Home / Tennessee / Chattanooga
Chattanooga Health and Rehab Center
8249 Standifer Gap Road, Chattanooga, TN 37421 · Hamilton County · (423) 892-1716
127 certified beds, about 79 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445205 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 6, 2025, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 22 health citations since July 2021 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $6,509 in the last three years; the largest was $6,509, and the latest is dated October 2, 2023.
Nurses and nurse aides worked 3.22 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
77.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Vertical Health Services, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
607/21
410/23
605/24
608/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
7F
Potential for minimal harm
0A
1B
0C
August 6, 2025Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure the kitchen equipment was maintained in a sanitary working condition.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to provide 2 of 3 residents (Resident #30, and Resident #38) an NOMNC (a notice of non-coverage) after therapy services were discontinued, the resident remained in the facility for long-term care services, or was discharged from the facility. The facility's failure resulted in residents not being informed of the cost of therapy services if continued therapy services were desired which did not allow the residents to have an informed choice.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure the Physician reviewed and acted upon irregularities identified by the Consultant Pharmacist for 1 resident (Resident #4) of 5 residents reviewed for unnecessary medications.
- D 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.
Inspectors wroteBased on observation and interview the facility failed to ensure expired intravenous supplies were discarded and not available for resident use in 1 of 2 medication storage rooms observed for medication storage.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure the dumpster area and refuse contents were maintained in a clean and sanitary order.
- B Keep all essential equipment working safely.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure kitchen equipment of 1 gas cook top oven was maintained in good working condition.
May 22, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interview, the facility failed to ensure food items were sealed properly and failed to ensure the kitchen cooking equipment was maintained in a sanitary condition which had the potential to affect 48 of 49 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to refer 1 resident (Resident #36) identified with possible serious mental disorders to the state-designated authority for a Level II Pre-admission Screening and Resident Review (PASRR) evaluation of 14 residents reviewed for PASRR.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to revise the comprehensive care plan to include hospice services for 1 resident (Resident #28) and code status for 1 resident (Resident #31) of 21 residents reviewed for care plans.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to properly secure medications for 1 resident (Resident #25) of 8 residents screened for accidents and hazards.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 1 of 2 dumpsters (dumpster B).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation, and interviews the facility failed to ensure practices to prevent the potential spread of infection were followed while delivering meal trays to residents on 1 hallway of 3 hallways observed.
October 2, 2023Complaint inspection · 4 citations
- F Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on financial record reviews and interviews, the facility failed in their fiduciary responsibility in holding, safeguarding, managing and accounting for the deposited personal funds for 9 of 27 residents with Resident Trust Accounts (#7, # 9, #14, #15, # 16, #17, #18, #19 and #20).
- F Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on facility's Resident Trust documentation review and interviews, the facility failed to maintain each resident's personal entrusted funds to the facility were full and complete for 4 of 4 residents (# 9, #17, #18 and #20) reviewed. The facility failed to ensure the appropriate Care Cost deductions were debited from Resident #9 and Resident #18's accounts. The facility failed to ensure Resident #20 received a pension/retirement funds as was entrusted to the facility.
- F Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interviews, the facility failed to manage Resident Trust Accounts for 6 out of 27 residents (#7, #14, # 15, # 16, #17 and #19) to ensure they did not exceed the allowable Medicaid limit of $2000.
- F Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Inspectors wroteBased on financial record reviews and interviews, the facility's governing body failed to honor monetary contractual agreements of vendor services and failed ensure effective management of its financial resources to ensure invoices were paid timely per agreements which had the potential for disruption in essential services and created a situation which had the potential to be detrimental to the health, safety, and welfare of all residents in the facility. The facility failed to manage residents financial accounts entrusted to the facility for 9 (#7, # 9, #14, #15, # 16, #17, #18, #19 and #20) of 27 residents.
July 21, 2021Standard inspection · 6 citations
- F Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on review of a facility policy and interview, the facility Quality Assurance and Performance Improvement (QAPI) committee failed to develop and implement an effective program to monitor ongoing concerns and develop a plan related to concerns of resident weight loss which has the potential to affect all residents in the facility.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility policy, observation, medical record review, and interview the facility failed to ensure Registered Dietitian recommendations were implemented, failed to identify significant weight loss, and failed to reweigh residents with a significant weight change for 4 of 6 residents (#3, #9, #11, and #12) with identified weight loss.
