Foothills Transitional Care and Rehabilitation
1012 Jamestown Way, Maryville, TN 37803 · Blount County · (865) 984-7400
185 certified beds, about 115 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445245 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 10, 2024, inspectors cited 12 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 23 health citations since January 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $9,982 in the last three years; the largest was $9,982, and the latest is dated February 18, 2025.
Nurses and nurse aides worked 3.33 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
51.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to The Ensign Group, an affiliated group of 344 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.
301/19
302/20
1201/24
502/25
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
17D
2E
3F
Potential for minimal harm
0A
0B
0C
February 18, 2025Complaint inspection · 5 citations
- G 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, satellite imagery and measurements from Google Earth review, Historic Weather Data from the National Weather Service (NWS) review, Fire Department (FD) record review, Emergency Medical Services (EMS) records review, facility investigation review, hospital documentation reivew, and interviews the facility failed to prevent an elopement of 1 resident, (Resident #7) of 6 residents reviewed. The facility's failure resulted in Harm to Resident #7 when on the evening of 5/26/2024, Resident #7 exited the facility unbeknownst to staff, walked 0.25 miles away from the facility, down the street, fell over the curb into the yard of a private residence, and was found by an off duty law enforcement officer who was passing by. [...]
- 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, observation, and interview the facility failed to maintain a clean and sanitary Kitchen which had the potential to affect 105 of 105 residents of the facility.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of resident council minutes and interviews, the facility failed to resolve resident concerns related to food quality for 5 consecutive months from 6/2024 through 11/2024 and were not corrected until 12/2024, 6 months after the initial concerns were lodged during the resident council meetings.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observations and interviews the facility failed to maintain all kitchen equipment in a safe and operable condition.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on resident council minutes review, medical record review, and interview the facility failed to provide palatable, temperature appropriate, and sufficient meals for 1 resident (Resident #2) of 5 residents reviewed for dietary services. The facility was cited as Past Non-Compliance at F-804 at a Scope and Severity of D. Non-compliance began on 6/1/2024 and ended on 12/10/2024. The facility is not required to submit a Plan of Correction.
January 10, 2024Standard inspection · 12 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 kitchen cooking/ serving/ storage equipment was maintained in a sanitary condition, which had the potential to affect 95 of 95 residents, and failed to ensure expired thickened liquids were discarded.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to provide privacy for 1 resident (Resident #8) of 95 residents reviewed for resident dignity.
- D 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.
Inspectors wroteBased on facility policy review, facility document review, medical record review and interview, the facility failed to ensure 1 resident (Resident #76) acknowledged having, was educated on or offered information regarding advance directives of 26 advanced directives reviewed.
- D 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.
Inspectors wroteBased on facility policy review, medical record review, observation, and interviews, the facility failed to maintain a safe, clean, homelike environment in 3 resident (Residents #30, #3, and #8) rooms of 66 rooms observed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 3 residents (Residents #48, #42, and #30) of 29 residents reviewed for MDS assessments.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, observation, and interviews the facility failed to implement the care plan for 1 resident (Resident #84) of 29 care plans reviewed.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, observation, and interviews the facility failed to follow physician orders for 1 resident (Resident #84) of 29 residents reviewed.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to secure dental services for 1 resident (Resident #8) of 29 residents reviewed for dental services.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure garbage and refuse were properly contained in 1 of 1 dumpster.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and interviews, the facility failed to provide hand hygiene assistance for residents prior to the meal on 1 of 4 hallways observed for meal tray distribution.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure 1 resident (Resident #64) was assessed for pneumococcal immunization of 5 residents reviewed for vaccinations.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to ensure 1 resident's (Resident #8) call light was within reach out of 95 residents observed.
February 12, 2020Standard inspection · 3 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on review of facility documentation, medical record review, and interview, the facility failed to honor the right to self-determination related to resident choices for bathing for 1 resident (#74) of 3 residents reviewed for choices.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on medical record review, review of facility documentation, observation, and interview, the facility failed to maintain adequate staffing levels to meet the care needs of 1 resident (#74) of 35 residents observed residing on 1 of 4 hallways.
- 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 ensure all expired medical supplies had been discarded in 1 of 3 medication storage rooms reviewed.
January 16, 2019Standard inspection · 3 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, observation, and interview the facility failed to maintain a sanitary kitchen free from foul odors in 1 of 1 milk coolers, free from dirt and debris on kitchen equipment, stored dishes, 6 muffin pans, and 2 of 2 vent hoods, potentially affecting 114 residents in the facility.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to ensure dental services were provided for 1 resident (#47) of 46 sampled residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to maintain an accurate medical record for 1 Resident (#120) with repeated falls of 4 residents reviewed for accidents of 46 sampled residents.
Fire safety inspections
5 fire safety citations on file: 3 on January 10, 2024, 1 on February 12, 2020, 1 on January 16, 2019.
Every fire safety citation5 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Provide a written emergency evacuation plan.
- F Install proper backup exit lighting.
- D Provide a written emergency evacuation plan.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 18, 2025 | Fine | $9,982 |
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) | 3.33 | 3.80 | 3.86 |
| Registered nurses | 0.49 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.31 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 51.1% | 48.9% | 45.8% |
| Registered nurse turnover | 56.3% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.48 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 3.51 on weekdays and 2.88 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.33 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 | 3.33 | 0.49 | 3.51 | 2.88 | 5.9% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.54 | 0.51 | 3.72 | 3.09 | 0.0% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.40 | 0.54 | 3.59 | 2.93 | 0.0% | 0 of 92 | 107 |
| Apr to Jun 2025 | 3.51 | 0.64 | 3.68 | 3.10 | 9.0% | 0 of 91 | 105 |
| 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.
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 | 9.0 | 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 | 1.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.6 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.2 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.8 |
Owners and operators
Legal business name: SMOKY MOUNTAIN HEALTHCARE INC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rocky Top Healthcare LLC | 5% or greater direct ownership interest | Organization | 100% | 12/18/2023 |
| Albrechtsen, Tyler | Corporate officer | Individual | 12/18/2023 | |
| Burnam, Soon | Corporate officer | Individual | 12/18/2023 | |
| Keetch, Chad | Corporate officer | Individual | 01/01/2014 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Thatcher, Brent | Corporate officer | Individual | 12/18/2023 | |
| Onshift Inc | Operational/managerial control | Organization | 05/01/2021 | |
| Dietrich, Charles | Operational/managerial control | Individual | 05/01/2024 | |
| Salazar-Catron, Teresa | Operational/managerial control | Individual | 05/01/2024 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/11/2025 | |
| Ensign Services Inc | Adp of the SNF | Organization | 05/01/2024 | |
| Dietrich, Charles | Adp of the SNF | Individual | 05/01/2024 | |
| Salazar-Catron, Teresa | Adp of the SNF | Individual | 05/01/2024 |
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 5 problems in this area, most recently on February 18, 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 5 problems in this area, most recently on February 18, 2025: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 10, 2024: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Shannondale of Maryville Health Care Center Maryville, 0.5 mi · 5 of 5 stars · 6 citations
- Fairpark Health and Rehabilitation Maryville, 1.5 mi · 4 of 5 stars · 17 citations
- Ocoee Transitional Care Center LLC Maryville, 2.9 mi · 3 of 5 stars · 17 citations
- Asbury Place at Maryville Maryville, 3.9 mi · 1 of 5 stars · 23 citations
- Life Care Center of Blount County Louisville, 8.1 mi · 3 of 5 stars · 15 citations
- NHC Healthcare, Farragut Knoxville, 12.3 mi · 5 of 5 stars · 14 citations
- Lyonsview Health and Rehabilitation Center Knoxville, 13.8 mi · 1 of 5 stars · 19 citations
- Legacy Park Health and Rehabilitation Knoxville, 15.2 mi · 1 of 5 stars · 32 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 Foothills Transitional Care and Rehabilitation's Medicare star rating?
- CMS rates Foothills Transitional Care and Rehabilitation 2 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Foothills Transitional Care and Rehabilitation get at its last inspection?
- 12 health deficiencies at the standard inspection on January 10, 2024. The Tennessee average is 4.4.
- Has Foothills Transitional Care and Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $9,982 in the last three years.
- Does Foothills Transitional Care and Rehabilitation 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 Foothills Transitional Care and Rehabilitation?
- CMS lists 13 owners and managers, and links the home to The Ensign Group. Legal business name: SMOKY MOUNTAIN HEALTHCARE INC.
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.