| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E· | F1 |
| Minimal | A· | B· | C1 |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 4, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 4, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Nov 8, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jan 16, 2020 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 16, 2020 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E· | F1 |
| Minimal | A· | B· | C1 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.19 (case-mix index 1.45).
CMS legal business name of the certified provider. Operates this facility only.
23 facilities in 3 states. CMS chain ID 134.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Valley Springs Opco Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Ephraim Fink | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Menachem Ruvel | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Yisroel Weinberg | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Valley Springs Opco Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Ephraim Fink | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Menachem Ruvel | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Yisroel Weinberg | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2026 |
| Menachem Ruvel | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2026 |
| Yisroel Weinberg | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2026 |
| Michael Floyd | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| David Maxwell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Menachem Ruvel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Valley Springs Propco LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 2026 |
| Valley Springs Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Ephraim Fink | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Michael Floyd | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| David Maxwell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Menachem Ruvel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Yisroel Weinberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Lyonsview Health and Rehabilitation Center 5837 Lyons View Pike, Knoxville, TN 37919 CCN 445114SFF Candidate | 222 | May 19, 2026 | 245 IJ3 harm | $12k | |
| Highlands Health and Rehabilitation Center 3549 Norriswood, Memphis, TN 38111 CCN 445165 | 180 | Jul 29, 2026 | 311 IJ | $15k | |
| Okeena Health and Rehabilitation Center LLC 1900 Parr Avenue, Dyersburg, TN 38024 CCN 445446 | 130 | Apr 22, 2026 | 25 | — | |
| Avondale Health and Rehabilitation Center, LLC 2031 Avondale Street Po Box 446, Humboldt, TN 38343 CCN 445454 | 89 | Jul 22, 2026 | 28 | — | |
| Monroe Health and Rehabilitation Center 465 Isbill Rd, Madisonville, TN 37354 CCN 445457 | 85 | Feb 26, 2026 | 30 | — | |
| Patriot Health and Rehabilitation Center 800 Volunteer Drive, Paris, TN 38242 CCN 445462 | 127 | Jul 8, 2026 | 171 harm | $30k | |
| Dyersburg Health and Rehabilitation Center 350 East Tickle Street, Dyersburg, TN 38024 CCN 445497 | 123 | Dec 11, 2025 | 416 IJ2 harm | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Smoky Mountain Health and Rehabilitation Center 415 Cole Drive, Pigeon Forge, TN 37863 CCN 445382 | 9.9 km | 120 | Aug 11, 2026 | 292 IJ3 harm2 open | $61k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445132 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445132 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction