Life Care Center of Hixson
5798 Hixson Home Place, Hixson, TN 37343 · Hamilton County · (423) 842-0049
108 certified beds, about 85 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445380 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 2, 2026, inspectors cited 4 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 8 health citations since July 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $22,205 in the last three years; the largest was $22,205, and the latest is dated May 2, 2026.
Nurses and nurse aides worked 4.17 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
44.0% 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.
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 8 health citations on file.
May 2, 2026Standard inspection · 4 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, document review, and facility policy review, the facility failed to ensure Certified Nursing Assistant (CNA) #1 did not operate outside the scope of a CNA when he flushed Resident #125's peripherally inserted central catheter (PICC) line (a PICC line is a long, thin, flexible tube inserted through a vein in the arm and threaded to a large vein near the heart. A PICC line provides long-term secure intravenous (IV) access for delivering medication, fluids, or nutrition, or for drawing blood, reducing the need for daily needle sticks). It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, serious harm, serious impairment, or death to residents. [...]
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview, and document review, the facility failed to follow the menu serving size for the turkey and dumpling entree for the lunch meal on 04/29/2026 for 76 of 83 residents who received food from the kitchen.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure 1 (Resident #81) of 25 sampled residents was assessed for their ability to self-administer their own medications.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure staff administered as needed pain medication when requested for 1 (Resident #123) of 3 observed for medication administration.
October 12, 2022Standard inspection · 4 citations
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, record review, and interview the facility failed to complete a discharge Minimum Data Set (MDS) assessment timely for 1 resident (Resident #2) of 18 residents reviewed for MDS assessments.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument Manual 3.0 (RAI), medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #75) of 18 residents reviewed for MDS assessments.
- 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, record review, observation, and interview, the facility failed to implement an intervention to prevent falls for 1 resident (Resident #70) of 3 residents reviewed for falls.
- 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 accurate and complete medical records for 1 resident (Resident #43) of 24 residents reviewed for accuracy of medical records.
July 17, 2019Standard inspection · 0 citations
Fire safety inspections
2 fire safety citations on file: 2 on October 12, 2022.
Every fire safety citation2 citations
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 2, 2026 | Fine | $22,205 |
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) | 4.17 | 3.80 | 3.86 |
| Registered nurses | 0.66 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.64 | 3.31 | 3.42 |
| Nurse aides | 2.50 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 44.0% | 48.9% | 45.8% |
| Registered nurse turnover | 50.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
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 4.38 on weekdays and 3.64 on weekends, 17% 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 4.05 in April to June 2025 to 4.17 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 | 4.17 | 0.66 | 4.38 | 3.64 | 0.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 4.12 | 0.75 | 4.29 | 3.68 | 0.0% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.97 | 0.87 | 4.09 | 3.67 | 0.0% | 0 of 92 | 88 |
| Apr to Jun 2025 | 4.05 | 0.82 | 4.26 | 3.54 | 0.0% | 0 of 91 | 87 |
| 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 | 19.1 | 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 | 1.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.6 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.7 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.6 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: NORTH RIVER VALLEY OPERATIONS LLC. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cerino Sagrero, Jonathan | Managing control - governing body | Individual | 07/01/2024 | |
| Crum, Shirley | Managing control - governing body | Individual | 04/22/2024 | |
| Solomon, Jennifer | Managing control - governing body | Individual | 05/01/2019 | |
| Cross, Cindy | Corporate officer | Individual | 09/01/2016 | |
| Henry, Terry | Corporate officer | Individual | 08/16/1999 | |
| Thurmond, Joan | Corporate officer | Individual | 09/01/2016 | |
| Life Care Centers of America, Inc. | Operational/managerial control | Organization | 08/24/2015 | |
| Bryce, Marian | Operational/managerial control | Individual | 10/22/2020 | |
| Cerino Sagrero, Jonathan | Operational/managerial control | Individual | 07/01/2024 | |
| Crum, Shirley | Operational/managerial control | Individual | 04/22/2024 | |
| Fletcher, Todd | Operational/managerial control | Individual | 08/24/2015 | |
| Lay, Lisa | Operational/managerial control | Individual | 08/24/2015 | |
| Preston, Aubrey | Operational/managerial control | Individual | 11/27/2024 | |
| Preston, Forrest | Operational/managerial control | Individual | 08/24/2015 | |
| Solomon, Jennifer | Operational/managerial control | Individual | 05/01/2019 | |
| Swanker, Richard | Operational/managerial control | Individual | 08/24/2015 | |
| Ziegler, James | Operational/managerial control | Individual | 08/24/2015 | |
| Life Care Centers of America, Inc. | Adp of the SNF | Organization | 03/04/2025 | |
| Bryce, Marian | Adp of the SNF | Individual | 03/04/2025 | |
| Cerino Sagrero, Jonathan | Adp of the SNF | Individual | 03/04/2025 | |
| Preston, Forrest | Adp of the SNF | Individual | 11/23/2010 |
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.
- 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 May 2, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 12, 2022: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- 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 May 2, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 2, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
Other nursing homes nearby
- Life Care Center of Red Bank Chattanooga, 6.2 mi · 2 of 5 stars · 24 citations
- Soddy-Daisy Health Care Center Soddy-Daisy, 6.3 mi · 3 of 5 stars · 8 citations
- NHC Healthcare, Chattanooga Chattanooga, 8 mi · 4 of 5 stars · 10 citations
- Ascension Living Alexian Village Tennessee Signal Mountain, 8 mi · 1 of 5 stars · 28 citations
- The Health Center at Standifer Place Chattanooga, 8.4 mi · 4 of 5 stars · 15 citations
- Siskin Subacute West Chattanooga, 8.4 mi · 5 of 5 stars · 16 citations
- Life Care Center of Ooltewah Ooltewah, 10.1 mi · 4 of 5 stars · 7 citations
- Chattanooga Health and Rehab Center Chattanooga, 10.3 mi · 1 of 5 stars · 22 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 Life Care Center of Hixson's Medicare star rating?
- CMS rates Life Care Center of Hixson 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Life Care Center of Hixson get at its last inspection?
- 4 health deficiencies at the standard inspection on May 2, 2026. The Tennessee average is 4.4.
- Has Life Care Center of Hixson been fined?
- Yes. CMS lists 1 fine totaling $22,205 in the last three years.
- Does Life Care Center of Hixson 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 Hixson?
- CMS lists 21 owners and managers, and links the home to Life Care Centers of America. Legal business name: NORTH RIVER VALLEY OPERATIONS 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.