Hancock Manor Nursing Home
1423 Main Street, Sneedville, TN 37869 · Hancock County · (423) 733-4783
50 certified beds, about 27 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445459 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 13, 2025, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 4 health citations since August 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.13 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
37.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Twin Rivers Health & Rehabilitation, an affiliated group of 11 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.
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 4 health citations on file.
August 13, 2025Standard 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, observations, and interview, the facility failed to ensure food items were sealed properly, and failed to ensure expired foods were not available for resident use which had the potential to affect 29 of 30 residents.
- 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, observations, and interview, the facility failed to revise the comprehensive care plan for 1 resident (Resident #6) of 12 residents reviewed for care plans.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation and interviews, the facility failed to ensure contracted staff followed Enhanced Barrier Precautions (EBPs - an infection control strategy using personal protective equipment (PPE) such as isolation gowns during high-contact care to reduce the risk of spreading multidrug-resistant organisms) for 1 resident (Resident #6) of 7 residents reviewed for EBPs.
September 8, 2022Standard inspection · 1 citation
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on the facility policy review, medical record review and interviews, the facility failed to prevent the use of a psychotropic medication without a related diagnosis for 1 resident (Resident #32) of 5 residents reviewed for unnecessary medications.
August 7, 2019Standard inspection · 0 citations
Fire safety inspections
4 fire safety citations on file: 2 on September 8, 2022, 2 on August 29, 2018.
Every fire safety citation4 citations
- E 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.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.13 | 3.80 | 3.86 |
| Registered nurses | 0.39 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.71 | 3.31 | 3.42 |
| Nurse aides | 2.49 | ||
| Licensed practical nurses | 1.25 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 48.9% | 45.8% |
| Registered nurse turnover | 60.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.63 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 4.30 on weekdays and 3.71 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.45 in April to June 2025 to 4.13 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 | 4.13 | 0.39 | 4.30 | 3.71 | 3.0% | 1 of 90 | 27 |
| Oct to Dec 2025 | 4.20 | 0.42 | 4.40 | 3.70 | 3.4% | 0 of 92 | 28 |
| Jul to Sep 2025 | 4.27 | 0.39 | 4.50 | 3.69 | 3.5% | 0 of 92 | 27 |
| Apr to Jun 2025 | 4.45 | 0.55 | 4.69 | 3.84 | 3.7% | 0 of 91 | 25 |
| 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 | 16.4 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.4 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 5.1 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.1 | 11.2 | 12.0 |
Owners and operators
Legal business name: HANCOCK MANOR, LLC. CMS links this home to Twin Rivers Health & Rehabilitation, a group of 11 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sneedville Healthcare LLC | Direct ownership interest | Organization | 04/30/2009 | |
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Indirect ownership interest | Organization | 04/30/2009 | |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Indirect ownership interest | Organization | 04/30/2009 | |
| J-M Investments, LLC | Indirect ownership interest | Organization | 04/30/2009 | |
| Sheehan, John | Indirect ownership interest | Individual | 04/30/2009 | |
| Sheehan, Margaret | Indirect ownership interest | Individual | 04/30/2009 | |
| J-M Investments, LLC | Operational/managerial control | Organization | 04/30/2009 | |
| Pioneer Consulting LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Twin Rivers Health & Rehabilitation LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Brewer, George | Operational/managerial control | Individual | 01/16/2007 | |
| Davis, Clinton | Operational/managerial control | Individual | 01/01/2019 | |
| Sheehan, John | Operational/managerial control | Individual | 01/01/2019 | |
| Swanson, Rual | Operational/managerial control | Individual | 05/18/2023 | |
| Pioneer Consulting LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Twin Rivers Health & Rehabilitation LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Brewer, George | Adp of the SNF | Individual | 01/16/2007 | |
| Holcombe, Michelle | Adp of the SNF | Individual | 01/01/2019 | |
| Swanson, Rual | Adp of the SNF | Individual | 05/18/2023 |
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 1 problem in this area, most recently on August 13, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 13, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 13, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 8, 2022: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
Other nursing homes nearby
- Signature Healthcare of Rogersville Rogersville, 16.5 mi · 5 of 5 stars · 3 citations
- Lee Health and Rehab Center Pennington Gap, 17.7 mi · 5 of 5 stars · 7 citations
- Harlan Health and Rehabilitation Center Harlan, 19.9 mi · 1 of 5 stars · 11 citations
- Claiborne Health and Rehabilitation Center Tazewell, 20.6 mi · 3 of 5 stars · 11 citations
- Buchanan Place New Tazewell, 21.6 mi · 2 of 5 stars · 18 citations
- The Heritage Center Morristown, 22.3 mi · 3 of 5 stars · 20 citations
- Life Care Center of Morristown Morristown, 23.3 mi · 5 of 5 stars · 8 citations
- Tri State Health and Rehabilitation Center Harrogate, 23.8 mi · 1 of 5 stars · 15 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 Hancock Manor Nursing Home's Medicare star rating?
- CMS rates Hancock Manor Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hancock Manor Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on August 13, 2025. The Tennessee average is 4.4.
- Has Hancock Manor Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Hancock Manor Nursing Home 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 Hancock Manor Nursing Home?
- CMS lists 18 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: HANCOCK MANOR, 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.