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Life Care Center of Crossville

80 Justice St., Crossville, TN 38555 · Cumberland County · (931) 484-4782

122 certified beds, about 79 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445167 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 18, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 17 health citations since November 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,824 in the last three years; the largest was $8,824, and the latest is dated August 28, 2024.

Nurses and nurse aides worked 3.68 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.

41.3% 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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
11D
4E
1F
Potential for minimal harm
0A
0B
0C
March 18, 2026Standard inspection · 3 citations
  1. 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) April 10, 2026
    Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) 3.0 User's Manual, medical record reviews, and interviews, the facility failed to accurately assess residents on the Minimum Data Set (MDS) assessment for a Level II Pre-admission Screening and Resident Review (PASARR) with a serious mental illness for 2 residents (Residents #39 and #47) of 18 residents reviewed.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on facility policy review, medical record review, interviews, and observations, the facility failed to obtain a Physician's Order prior to implementing a continuous blood glucose monitoring device and failed to incorporate the continuous blood glucose monitoring device on the comprehensive care plan for 1 resident (Resident #17) of 3 residents reviewed for insulin use.
  3. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026
    Inspectors wroteBased on facility policy review, medical record review, meal tray ticket review, observations, and interviews, the facility failed to ensure a resident received adaptive devices while eating as ordered by the physician for 1 resident (Resident #10) of 3 residents reviewed for adaptive devices.
December 4, 2024Standard inspection · 8 citations
  1. F
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility contract review, facility policy review, medical record review, and interview, the facility failed to ensure a coordinated plan of care with the hospice provider was available in the medical record for 4 residents (Resident #6, #19, #21, and #44) of 4 residents reviewed for hospice services.
  2. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) (PASRR) timely after a new mental health diagnosis for 1 resident (Resident #14) of 7 residents reviewed for PASRR.
  3. E
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 2 of 3 dumpsters (dumpsters A and B).
  4. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure an assessment for potential contraindications to influenza vaccines were documented in the medical record for 4 residents (Resident #8, #12, #16, and #28) of 5 residents reviewed for immunizations.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to offer hand hygiene assistance to residents prior to meals for 3 residents (Residents #8, #23, and #16) of 3 residents observed on 2 of 4 hallways observed for meal tray distribution.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to protect the resident's right to dignity when an indwelling catheter drainage bag was left uncovered and visible to the public for 1 resident (Resident #23) of 78 residents observed for dignity.
  7. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, observation, and interviews, the facility failed to ensure an expired medication was not available for resident use in 1 of 4 medication carts observed for medication storage which had the potential to affect 1 resident (Resident #48) of 19 residents reviewed for insulin use.
  8. D
    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, isolated · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure the kitchen equipment was maintained in a sanitary condition and failed to ensure a dented can was discarded, which had the potential to affect 78 of 78 residents.
August 28, 2024Complaint inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, hospital record review, and interview, the facility failed to prevent a fall for 1 resident (Resident #8) of 5 residents reviewed for falls. The facility's failure resulted in actual HARM to Resident #8 when the resident was receiving care by facility staff and allowed to fall to the floor from the bed, resulting in injury.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2024
    Inspectors wroteBased on facility policy review, facility documentation review, medical record review, and interview the facility failed to ensure 1 resident (Resident #9) was free from physical abuse after Resident #2 struck Resident #9 in the face, of 11 residents reviewed for abuse.
  3. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, personnel file review, and interview, the facility failed to protect a resident's rights to be free from misappropriation and/or exploitation when money totaling $119.49 was taken from 1 resident (Resident #7) of 11 sampled residents reviewed for misappropriation.
December 21, 2023Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on facility policy review, facility documentation review, and interview, the facility failed to report to the state agency an allegation of a threat which had the potential for abuse and create and unsafe environement for 71 residents of hte facility.
November 17, 2021Standard inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 1, 2022
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure the care plan was updated for 2 residents (#54 and #293) of 34 residents reviewed.
  2. 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 1, 2022
    Inspectors wroteBased on policy review, medical records review, and interviews, the facility failed to ensure 1 resident (#78) on 1 hallway of 3 hallways reviewed received medications timely.

