{"schema_version":"1.0.0","facility":{"id":"cms-445277","ccn":"445277","name":"Starr Regional Health & Rehabilitation","source_name":"STARR REGIONAL HEALTH & REHABILITATION","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":"886 Hwy 411 North","city":"Etowah","state":"TN","zip":"37331","county_name":"McMinn County","county_fips":"47107","county_method":"point_in_polygon","ssa_county_code":"530","urban":false},"location":{"lat":35.3624,"lon":-84.514,"method":"cms_published_coordinates"},"phone":"4232633646","certification":{"authority":"CMS","ccn":"445277","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1992-03-05","certified_beds":88,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/445277"},"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":88,"avg_residents_per_day":50.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"ATHENS REGIONAL MEDICAL CENTER LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":4},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.44777,"lpn_hprd":1.14498,"rn_hprd":0.86819,"licensed_hprd":2.01317,"total_nurse_hprd":4.46094,"weekend_total_nurse_hprd":3.74123,"weekend_rn_hprd":0.43192,"pt_hprd":0.10844,"nursing_turnover_footnote":"26","rn_turnover_footnote":"26","administrator_turnover_footnote":"26","case_mix_index":1.26061,"case_mix_index_ratio":0.89389,"case_mix_total_nurse_hprd":3.48692,"adjusted_total_nurse_hprd":4.95134,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-01-14","cycle1_deficiencies":1,"cycle1_score":4,"cycle2_date":"2024-02-06","cycle23_deficiencies":6,"cycle23_score":36,"total_weighted_score":12},"cms_penalty_counts":{"fines":2,"fine_total":8697,"payment_denials":0,"total":2},"chain":{"id":"cms-chain-787","cms_chain_id":"787","name":"LIFEPOINT HEALTH"},"operator_id":"op-athens-regional-medical-center-llc","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/445277","provenance":[{"source_id":"cms_provider_info","source_record_id":"445277","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=445277&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":"445277","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=445277&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."},{"source_id":"cms_provider_info","source_record_id":"445277","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=445277&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":["county_fips"],"evidence_class":"INFERRED","status":"current","note":"County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list)."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2026-01-14","latest_standard_health":"2026-01-14","earliest_date":"2021-06-23","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":14,"health_count":11,"fire_count":3,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":14},"by_scope_severity":{"D":12,"F":1,"E":1},"by_concept":{"emergency_preparedness":2,"environment_life_safety":1,"infection_prevention":2,"administration":1,"clinical_care":5,"staffing":1,"food_nutrition":1,"medication":1},"type_ids":["cms-e0004","cms-k0921","cms-f0880","cms-e0039","cms-f0851","cms-f0641","cms-f0645","cms-f0646","cms-f0732","cms-f0812","cms-f0657","cms-f0755"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":8697,"payment_denials":0,"latest_date":"2024-02-06"},"ownership_summary":{"disclosures":37,"organizations":7,"individuals":28,"not_available":false}},"row":{"id":"cms-445277","ccn":"445277","name":"Starr Regional Health & Rehabilitation","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TN","city":"Etowah","zip":"37331","county_fips":"47107","county_name":"McMinn County","address":"886 Hwy 411 North","beds":88,"residents":50.1,"ownership":"for_profit","operator_id":"op-athens-regional-medical-center-llc","operator_name":"Athens Regional Medical Center LLC","chain_id":"cms-chain-787","chain_name":"Lifepoint Health","lat":35.3624,"lon":-84.514,"overall":5,"health_rating":4,"staffing_rating":3,"qm_rating":5,"nurse_hprd":4.46,"inspections":6,"last_inspection":"2026-01-14","deficiencies":14,"serious":0,"ij":0,"open":0,"penalties":2,"fines_total":8697,"deficiency_type_ids":["cms-e0004","cms-k0921","cms-f0880","cms-e0039","cms-f0851","cms-f0641","cms-f0645","cms-f0646","cms-f0732","cms-f0812","cms-f0657","cms-f0755"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-athens-regional-medical-center-llc","name":"Athens Regional Medical Center LLC","legal_name":"ATHENS REGIONAL MEDICAL CENTER LLC","facility_count":1,"states":["TN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-787","name":"Lifepoint Health","cms_chain_id":"787","facility_count":8,"states":["KY","MI","NC","PA","TN","VA"],"cms_reported":{"facility_count":8,"avg_overall_rating":4,"avg_health_inspection_rating":3.9,"avg_staffing_rating":3.6,"avg_qm_rating":3.6}},"ownership":[{"owner_id":"org-lifepoint-holdings-2-llc","owner_type":"organization","owner_name":"Lifepoint Holdings 