Foothills Transitional Care and Rehabilitation — nursing home in Maryville, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 185 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 110.9 CMS, MDS-derived
CMS Certification Number: 445245
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 1, 1990
Ownership type: For profit - Corporation
Operator (legal business name): Smoky Mountain Healthcare Inc
CMS chain: The Ensign Group 347 facilities
Phone: (865) 984-7400
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Feb 18, 2025

Citations

28

23 health · 5 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D21	E2	F4
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$9,982

Payment denials

0

Latest

Feb 18, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445245
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 185
First approved: Mar 1, 1990
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Tennessee.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 18, 2025	Health	Health Complaint	5	Actual harm	—	Open →
Jan 10, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 10, 2024	Health	Health Standard	12	Potential harm	—	Open →
Feb 12, 2020	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Feb 12, 2020	Health	Health Standard	3	Potential harm	—	Open →
Jan 16, 2019	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 16, 2019	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 18, 2025	Civil money penalty (fine)	$9,982	—	445245\|Fine\|33644

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D21	E2	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 18, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance Jun 1, 2024	Complaint
Feb 18, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 1, 2025	Complaint
Feb 18, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Past non-compliance Jan 14, 2025	Complaint
Feb 18, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 1, 2025	Complaint
Feb 18, 2025	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 1, 2025	Complaint
Jan 10, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 13, 2024
Jan 10, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 1, 2024
Jan 10, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 1, 2024
Jan 10, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 9, 2024
Jan 10, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 9, 2024
Jan 10, 2024	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 9, 2024
Feb 12, 2020	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 13, 2020
Feb 12, 2020	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2020
Feb 12, 2020	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 27, 2020
Feb 12, 2020	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 27, 2020
Jan 16, 2019	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2019
Jan 16, 2019	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 18, 2019
Jan 16, 2019	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 18, 2019
Jan 16, 2019	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 18, 2019

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.46

State avg 3.82US avg 3.90

Registered nurse (RN)0.61

State avg 0.60US avg 0.69

Licensed practical nurse0.97

State avg 1.08US avg 0.86

Nurse aide1.89

State avg 2.14US avg 2.35

Weekend total nurse2.96

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.05 (case-mix index 1.59).

Staff turnover

Total nursing staff turnover57.4%

State avg 48.6%US avg 45.3%

Registered nurse turnover52.9%

State avg 43.2%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 10, 2024
Cycle 1 health score: 60
Total weighted score: 62

Operating entity

Smoky Mountain Healthcare Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

13

Organizations

3

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rocky Top Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 18, 2023

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rocky Top Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 18, 2023
Barry Port	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 11, 2025
Onshift Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2021
Charles Dietrich	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2024
Teresa Salazar-Catron	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2024
Tyler Albrechtsen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 18, 2023
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 18, 2023
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2014
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Brent Thatcher	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 18, 2023
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2024
Charles Dietrich	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2024
Teresa Salazar-Catron	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2024

Same chain in Tennessee

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Legacy Park Health and Rehabilitation 7424 Middlebrook Pike, Knoxville, TN 37909 CCN 445105	176	Aug 31, 2026	431 harm	$75k
Tri State Health and Rehabilitation Center 600 Shawanee Rd, Harrogate, TN 37752 CCN 445263	116	Dec 17, 2025	235 IJ	$15k
Creekview Health and Rehabilitation 3300 Broadway NE, Knoxville, TN 37917 CCN 445297	91	Nov 17, 2025	43	—
Union City Health and Rehabilitation 1630 E Reelfoot Ave, Union City, TN 38261 CCN 445381	115	Aug 21, 2025	101 IJ	$10k
Vanayer Senior Living and Rehabilitation 460 Hannings Lane, Martin, TN 38237 CCN 445423	91	Nov 21, 2025	91 harm	$8,589
Meadowbrook Healthcare and Rehabilitation Center 1245 E College St, Pulaski, TN 38478 CCN 445443	83	Feb 22, 2026	21	—
Savannah Nursing and Rehabilitation 1645 Florence Rd, Savannah, TN 38372 CCN 445444	120	May 19, 2026	13	—
Westwood Nursing and Rehabilitation 524 West Main Street, Decaturville, TN 38329 CCN 445449	90	Jun 18, 2025	91 harm	$9,620

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1012 Jamestown Way, Maryville, TN 37803
ZIP: 37803
County: Blount County FIPS 47009
State: Tennessee
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Shannondale of Maryville Health Care Center 803 Shannondale Way, Maryville, TN 37803 CCN 445472	0.8 km	44	Mar 11, 2026	9	—
Fairpark Health and Rehabilitation 307 N Fifth St Box 5477, Maryville, TN 37801 CCN 445286	2.5 km	75	Jul 1, 2026	23	—
Ocoee Transitional Care Center LLC 2320 East Lamar Alexander Pkwy, Maryville, TN 37804 CCN 445404	4.7 km	76	Jul 15, 2026	29	—
The Waters of Maryville 936 Epworth Road, Maryville, TN 37804 CCN 445017Abuse icon	6.3 km	181	Jan 14, 2026	561 harm	$11k
Life Care Center of Blount County 1965 Stewart Lane, Louisville, TN 37777 CCN 445520	13 km	120	Jul 1, 2026	151 harm	$8,018

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445245	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445245	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

Record-level source links for CCN 445245

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction