Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chattanooga Health And Rehab Center during CMS and state inspections, most recent first.
Surveyors observed that kitchen equipment, including the cook-top stove and oven, was not maintained in a sanitary condition, with visible dried food debris and residue present. The Dietary Manager and other staff confirmed the need for cleaning and were unable to provide a cleaning schedule or documentation.
Two residents were not given a Notice of Medicare Non-Coverage (NOMNC) after their Medicare Part A skilled services ended, despite facility policy requiring this notification. As a result, the residents were not informed about the end of coverage or their options for continuing therapy services or appealing the decision.
A resident with multiple chronic conditions did not have their medication regimen recommendations from the consultant pharmacist reviewed or acted upon by the physician, despite repeated suggestions to decrease dosages of hydroxyzine and clonazepam. The DON confirmed that although the physician was present monthly, the pharmacist's recommendations were not addressed, resulting in a failure to follow facility policy.
Surveyors observed that expired IV catheters and a needle were stored in a medication room and available for immediate use. The DON confirmed these expired supplies were accessible and should have been discarded.
Surveyors observed that the dumpster area was not kept clean or sanitary, with cardboard, plastic bags, and boxes scattered around and on top of the dumpsters, and both dumpsters missing drain plugs. The ADON confirmed the area was not properly maintained.
A gas cook top oven in the facility's kitchen was found to have a heavy, unstable door that could drop forcefully and a loose bottom face plate that trapped food debris, both of which had been in disrepair for months. Staff confirmed awareness of these issues and the need for professional repair.
The facility failed to properly seal food items and maintain kitchen equipment in a sanitary condition, potentially affecting 48 of 49 residents. Observations revealed unsealed bottles of cinnamon and cayenne pepper, an unsealed bag of brown sugar, and unsanitary conditions in the toaster oven and deep fryer. The Certified Dietary Manager confirmed these deficiencies.
A facility failed to refer a resident with new mental health diagnoses, including Major Depression and Delusional Disorder, for a Level II PASRR evaluation. Despite the facility's policy requiring prompt referral for residents with possible serious mental disorders, the resident was not referred after being diagnosed with these conditions. The Social Service Director confirmed the oversight during an interview.
The facility failed to update care plans for two residents following significant changes in their care needs. One resident, admitted with multiple diagnoses, was ordered hospice services, but the care plan did not reflect this. Another resident had a discrepancy in their code status, with the care plan indicating full code while orders showed DNR. These oversights were confirmed by nursing staff.
A resident with moderate cognitive impairment was found to have unsecured Miralax left on their bedside table, contrary to the facility's medication administration policy. The resident confirmed the medication was not taken as scheduled, and the DON acknowledged the lack of assessment for self-administration.
The facility did not maintain proper containment of garbage and refuse in one of its dumpsters. An observation revealed that the area around dumpster B had a trash bag, used gloves, and paper debris on the ground, contrary to the facility's policy. The CDM confirmed the unsanitary condition of the dumpster area.
The facility failed to ensure proper infection control during meal service, as observed with two CNAs who did not perform hand hygiene between tasks. CNA A and CNA B were seen serving meal trays and handling items without washing or sanitizing hands, which was confirmed during interviews. The DON acknowledged the lapse in infection control practices.
Failure to Maintain Sanitary Kitchen Equipment
Penalty
Summary
The facility failed to maintain kitchen equipment in a sanitary working condition as required by its own Nutritional Services policy. During an initial kitchen tour, surveyors observed that the cook-top stove and oven had smeared, dried, dark brown food debris on the splash plate, and the oven doors had dried, multi-colored food debris on their tops. Additionally, a 3/4 inch gap at the bottom face plate of the unit contained diced potato pieces in various stages of discoloration, from tan to charred black. An electrical box near the cook-top stove was also found to be covered with a sticky tan substance and granular food debris. Interviews with the Lead Cook, Assistant Director of Nursing, and Dietary Manager confirmed that the cook-top oven was not in a clean condition and required thorough cleaning. The Dietary Manager acknowledged awareness of the unclean state of the equipment and was unable to provide a cleaning schedule or documentation, stating that the facility did not have such records. No information about residents or their conditions was included in the report.
