What is Ocoee Transitional Care Center LLC's Medicare star rating?

CMS rates Ocoee Transitional Care Center LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Ocoee Transitional Care Center LLC get at its last inspection?

2 health deficiencies at the standard inspection on July 15, 2026. The Tennessee average is 4.4.

Has Ocoee Transitional Care Center LLC been fined?

CMS lists no fines in the last three years.

Does Ocoee Transitional Care Center LLC accept Medicaid?

CMS lists it as "Medicare", so it is not certified for Medicaid.

Who owns Ocoee Transitional Care Center LLC?

CMS lists 38 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: OCOEE TRANSITIONAL CARE CENTER LLC.

Ocoee Transitional Care Center LLC: Inspections & Ratings

The record in brief

At its most recent standard inspection, on July 15, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 17 health citations since January 2020 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 4.36 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.

50.0% 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.

201/20

908/23

401/26

207/26

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

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

July 15, 2026Standard inspection · 2 citations

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) August 11, 2026

Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to revise a care plan for 2 residents (Resident #7 for fall interventions and Resident #5 for diet interventions) of 16 care plans reviewed.
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) August 11, 2026

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure accurate accountability of controlled substances for 2 residents (Resident #28 and #72) on 1 of 3 medication carts observed.

January 22, 2026Complaint inspection · 4 citations

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 · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2026

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to follow physician's orders related to Intravenous (IV) medications for 1 resident (Residents #1) of 3 residents reviewed for IV medications.
D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2026

Inspectors wroteBased on facility policy review, pharmaceutical service contract review, medical record review, and interview, the facility's consultant pharmacist and pharmacy service provider failed to identify a transcription discrepancy to prevent a medication error for 1 resident (Resident #1) of 3 residents reviewed for intravenous (IV) medications.
D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2026

Inspectors wroteBased on facility policy review, medical record review, facility documentation review, and interviews, the facility failed to ensure 1 resident (Resident #1) was free from significant medication errors (59 omitted doses of Intravenous (IV) antibiotics) of 3 residents reviewed for IV medications.
D

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2026

Inspectors wroteBased on facility policy review, medical record review, facility document review, and interview, the facility failed to timely identify a quality deficiency (significant medication error of 59 omitted doses of intravenous (IV) antibiotics) for Resident #1 and failed to implement a Process Improvement Project (PIP) to prevent recurrence.

August 17, 2023Standard inspection · 9 citations

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 10, 2023

Inspectors wroteBased on facility policy review, observations, and interview, the facility failed to maintain a sanitary kitchen environment by failing to ensure 2 of 3 kitchen staff wore protective beard coverings while preparing food and by storing expired food items that were observed in 1 of 1 dry storage room and 1 of 1 walk in refrigerator with the potential to affect 68 of 72 residents.
E

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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 10, 2023

Inspectors wroteBased on facility policy review, record review and interview, the facility failed to document evidence the residents or their representatives had received information to formulate an advance directive for 24 residents (Residents #2, #8, #12, #16, #20, #21, #27, #30, #38, #40, #47, #48, #51, #58, #59, #163, #164, #165, #167, #213, #214, #313, #314 and #316) of 25 residents reviewed for advance directives.
D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2023

Inspectors wroteBased on record review, and interview the facility failed to notify a resident/family in writing of a transfer and discharge for 1 resident (Resident #61) of 3 residents reviewed for discharge.
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 10, 2023

Inspectors wroteBased on the facility policy review, record review, and interview, the facility failed to develop a baseline care plan for 4 residents (Residents #12, #30, #38, and #51) of 25 residents reviewed for baseline care plans.
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 10, 2023

Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to develop a comprehensive care plan for trauma informed care for 1 resident ( Resident #12 ), anti-coagulant therapy for 1 resident ( Resident #27 ), and pressure ulcers for 2 residents ( Resident #38, and #51 ) of 25 residents reviewed for comprehensive care plans.
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) September 10, 2023

Inspectors wroteBased on facility policy review, record review, and interview the facility failed to revise the comprehensive care plan for 1 resident (Resident #16) to include fall interventions of 7 residents reviewed for falls and failed to revise the comprehensive care plan for 1 resident (Resident #30) to include a pressure ulcer of 3 residents reviewed for pressure ulcers
D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2023

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure ongoing communication between the facility and an outside dialysis center for 1 resident (Resident #164) of 2 residents reviewed for dialysis.
D

Provide care or services that was trauma informed and/or culturally competent.

F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2023

Inspectors wroteBased on record review, and interviews, the facility failed to ensure 1 resident (Resident #12) of 25 sampled residents received trauma-informed care in accordance with professional standards of practice and accounting for a resident's experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.
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) September 10, 2023

Inspectors wroteBased on facility policy review, observation, and interview the facility failed to maintain infection control practices while delivering meal trays to residents on 1 of 2 units observed.

January 15, 2020Standard inspection · 2 citations

E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 30, 2020

Inspectors wroteBased on review of facility policy,review of facility documentation, record review, observation, and interview, the facility failed to implement a falls intervention after a fall for 1 resident (#12), and failed to identify and investigate a fall for 1 resident (#29) of 3 residents reviewed for accidents.
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 30, 2020

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to revise the care plan for 1 resident (#12) of 25 residents reviewed.

Fire safety inspections

12 fire safety citations on file: 5 on July 15, 2026, 4 on August 17, 2023, 3 on January 15, 2020.

Every fire safety citation12 citations

F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 15, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 15, 2026 · Corrected (the home has a date of correction)
E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.

K 225 · July 15, 2026 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · July 15, 2026 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · July 15, 2026 · Corrected (the home has a date of correction)
F
Establish an Emergency Preparedness Program (EP).