Fire safety inspections

2 fire safety citations on file: 1 on March 18, 2026, 1 on November 17, 2021.

Every fire safety citation2 citations
  1. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 18, 2026 · Corrected (the home has a date of correction)
  2. D
    Provide a written emergency evacuation plan.
    K 711 · November 17, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 28, 2024Fine $8,824

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.683.803.86
Registered nurses0.270.600.69
All nursing staff on weekends3.333.313.42
Nurse aides2.06
Licensed practical nurses1.35
Nursing staff turnover (share who left in a year)41.3%48.9%45.8%
Registered nurse turnover20.0%43.2%42.9%
Administrators who left0

CMS expects 3.98 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 3.82 on weekdays and 3.33 on weekends, 13% 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 4.00 in April to June 2025 to 3.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.680.273.823.33 0.0%0 of 9079
Oct to Dec 20253.800.273.943.46 0.0%0 of 9280
Jul to Sep 20253.870.304.053.41 0.0%0 of 9277
Apr to Jun 20254.000.274.213.48 0.0%0 of 9182
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
14.714.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.13.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.317.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.05.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.716.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
11.622.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.311.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.61.8

Owners and operators

Legal business name: CROSSVILLE MEDICAL INVESTORS, LLC. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Developers Investment Company II, IncDirect ownership interestOrganization06/13/2008
Preston, ForrestDirect ownership interestIndividual06/13/2008
Preston, ForrestIndirect ownership interestIndividual06/13/2008
Bilbrey, EmilyManaging control - governing bodyIndividual07/19/2024
Howe, CathyManaging control - governing bodyIndividual05/13/2019
Solomon, JenniferManaging control - governing bodyIndividual05/01/2019
Lay, LisaCorporate directorIndividual04/24/2017
Swanker, RichardCorporate directorIndividual01/01/2022
Cross, CindyCorporate officerIndividual11/01/2008
Henry, TerryCorporate officerIndividual11/01/2008
Lay, LisaCorporate officerIndividual02/09/2018
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual11/01/2008
Crossville Medical Investors, LLCOperational/managerial controlOrganization01/12/2009
Developers Investment Company II, IncOperational/managerial controlOrganization06/13/2008
Life Care Centers of America, Inc.Operational/managerial controlOrganization11/01/2008
Bilbrey, EmilyOperational/managerial controlIndividual07/19/2024
Fletcher, ToddOperational/managerial controlIndividual12/13/2024
Howe, CathyOperational/managerial controlIndividual05/13/2019
Preston, AubreyOperational/managerial controlIndividual12/13/2024
Solomon, JenniferOperational/managerial controlIndividual05/01/2019
Willett, DwightOperational/managerial controlIndividual10/01/2010
Ziegler, JamesOperational/managerial controlIndividual12/13/2024
Crossville Medical Investors, LLCAdp of the SNFOrganization01/12/2009
Life Care Centers of America, Inc.Adp of the SNFOrganization03/04/2025
Howe, CathyAdp of the SNFIndividual03/04/2025
Preston, ForrestAdp of the SNFIndividual01/12/2009
Willett, DwightAdp of the SNFIndividual03/04/2025

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 March 18, 2026: "Ensure each resident receives an accurate assessment."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 18, 2026: "Provide special eating equipment and utensils for residents who need them and appropriate assistance."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on August 28, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 28, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

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 Crossville's Medicare star rating?
CMS rates Life Care Center of Crossville 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Life Care Center of Crossville get at its last inspection?
3 health deficiencies at the standard inspection on March 18, 2026. The Tennessee average is 4.4.
Has Life Care Center of Crossville been fined?
Yes. CMS lists 1 fine totaling $8,824 in the last three years.
Does Life Care Center of Crossville 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 Crossville?
CMS lists 28 owners and managers, and links the home to Life Care Centers of America. Legal business name: CROSSVILLE MEDICAL INVESTORS, LLC.

Sources

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