Failure to Provide NOMNC to Residents After Discontinuation of Skilled Services
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) to two residents after their Medicare Part A skilled services were discontinued. According to the facility's policy, a NOMNC must be issued to residents or their representatives when Medicare-covered services are ending, regardless of whether the resident is leaving the facility or remaining for long-term care. Medical record reviews showed that one resident with diagnoses including atherosclerosis of the aorta, anemia, cardiomegaly, and muscle weakness, and another resident with muscle weakness, history of falling, age-related physical debility, and hypertension, did not receive the required NOMNC after their last covered skilled service days. This omission meant that the residents were not informed about the end of their Medicare coverage for therapy services and were not given the opportunity to make an informed decision regarding the continuation of therapy services at their own expense or to file an appeal. The President of Clinical Reimbursement confirmed during an interview that the required notices were not provided to these residents prior to their discharge from skilled services.
Physician Failed to Act on Pharmacist Medication Recommendations
Penalty
Summary
The facility failed to ensure that the physician reviewed and acted upon irregularities identified by the consultant pharmacist for one resident who was reviewed for unnecessary medications. According to the facility's policy, recommendations and findings from the consultant pharmacist are to be documented and acted upon by the nursing care center and/or physician. However, medical record reviews revealed that for a resident with diagnoses including heart disease, schizoaffective disorder, chronic kidney disease, and delusional disorders, the physician did not sign or document a response to multiple consultant pharmacist recommendations regarding medication regimen adjustments. These recommendations included suggestions to decrease dosages of hydroxyzine and clonazepam over several months. Despite the consultant pharmacist's documented recommendations in monthly reports, there was no evidence in the medical record that the physician acknowledged or addressed these recommendations. The Director of Nursing confirmed during an interview that the physician was present in the facility at least monthly to review reports, but the consultant pharmacist's recommendations were not acted upon by the physician. This lack of documented physician response to identified medication irregularities constitutes a failure to follow facility policy and regulatory requirements.
Expired IV Supplies Found in Medication Storage Room
Penalty
Summary
During an observation in one of the medication storage rooms, surveyors found multiple expired intravenous (IV) supplies, including nine 20-gauge IV catheters, one 22-gauge IV catheter, and one 25-gauge needle, all past their expiration dates. These expired items were stored in the medication room and were available for immediate use on residents. The Director of Nursing (DON) confirmed during an interview that the expired IV supplies were accessible for resident use and acknowledged that they should have been discarded.
Improper Maintenance of Dumpster Area and Refuse
Penalty
Summary
The facility failed to maintain the dumpster area and refuse contents in a clean and sanitary condition, as required by its Nutritional Services policy. During an observation with the Assistant Director of Nursing, surveyors noted the presence of cardboard, multiple plastic bags with unknown contents, and several cardboard boxes on top of the dumpsters. Additionally, neither of the two dumpsters had a drain plug in place. The ADON confirmed during an interview that the dumpster area was not properly maintained. No information about residents or their medical conditions was included in the report.
Failure to Maintain Kitchen Equipment in Safe Working Condition
Penalty
Summary
The facility failed to maintain essential kitchen equipment in safe and sanitary working condition, specifically a gas cook top oven. During an inspection, it was observed that the right-side oven door would open and drop forcefully with slight touch, posing a risk of injury to kitchen staff. The door was described as heavy and unstable. Additionally, the bottom metal face plate below the oven doors was found to be wrinkled, not attached to the frame, and created a 3/4 inch gap that retained burnt food pieces and other food residue. The Lead confirmed that the stove had been in this condition for months, and both the Assistant Director of Nursing and the Dietary Manager acknowledged the need for professional repair. These findings were based on facility policy review, direct observation, and staff interviews. No residents were directly involved or affected according to the report, and no specific medical history or resident condition was mentioned in relation to the deficiency.
Improper Food Storage and Unsanitary Kitchen Equipment
Penalty
Summary
The facility failed to ensure proper sealing of food items and maintenance of kitchen equipment in a sanitary condition, potentially affecting 48 of 49 residents. During a review of the facility's undated policy titled 'Food Storage,' it was revealed that all open products should be sealed to prevent contamination. However, observations in the food preparation area showed that a 15-ounce bottle of ground cinnamon, a 14-ounce bottle of cayenne pepper, and a 32-ounce bag of brown sugar were not sealed properly. Additionally, the toaster oven had crusty, brown food debris and dried, brownish-black residue on the temperature dials. Further observation in the cooking area revealed a thick, brownish-yellow residue on the front panel of the deep fryer. During an interview, the Certified Dietary Manager confirmed that the dried food items were not sealed appropriately and that the kitchen equipment, including the toaster and deep fryer, had not been maintained in a sanitary condition.