2 LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2013-12-01"},{"owner_id":"org-historic-lifepoint-hospitals-llc","owner_type":"organization","owner_name":"Historic Lifepoint Hospitals, LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2013-12-01"},{"owner_id":"org-legacy-lifepoint-health-llc","owner_type":"organization","owner_name":"Legacy Lifepoint Health LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2013-12-01"},{"owner_id":"org-lifepoint-hospitals-holdings-llc","owner_type":"organization","owner_name":"Lifepoint Hospitals Holdings LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2013-12-01"},{"owner_id":"org-dsb-acquisition-llc","owner_type":"organization","owner_name":"Dsb Acquisition LLC","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2018-11-16"},{"owner_id":"org-lifepoint-health-inc","owner_type":"organization","owner_name":"Lifepoint Health Inc","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2018-11-16"},{"owner_id":"org-lifepoint-corporate-services-general-partnership","owner_type":"organization","owner_name":"Lifepoint Corporate Services General Partnership","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01"},{"owner_type":"individual","owner_name":"Sharon Coe","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1995-12-09","owner_name_raw":"COE, SHARON"},{"owner_type":"individual","owner_name":"Crystal Hudgins","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2008-05-15","owner_name_raw":"HUDGINS, CRYSTAL"},{"owner_type":"individual","owner_name":"Evan Lapinski","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-20","owner_name_raw":"LAPINSKI, EVAN"},{"owner_type":"individual","owner_name":"Elizabeth Masengil","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-10-10","owner_name_raw":"MASENGIL, ELIZABETH"},{"owner_type":"individual","owner_name":"John Mclain","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-08-01","owner_name_raw":"MCLAIN, JOHN"},{"owner_type":"individual","owner_name":"Emily Mills","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-08-08","owner_name_raw":"MILLS, EMILY"},{"owner_type":"individual","owner_name":"Patricia Roberts","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-18","owner_name_raw":"ROBERTS, PATRICIA"},{"owner_type":"individual","owner_name":"Wallace Stutts","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-09-04","owner_name_raw":"STUTTS, WALLACE"},{"owner_type":"individual","owner_name":"Georgette Watson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-02-14","owner_name_raw":"WATSON, GEORGETTE"},{"owner_type":"individual","owner_name":"Shelby Wilson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-09-14","owner_name_raw":"WILSON, SHELBY"},{"owner_type":"individual","owner_name":"Daniel Davis","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-06-24","owner_name_raw":"DAVIS, DANIEL"},{"owner_type":"individual","owner_name":"John Grooms","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-11-01","owner_name_raw":"GROOMS, JOHN"},{"owner_type":"individual","owner_name":"William Haugh","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-25","owner_name_raw":"HAUGH, WILLIAM"},{"owner_type":"individual","owner_name":"Charlotte Lawrence","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-21","owner_name_raw":"LAWRENCE, CHARLOTTE"},{"owner_type":"individual","owner_name":"Christopher Monte","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2006-06-26","owner_name_raw":"MONTE, CHRISTOPHER"},{"owner_type":"individual","owner_name":"Marcus Poppell","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2009-11-02","owner_name_raw":"POPPELL, MARCUS"},{"owner_id":"org-lifepoint-corporate-services-general-partnership","owner_type":"organization","owner_name":"Lifepoint Corporate Services General Partnership","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-17"},{"owner_id":"org-lifepoint-health-inc","owner_type":"organization","owner_name":"Lifepoint Health Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-17"},{"owner_type":"individual","owner_name":"Sharon Coe","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1995-12-09","owner_name_raw":"COE, SHARON"},{"owner_type":"individual","owner_name":"Brittany Cook","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-06-24","owner_name_raw":"COOK, BRITTANY"},{"owner_type":"individual","owner_name":"Crystal Hudgins","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2008-05-15","owner_name_raw":"HUDGINS, CRYSTAL"},{"owner_type":"individual","owner_name":"Evan Lapinski","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-20","owner_name_raw":"LAPINSKI, EVAN"},{"owner_type":"individual","owner_name":"Elizabeth Masengil","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-10-10","owner_name_raw":"MASENGIL, ELIZABETH"},{"owner_type":"individual","owner_name":"John