencies":26,"serious":5,"ij":0,"open":0,"fines_total":8512,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445244","ccn":"445244","name":"Life Care Center of Cleveland","address":"3530 Keith St NW","city":"Cleveland","state":"TN","zip":"37311","beds":142,"overall":2,"inspections":7,"last_inspection":"2025-12-17","deficiencies":22,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445252","ccn":"445252","name":"Life Care Center of Centerville","address":"112 Old Dickson Rd","city":"Centerville","state":"TN","zip":"37033","beds":132,"overall":4,"inspections":6,"last_inspection":"2024-09-12","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":193,"same_site_review":[],"nearby":[]}}