Failure to Refer Resident for Level II PASRR Evaluation
Penalty
Summary
The facility failed to refer a resident identified with possible serious mental disorders to the state-designated authority for a Level II Pre-Admission Screening and Resident Review (PASRR) evaluation. The facility's policy, revised in May 2024, mandates that any resident exhibiting evident or possible serious mental health disorders be promptly referred for a Level II resident review. However, a review of the Pre-Admission PASRR screening dated March 18, 2022, indicated that the resident had no mental health disorder at that time. Upon admission, the resident was diagnosed with Major Depression, Delusional Disorder, Restlessness, and Agitation. During an interview, the Social Service Director confirmed that the resident was not referred for a Level II PASRR screening after receiving the new mental health diagnoses.
Failure to Update Care Plans for Hospice and Code Status
Penalty
Summary
The facility failed to revise the comprehensive care plan for two residents following significant changes in their care needs. Resident #28, who was admitted with diagnoses including Congestive Heart Failure, COPD, and Diabetes Mellitus, was ordered to receive hospice services on 4/20/2024. Despite this, the comprehensive care plan for Resident #28 did not include hospice services, although the resident was cognitively intact and had a Do Not Resuscitate (DNR) status. This oversight was confirmed by the Assistant Director of Nursing during an interview. Similarly, Resident #31, admitted with End Stage Renal Disease, COPD, Type 2 Diabetes, and Major Depression, had a discrepancy in their care plan regarding code status. The comprehensive care plan dated 9/14/2023 indicated a full code status, while the POLST form and Physician's Orders dated 12/11/2023 and 1/19/2024, respectively, indicated a DNR status. This inconsistency was confirmed by the Director of Nursing during an interview. Both cases highlight the facility's failure to update care plans in response to significant changes in residents' care needs.
Failure to Secure Medications for Resident
Penalty
Summary
The facility failed to properly secure medications for a resident, leading to a deficiency in ensuring a safe environment free from accident hazards. The facility's policy on medication administration requires that medications be administered by licensed nurses and observed for consumption by the resident. However, during multiple observations, an 8 oz cup containing approximately 1 oz of an unidentified white powder, later confirmed to be Miralax, was found unsecured on the bedside table of a resident with moderate cognitive impairment. The resident was not present in the room during these observations, and the medication was left unattended. The resident, who had a physician's order for Miralax to be taken daily for constipation, confirmed that the white powder was indeed Miralax and stated that they had not taken the medication that morning. Despite this, the medication administration record indicated that the Miralax had been administered. The Director of Nursing later confirmed that the resident had not been assessed for self-administration of medication, and acknowledged that the medication was left unsecured at the bedside, which is a violation of the facility's medication administration policy.
Improper Garbage Disposal in Dumpster Area
Penalty
Summary
The facility failed to ensure proper containment of garbage and refuse in one of its two dumpsters, specifically dumpster B. According to the facility's policy on the disposal of garbage and refuse, dated May 1, 2024, garbage should not accumulate or be left outside the dumpster. However, during an observation on May 20, 2024, at 11:15 AM, conducted with the Certified Dietary Manager (CDM), it was noted that the area around dumpster B had a trash bag of unknown contents that was three-quarters full, four used disposable gloves, and multiple pieces of paper debris of various sizes scattered on the ground. In an interview conducted shortly after the observation, at 11:26 AM, the CDM confirmed that the dumpster area had not been maintained in a sanitary condition, indicating a failure to adhere to the facility's policy on garbage disposal.
Inadequate Hand Hygiene During Meal Service
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices were followed during meal tray delivery to residents. Observations revealed that Certified Nursing Assistant (CNA) A entered multiple rooms with gloved hands, served meal trays, and exited without performing hand hygiene. CNA A was seen donning new gloves without washing or sanitizing hands between tasks, including handling a resident's helmet and serving additional meal trays. This lack of hand hygiene was confirmed by CNA A during an interview. Similarly, CNA B was observed entering a resident's room with gloved hands, serving a meal tray, and handling clean linen without changing gloves or performing hand hygiene. CNA B continued to serve another meal tray without proper hand hygiene until the end of the observation. During interviews, both CNAs confirmed their failure to wash or sanitize hands during meal service. The Director of Nursing acknowledged the facility's failure to adhere to infection control practices during the meal tray delivery process.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Chattanooga
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Health Center At Standifer Place | 2 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Collegedale | 3.5 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Ooltewah | 4.3 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of East Ridge | 6.5 mi | ★★★★★ | 6 | 0 |
| Nhc Healthcare, Chattanooga | 8.5 mi | ★★★★★ | 0 | 0 |
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