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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E· | F5 |
| 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.
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 | |
|---|---|---|---|---|---|---|
| Jun 17, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 17, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Sep 22, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 22, 2023 | Health | Health Standard | 7 | Immediate jeopardy | — | Open → |
| Jan 24, 2020 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 24, 2020 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E· | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 17, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 17, 2026 | |
| Jun 17, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 17, 2026 | |
| Jun 17, 2026 | F-0582 |
“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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Perry Defoor | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | Sep 1, 1997 |
| Kenneth Defoor | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Sep 1, 1997 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Perry Defoor | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | Sep 1, 1997 |
| Kenneth Defoor | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Sep 1, 1997 |
| Christopher Cotton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 27, 2021 |
| Melissa Fults | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 3, 2020 |
| Mary Merkle | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Huntsville Post-Acute and Rehabilitation Center 287 Baker Street, Huntsville, TN 37756 CCN 445288 | 13.2 km | 96 | Nov 19, 2025 | 383 IJ1 harm | $9,062 | |
| Signature Healthcare of Mccreary County Rehab and 58 Cal Hill Spur, Pine Knot, KY 42635 CCN 185211 | 14.9 km | 60 | May 14, 2026 | 134 IJ2 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445254 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445254 | 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
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Jul 27, 2026 |
| Jun 17, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2026 |
| Jun 17, 2026 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jul 27, 2026 |
| Jun 17, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 27, 2026 |
| Jun 17, 2026 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 27, 2026 |
| Sep 22, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 7, 2023 |
| Sep 22, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 9, 2023 |
| Sep 22, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Oct 9, 2023 |
| Sep 22, 2023 | 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 Oct 6, 2023 |
| Sep 22, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 29, 2023 |
| Sep 22, 2023 | 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 Oct 20, 2023 |
| Sep 22, 2023 | 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 Oct 9, 2023 |
| Sep 22, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 13, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.29 (case-mix index 1.31).
| Operational / managerial control |
| MANAGING CONTROL - GOVERNING BODY |
| not provided |
| Apr 1, 2023 |
| Jessica Shepherd | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2016 |
| Angela Chitwood-Owens | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2014 |
| Christopher Cotton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 27, 2021 |
| Ansley Defoor | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Melissa Fults | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 3, 2020 |
| Michelle Holcombe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 18, 2015 |
| Jessica Shepherd | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2016 |
| Ansley Defoor | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Ansley Defoor | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Ember Souchet | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Craig Taylor | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2014 |
| Guardian Pharmacy of Knoxville, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Mj Mental Health, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Prema Financial Solutions, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Quality Care Rehab Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Saltmarsh | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Angela Chitwood-Owens | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2014 |
| Christopher Cotton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 27, 2021 |
| Ansley Defoor | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Melissa Fults | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 3, 2020 |
| Mary Merkle | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Jessica Shepherd | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2016 |