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Life Care Center of Cleveland

3530 Keith St. Nw, Cleveland, TN 37311 · Bradley County · (423) 476-3254

142 certified beds, about 91 residents a day · For profit - Corporation · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445244 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 17, 2025, inspectors cited 7 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 16 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 3.73 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

32.9% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Life Care Centers of America, an affiliated group of 194 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.

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 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
2E
2F
Potential for minimal harm
0A
0B
0C
December 17, 2025Standard inspection, Complaint inspection · 7 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on facility policy reviews, facility documentation reviews, observations, and interviews, the facility failed to maintain a clean and sanitary kitchen which had the potential to affect 87 of 87 residents.
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on facility policy review, observations, interviews, and medical record review, the facility failed to properly store medications and biologicals in 3 medication carts (Cart South-Even, South-Odd, and Skilled) of 3 medication carts observed, and 1 medication room (South) of 2 medication rooms reviewed, and in 1 resident room (Resident #2) of 18 residents reviewed.
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on facility policy review, medical record reviews, observation, and interviews, the facility failed to ensure the residents' health information remained private and confidential for 2 residents (Residents #73 and #113) on 1 medication cart (skilled cart) of 5 medication carts observed, which had the potential to allow individuals unauthorized access to the residents' private health information.
  4. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on facility policy review, medical record reviews, observations, and interviews, the facility failed to provide a clean and sanitary environment by ensuring cleanliness of personal fans for 2 residents (Residents #41 and #6) of 4 residents reviewed for cleanliness of personal fans.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, facility policy review, medical record review, and interviews, the facility failed to ensure MDS assessments were accurate for 1 resident (Residents #3) of 3 residents reviewed for MDS assessments.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow physician's orders and the facility policy, for 1 (Resident #24) of 6 residents reviewed for medication administration.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure proper infection control practices related to hand hygiene during meal service for 4 residents (Residents #74, #24, #92, and #19) of 10 residents observed during meal tray distribution on 1 of 4 hallways.
March 30, 2022Standard inspection · 3 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2022
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews the facility failed to implement a care plan intervention for 1 resident (Resident #50) of 3 residents reviewed for falls.
  2. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2022
    Inspectors wroteBased on facility policy review, Lippincott procedures review, medical record review, observation, and interview the facility failed to administer enteral feedings (liquid nutrition provided through a tube inserted into the stomach) as ordered for 1 resident (#90) of 3 residents reviewed for enteral feedings.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2022
    Inspectors wroteBased on facility policy review, observation, and interview the facility failed to ensure infection control practices were followed to prevent the potential spread of infection when 1 of 2 Licensed Practical Nurses (LPN #1) failed to perform hand hygiene during medication administration.
August 14, 2019Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 28, 2019
    Inspectors wroteBased on review of facility policy, facility weekly cleaning schedule, observation, and interview, the facility failed to date and label food items, failed to discard expired foods, failed to maintain clean and sanitary kitchen equipment, failed to separate personal and resident dining items, and failed to secure hair in a hair covering in the 1 of 1 kitchen possibly affecting 117 of 119 residents.
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2019
    Inspectors wroteBased on facility policy review, observation, and interview the facility failed to ensure expired medical supplies were not available for resident use in 2 of 3 medication storage rooms observed.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2019
    Inspectors wroteBased on facility policy, medical record review, observation, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 2 (#96, #111) residents of 24 residents reviewed for MDS assessments.
  4. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to address a wound on the Baseline Care Plan for 1 resident (#259) of 17 residents reviewed for baseline care plans of 24 sampled residents.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2019
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to develop a comprehensive care plan to address a pressure ulcer for 1 resident (#101) of 5 residents reviewed for pressure ulcers of 24 sampled residents.
  6. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2019
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to address a recommendation from the Registered Dietitian (RD) timely for 1 resident (#78) of 3 residents reviewed for nutrition of 24 sampled residents.

Fire safety inspections

6 fire safety citations on file: 2 on December 17, 2025, 1 on August 7, 2024, 3 on August 14, 2019.

Every fire safety citation6 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 17, 2025 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 17, 2025 · Corrected (the home has a date of correction)
  3. D
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · August 7, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 14, 2019 · Corrected (the home has a date of correction)
  5. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 14, 2019 · Corrected (the home has a date of correction)
  6. D
    Provide a written emergency evacuation plan.
    K 711 · August 14, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.733.803.86
Registered nurses0.700.600.69
All nursing staff on weekends3.163.313.42
Nurse aides1.92
Licensed practical nurses1.10
Nursing staff turnover (share who left in a year)32.9%48.9%45.8%
Registered nurse turnover35.7%43.2%42.9%
Administrators who left0

CMS expects 4.12 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 3.95 on weekdays and 3.16 on weekends, 20% 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 3.49 in April to June 2025 to 3.73 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.730.703.953.16 0.0%0 of 9091
Oct to Dec 20253.570.633.822.94 0.0%0 of 9286
Jul to Sep 20253.630.563.883.00 0.0%0 of 9285
Apr to Jun 20253.490.713.782.76 0.0%0 of 9183
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.314.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.31.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.017.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.15.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.316.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.022.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.411.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Life Care Center of Cleveland's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

67.4% this home

Better than the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 289 eligible stays.

Potentially preventable readmissions

9.6% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 290 eligible stays.

Infections that led to a hospital stay

7.5% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 169 eligible stays.

Self-care and mobility at discharge

90.0% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 120 residents counted.

Falls with major injury

0.6% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 169 residents counted.

New or worsened pressure ulcers

6.9% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 169 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 37 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LIFE CARE CENTERS OF AMERICA, INC.. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Lee, JoshuaW-2 managing employeeIndividual06/26/2021
Fletcher, ToddCorporate directorIndividual05/01/2021
Lay, LisaCorporate directorIndividual04/24/2017
Preston, ForrestCorporate directorIndividual01/06/1976
Swanker, RichardCorporate directorIndividual01/01/2022
Ziegler, JamesCorporate directorIndividual09/18/2001
Cross, CindyCorporate officerIndividual04/21/1994
Fletcher, ToddCorporate officerIndividual11/02/2020
Henry, TerryCorporate officerIndividual08/16/1999
Lay, LisaCorporate officerIndividual02/08/2018
Preston, ForrestCorporate officerIndividual01/06/1976
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/21/2000
Ziegler, JamesCorporate officerIndividual08/16/1999
Life Care Centers of America, Inc.Operational/managerial controlOrganization03/01/1985

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 17, 2025: "Ensure each resident receives an accurate assessment."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 17, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 17, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 17, 2025: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Life Care Center of Cleveland's Medicare star rating?
CMS rates Life Care Center of Cleveland 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Life Care Center of Cleveland get at its last inspection?
7 health deficiencies at the standard inspection on December 17, 2025. The Tennessee average is 4.4.
Has Life Care Center of Cleveland been fined?
CMS lists no fines in the last three years.
Does Life Care Center of Cleveland 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 Life Care Center of Cleveland?
CMS lists 15 owners and managers, and links the home to Life Care Centers of America. Legal business name: LIFE CARE CENTERS OF AMERICA, INC..

Sources

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