Mclain","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-09-15","owner_name_raw":"MCLAIN, JOHN"},{"owner_type":"individual","owner_name":"Emily Mills","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2016-08-08","owner_name_raw":"MILLS, EMILY"},{"owner_type":"individual","owner_name":"Samuel Olsen","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-14","owner_name_raw":"OLSEN, SAMUEL"},{"owner_type":"individual","owner_name":"Patricia Roberts","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-18","owner_name_raw":"ROBERTS, PATRICIA"},{"owner_type":"individual","owner_name":"Wallace Stutts","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-09-04","owner_name_raw":"STUTTS, WALLACE"},{"owner_type":"individual","owner_name":"Georgette Watson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-02-14","owner_name_raw":"WATSON, GEORGETTE"},{"owner_type":"individual","owner_name":"Shelby Wilson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-09-14","owner_name_raw":"WILSON, SHELBY"}],"inspections":[{"id":"cms-445277-20260114-fire","ccn":"445277","date":"2026-01-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-e0004","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-10","std":1,"tv":"New"},{"t":"cms-k0921","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-10","std":1,"tv":"New"}]},{"id":"cms-445277-20260114-health","ccn":"445277","date":"2026-01-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"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-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-11","std":1}]},{"id":"cms-445277-20240206-fire","ccn":"445277","date":"2024-02-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-e0039","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-04","std":1,"tv":"New"}]},{"id":"cms-445277-20240206-health","ccn":"445277","date":"2024-02-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-04","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-04","std":1},{"t":"cms-f0646","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-04","std":1},{"t":"cms-f0732","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-04","std":1},{"t":"cms-f0851","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-04","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-04","std":1}]},{"id":"cms-445277-20210623-fire","ccn":"445277","date":"2021-06-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-445277-20210623-health","ccn":"445277","date":"2021-06-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2021-07-16","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2021-07-16","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2021-07-16","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2021-07-16","std":1}]}],"deficiency_types":{"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-f0851":{"code":"F-0851","title":"Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0646":{"code":"F-0646","title":"Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-445277-pen-f33529","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-02-06","amount":4680,"fine_id":"33529","evidence_class":"VERIFIED","source_record_id":"445277|Fine|33529"},{"id":"cms-445277-pen-f33530","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-02-06","amount":4017,"fine_id":"33530","evidence_class":"VERIFIED","source_record_id":"445277|Fine|33530"}],"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=445277&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=445277&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=445277&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=445277&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=445277&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=445277&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":"47107","name":"McMinn County"},"zip":"37331","city":"Etowah"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":7,"same_site_review":[],"nearby":[{"id":"cms-445422","ccn":"445422","name":"Etowah Health and Rehabilitation","address":"409 Grady Road Po Box 957","city":"Etowah","state":"TN","zip":"37331","beds":120,"overall":1,"inspections":8,"last_inspection":"2026-02-25","deficiencies":29,"serious":2,"ij":0,"open":0,"fines_total":12377,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.1},{"id":"cms-445298","ccn":"445298","name":"Life Care Center of Athens","address":"1234 Frye Street Po Box 786","city":"Athens","state":"TN","zip":"37371","beds":128,"overall":2,"inspections":6,"last_inspection":"2026-03-28","deficiencies":23,"serious":1,"ij":1,"open":0,"fines_total":12444,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.6},{"id":"cms-445099","ccn":"445099","name":"Nhc Healthcare, Athens","address":"1204 Frye St","city":"Athens","state":"TN","zip":"37303","beds":86,"overall":5,"inspections":6,"last_inspection":"2026-06-10","deficiencies":8,"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"],"distance_km":12.2}]}}