- E Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to ensure the Physician or Physician's representative was aware of weight loss for 4 of 6 residents (#3, #9, #11, and #12) with identified weight loss.
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of the facility's nurse orientation packet, review of the Facility Assessment, personnel file review, and interview, the facility failed to provide documentation a comprehensive orientation related to the destruction of controlled substances was completed for 5 licensed nurses of 9 licensed nursing personnel files reviewed.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on facility policy review, medical record review, review of facility medication destruction documentation, and interview, the facility failed to ensure a system of record-keeping for the destruction of controlled medications was accurate for 1 resident (Resident #32) of 8 residents reviewed for narcotic medication reconciliation.
- D 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.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to store a controlled substance in a safe manner during 1 of 3 medication cart observations.
Fire safety inspections
19 fire safety citations on file: 11 on May 22, 2024, 1 on July 21, 2021, 7 on February 26, 2020.
Every fire safety citation19 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Establish staff and initial training requirements.
- D Conduct testing and exercise requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Include a process for Emergency Preparedness collaboration.
- F Establish emergency prep training and testing.
- F Implement emergency and standby power systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 2, 2023 | Fine | $6,509 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.22 | 3.80 | 3.86 |
| Registered nurses | 0.51 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.71 | 3.31 | 3.42 |
| Nurse aides | 1.70 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 77.6% | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.01 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.43 on weekdays and 2.71 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.22 | 0.51 | 3.43 | 2.71 | 0.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.30 | 0.45 | 3.40 | 3.05 | 0.4% | 2 of 92 | 68 |
| Jul to Sep 2025 | 3.13 | 0.43 | 3.30 | 2.69 | 0.0% | 0 of 92 | 71 |
| Apr to Jun 2025 | 3.80 | 0.41 | 4.08 | 3.09 | 0.0% | 0 of 91 | 64 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 36.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.6 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: STANDIFER GAP RD HEALTHCARE LLC. CMS links this home to Vertical Health Services, a group of 15 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Vhs Tn Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/13/2024 |
| Miller, William | Corporate officer | Individual | 11/13/2024 | |
| Heisser, Randy | Operational/managerial control | Individual | 11/13/2024 | |
| Linville, Amy | Operational/managerial control | Individual | 11/13/2024 | |
| Vertical Health Services LLC | Adp of the SNF | Organization | 12/19/2024 | |
| Heisser, Randy | Adp of the SNF | Individual | 11/13/2024 | |
| Linville, Amy | Adp of the SNF | Individual | 11/13/2024 | |
| Miller, William | Adp of the SNF | Individual | 11/13/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on August 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on August 6, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 6, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 22, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.71 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- The Health Center at Standifer Place Chattanooga, 2 mi · 4 of 5 stars · 15 citations
- Life Care Center of Collegedale Collegedale, 3.5 mi · 4 of 5 stars · 8 citations
- Life Care Center of Ooltewah Ooltewah, 4.3 mi · 4 of 5 stars · 7 citations
- Life Care Center of East Ridge Chattanooga, 6.5 mi · 3 of 5 stars · 14 citations
- NHC Healthcare, Chattanooga Chattanooga, 8.5 mi · 4 of 5 stars · 10 citations
- NHC Healthcare Ft Oglethorpe Fort Oglethorpe, 9.3 mi · 5 of 5 stars · 12 citations
- Pruitthealth - Fort Oglethorpe Fort Oglethorpe, 9.7 mi · 3 of 5 stars · 20 citations
- Life Care Center of Hixson Hixson, 10.3 mi · 1 of 5 stars · 8 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Chattanooga Health and Rehab Center's Medicare star rating?
- CMS rates Chattanooga Health and Rehab Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Chattanooga Health and Rehab Center get at its last inspection?
- 6 health deficiencies at the standard inspection on August 6, 2025. The Tennessee average is 4.4.
- Has Chattanooga Health and Rehab Center been fined?
- Yes. CMS lists 1 fine totaling $6,509 in the last three years.
- Does Chattanooga Health and Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Chattanooga Health and Rehab Center?
- CMS lists 8 owners and managers, and links the home to Vertical Health Services. Legal business name: STANDIFER GAP RD HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.