E 1 · August 17, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · August 17, 2023 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · August 17, 2023 · Corrected (the home has a date of correction)
D
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.

K 902 · August 17, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 15, 2020 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 15, 2020 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · January 15, 2020 · 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.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	4.36	3.80	3.86
Registered nurses	1.15	0.60	0.69
All nursing staff on weekends	3.70	3.31	3.42
Nurse aides	1.59
Licensed practical nurses	1.61
Nursing staff turnover (share who left in a year)	50.0%	48.9%	45.8%
Registered nurse turnover	33.3%	43.2%	42.9%
Administrators who left	0

CMS expects 4.34 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 4.61 on weekdays and 3.70 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.66 in April to June 2025 to 4.36 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	4.36	1.15	4.61	3.70	1.8%	0 of 90	66
Oct to Dec 2025	5.23	1.34	5.51	4.51	1.4%	0 of 92	52
Jul to Sep 2025	5.81	1.46	6.12	5.02	1.0%	0 of 92	48
Apr to Jun 2025	5.66	1.57	6.04	4.69	1.5%	0 of 91	52
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 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	0.0	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	13.8	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.5	1.7	1.6
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	16.1	5.0	4.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	25.7	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.1	11.2	12.0

Owners and operators

Legal business name: OCOEE TRANSITIONAL CARE CENTER LLC. CMS links this home to Twin Rivers Health & Rehabilitation, a group of 11 nursing homes averaging 3.9 stars overall.

Name	Role	Type	Since
Burton, William	Managing control - governing body	Individual	02/07/2024
Cunliffe, Joseph	Managing control - governing body	Individual	07/01/2024
Kupchynsky, Kathleen	Managing control - governing body	Individual	02/07/2024
Phillips, Dorothy	Managing control - governing body	Individual	02/07/2024
Sheehan, John	Managing control - governing body	Individual	02/07/2024
Sheehan, Margaret	Managing control - governing body	Individual	02/07/2024
Smith, Frank	Managing control - governing body	Individual	02/07/2024
Phillips, Dorothy	Corporate director	Individual	02/07/2024
Sheehan, John	Corporate director	Individual	07/01/2024
Smith, Frank	Corporate director	Individual	02/07/2024
Ocoee Foundation Inc	Operational/managerial control	Organization	07/01/2024
Pioneer Consulting LLC	Operational/managerial control	Organization	07/01/2024
Twin Rivers Health & Rehabilitation LLC	Operational/managerial control	Organization	07/01/2024
Bradley, Don	Operational/managerial control	Individual	07/01/2024
Burton, William	Operational/managerial control	Individual	07/01/2024
Davis, Clinton	Operational/managerial control	Individual	06/18/2024
Holcombe, Michelle	Operational/managerial control	Individual	07/01/2024
Hunt, Billy	Operational/managerial control	Individual	01/06/2025
Kupchynsky, Kathleen	Operational/managerial control	Individual	01/07/2025
Phillips, Dorothy	Operational/managerial control	Individual	07/01/2024
Salazar-Catron, Teresa	Operational/managerial control	Individual	07/01/2024
Sheehan, John	Operational/managerial control	Individual	07/01/2024
Sheehan, Margaret	Operational/managerial control	Individual	01/07/2025
Smith, Frank	Operational/managerial control	Individual	01/07/2025
Davis, Clinton	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	08/22/2025
Functional Pathways of Tennessee LLC	Adp of the SNF	Organization	07/01/2024
Guardian Pharmacy of Knoxville, LLC	Adp of the SNF	Organization	07/01/2024
Ocoee Foundation Inc	Adp of the SNF	Organization	07/01/2024
Ocoee Tcc-Mvv Propco LLC	Adp of the SNF	Organization	07/01/2024
Pinnacle Financial Partners	Adp of the SNF	Organization	07/01/2024
Pioneer Consulting LLC	Adp of the SNF	Organization	01/06/2025
Senior Care Partners of East Tennessee PLLC	Adp of the SNF	Organization	01/06/2025
Twin Rivers Health & Rehabilitation LLC	Adp of the SNF	Organization	07/01/2024
Davis, Clinton	Adp of the SNF	Individual	06/18/2024
Holcombe, Michelle	Adp of the SNF	Individual	07/01/2024
Hunt, Billy	Adp of the SNF	Individual	01/06/2025
Salazar-Catron, Teresa	Adp of the SNF	Individual	01/01/2012
Sheehan, John	Adp of the SNF	Individual	07/01/2024

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.

When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 15, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
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 January 22, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 17, 2023: "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."

Other nursing homes nearby

Asbury Place at Maryville
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Fairpark Health and Rehabilitation
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Shannondale of Maryville Health Care Center
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Foothills Transitional Care and Rehabilitation
Maryville, 2.9 mi · 2 of 5 stars · 23 citations
Life Care Center of Blount County
Louisville, 6.8 mi · 3 of 5 stars · 15 citations
Lyonsview Health and Rehabilitation Center
Knoxville, 12.2 mi · 1 of 5 stars · 19 citations
NHC Healthcare, Farragut
Knoxville, 12.8 mi · 5 of 5 stars · 14 citations
Fort Sanders Tcu
Knoxville, 13.9 mi · 4 of 5 stars · 1 citation

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 Ocoee Transitional Care Center LLC's Medicare star rating?: CMS rates Ocoee Transitional Care Center LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ocoee Transitional Care Center LLC get at its last inspection?: 2 health deficiencies at the standard inspection on July 15, 2026. The Tennessee average is 4.4.
Has Ocoee Transitional Care Center LLC been fined?: CMS lists no fines in the last three years.
Does Ocoee Transitional Care Center LLC accept Medicaid?: CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Ocoee Transitional Care Center LLC?: CMS lists 38 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: OCOEE TRANSITIONAL CARE CENTER 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.