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Ridgeview Terrace of Life Care

165 Coffey Lane Po Box 26, Rutledge, TN 37861 · Grainger County · (865) 828-5295

132 certified beds, about 77 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445300 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 29, 2025, inspectors cited 4 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 11 health citations since July 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 3.27 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

23.3% 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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
0F
Potential for minimal harm
0A
1B
0C
May 29, 2025Standard inspection, Complaint inspection · 4 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) June 23, 2025
    Inspectors wroteBased on Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, medical record review, observations, and interviews, the facility failed to accurately complete an MDS assessment for 1 resident (Resident #76) of 18 residents reviewed for MDS assessments.
  2. 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) June 23, 2025
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to revise the care plan for 1 resident (Resident #68 ) of 18 residents reviewed for care plans.
  3. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 25, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to follow the facility's policy and meet safety and sanitation requirements for food items stored in 2 residents' personal refrigerators (Resident #13 and Resident #37) of 6 residents' personal refrigerators observed.
  4. 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) June 23, 2025
    Inspectors wroteBased on facility policy review, medical record review, observations, and interview the facility staff failed to perform hand hygiene prior to distributing meal service to 5 residents (Residents #70, #277, #71, #25, and #16) of 18 residents observed on the secured unit during lunch service.
April 13, 2022Standard inspection · 7 citations
  1. 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) May 28, 2022
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medical information was not visible for 1 resident (#12) of 79 residents reviewed for dignity.
  2. 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 · Corrected (the home has a date of correction) May 28, 2022
    Inspectors wroteBased on facility policy review, the facility investigation, medical record review, and interview the facility failed to report a resident-to-resident alleged abuse for 1 resident (Resident #31) out of 24 residents reviewed for abuse.
  3. 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) May 28, 2022
    Inspectors wroteBased on medical record review and interview the facility failed to ensure a dialysis contract was in place for 1 resident (Resident #1) of 1 resident reviewed for dialysis.
  4. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to follow a Psychiatric recommendation and Physician's Order for 1 resident (Resident #47) of 19 resident's reviewed for physician orders.
  5. 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) May 28, 2022
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure opened medications were labeled and dated in 1 of 2 medication carts viewed for medication storage (A/B Hall Medication Cart).
  6. D
    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, isolated · Corrected (the home has a date of correction) May 28, 2022
    Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to designate an employee of the facility to assume responsibility for collaborating and coordinating care between the nursing home and the hospice entity, and failed to obtain the most recent hospice plan of care for 1 resident (Resident #19) of 5 residents reviewed for hospice services.
  7. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 28, 2022
    Inspectors wroteBased on the Centers for Medicare & Medicaid Services Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual, medical record reviews, and interviews the facility failed to correctly code Minimum Data Set (MDS) assessments for 3 residents (Resident #12, Resident #19, and Resident #75) of 22 residents reviewed for MDS assessments.
July 2, 2019Standard inspection · 0 citations

Fire safety inspections

1 fire safety citation on file: 1 on July 2, 2019.

Every fire safety citation1 citation
  1. D
    Use approved construction type or materials.
    K 161 · July 2, 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)3.273.803.86
Registered nurses0.730.600.69
All nursing staff on weekends2.873.313.42
Nurse aides1.81
Licensed practical nurses0.72
Nursing staff turnover (share who left in a year)23.3%48.9%45.8%
Registered nurse turnover30.8%43.2%42.9%
Administrators who left0

CMS expects 3.82 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 3.43 on weekdays and 2.87 on weekends, 16% 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 3.62 in April to June 2025 to 3.27 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.270.733.432.87 0.0%0 of 9077
Oct to Dec 20253.290.663.462.86 0.0%0 of 9279
Jul to Sep 20253.490.743.643.12 0.0%0 of 9273
Apr to Jun 20253.620.783.733.34 0.0%0 of 9176
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.

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
11.914.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.01.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.83.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.817.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.45.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.916.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.022.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.411.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.61.8

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
Henderson, Jennifer E.Managing control - governing bodyIndividual07/21/2016
Solomon, JenniferManaging control - governing bodyIndividual05/01/2019
Williams, ChristinaManaging control - governing bodyIndividual05/19/2023
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 officerIndividual02/09/2018
Preston, ForrestCorporate officerIndividual01/06/1976
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/22/2000
Ziegler, JamesCorporate officerIndividual08/16/1999
Life Care Centers of America, Inc.Operational/managerial controlOrganization04/01/1994
Fletcher, ToddOperational/managerial controlIndividual05/01/2021
Henderson, Jennifer E.Operational/managerial controlIndividual07/21/2016
Lay, LisaOperational/managerial controlIndividual04/24/2017
Preston, AubreyOperational/managerial controlIndividual11/27/2024
Preston, ForrestOperational/managerial controlIndividual04/01/1994
Solomon, JenniferOperational/managerial controlIndividual05/01/2019
Swanker, RichardOperational/managerial controlIndividual01/01/2022
Williams, ChristinaOperational/managerial controlIndividual05/19/2023
Witherspoon, NancyOperational/managerial controlIndividual06/20/2022
Ziegler, JamesOperational/managerial controlIndividual09/18/2001
Life Care Centers of America, Inc.Adp of the SNFOrganization01/31/2006
Henderson, Jennifer E.Adp of the SNFIndividual02/25/2026
Preston, ForrestAdp of the SNFIndividual01/31/2006
Witherspoon, NancyAdp of the SNFIndividual03/24/2025

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 3 problems in this area, most recently on May 29, 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 2 problems in this area, most recently on April 13, 2022: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
  3. 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 29, 2025: "Have a policy regarding use and storage of foods brought to residents by family and other visitors."
  4. 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 May 29, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 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 Ridgeview Terrace of Life Care's Medicare star rating?
CMS rates Ridgeview Terrace of Life Care 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ridgeview Terrace of Life Care get at its last inspection?
4 health deficiencies at the standard inspection on May 29, 2025. The Tennessee average is 4.4.
Has Ridgeview Terrace of Life Care been fined?
CMS lists no fines in the last three years.
Does Ridgeview Terrace of Life Care 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 Ridgeview Terrace of Life Care?
CMS lists 31 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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