River Grove Health and Rehabilitation
1520 Grove St. Box 190, Loudon, TN 37774 · Loudon County · (865) 458-5436
180 certified beds, about 98 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445253 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 11, 2025, inspectors cited 11 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 23 health citations since February 2022 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 3.13 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
40.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 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.
302/22
209/23
705/24
1108/25
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
0E
2F
Potential for minimal harm
0A
0B
1C
August 11, 2025Standard inspection, Complaint inspection · 11 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interviews the facility failed to store frozen food items properly, failed to maintain kitchen equipment in a sanitary condition, and failed to discard undated cold food items, which had the potential to affect 95 of 97 residents residing in the facility.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure the residents' health information remained private and confidential on 1 medication cart (Station 2 Cart 1) of 3 medication carts observed, which had the potential to allow unauthorized individuals access to the residents' private health information.
- 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.
Inspectors wroteBased on facility policy review, observations, and interviews the facility failed to maintain a safe, clean, homelike environment for 1 resident (Residents #28) on 1 of 5 hallways observed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on Centers for Medicare & Medicaid Services (CMS) Minimum Data Set (MDS) Resident Assessment Instrument (RAI) 3.0 User's Manual, medical record review, and interview, the facility failed to accurately complete a MDS assessment for 1 resident (Resident #37) of 25 residents sampled.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of the facility policy, review of the medical record, observations, and interviews, the facility failed to revise the comprehensive care plan for 3 residents (Resident #21, #72, and #83) of 25 residents reviewed for care plans. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of the medical record and interview the facility failed to follow physician orders for 1 resident (Resident #72) of 25 residents reviewed for physician's orders.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of the facility contract for nutrition services, review of the facility policy, review of the medical record, observation, and interview the facility failed to implement appropriate interventions to prevent weight loss for 1 resident (Resident #72) of 3 residents reviewed for weight loss.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation and interview the facility failed to properly store a nebulizer mask for 1 resident [Resident #72] of 3 residents observed on nebulizer treatments.
- D Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on facility contract for nutrition services review, facility policy review, medical record review, observation, and interview the facility failed to ensure adequate dietary services were provided to prevent weight loss for 1 resident (Resident #72) of 3 residents reviewed for weight loss.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure garbage and refuse were properly contained and failed to ensure the outside dumpster area was maintained in a sanitary and orderly condition.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to ensure appropriate Personal Protective Equipment (PPE) was worn for 1 resident (Resident #96) of 5 residents reviewed for Enhanced Barrier Precautions (used to reduce the transmission of multidrug-resistant organisms-MDRO).
May 2, 2024Standard inspection, Complaint inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interview the facility failed to ensure food items were sealed properly, failed to keep cleaning products away from open food containers, failed to ensure cooking equipment was maintained in a sanitary condition, and failed to ensure expired food items were not available for resident use which had the potential to effect 87 of 91 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to maintain resident's dignity during meal assistance for 1 resident (Resident #5) of 4 residents observed for meals.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on facility policy review, review of Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interviews, the facility failed to accurately complete a [NAME] Data Set (MDS) assessment for 3 residents (Resident #16, #8, and #20) of 27 residents reviewed.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review and interviews, the facility failed to develop a comprehenisve care plan to address hospice services for 1 resident (Resident # 16) and failed to involve the resident and/or resident representative in the care planning process for 1 resident (Resident #72) of 27 residents reviewed for care plans.
- 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.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to follow a physician's order for 1 resident (Resident #59) related to tube feeding and water flush rates of 3 residents reviewed for tube feeding.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews the facility failed to ensure an oxygen tank was stored in a secure location for 1 resident (Resident #38) and failed to obtain an order for oxygen administration for 1 resident (Resident #386) of 3 residents reviewed for oxygen storage and oxygen administration.
- 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.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure expired medications were not available for resident use in 1of 4 medication carts observed.
September 28, 2023Complaint inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of facility policies, medical record review and interview, the facility failed to document pre-existing pressure ulcers on the Resident Assessment Instrument (RAI) and Weekly Skin Assessments for 1 resident (Resident #1) of 3 residents reviewed for pressure ulcers. The facility's failure resulted in inaccurate documentation of pressure ulcer status in the medical record/Minimum Data Set (MDS) for Resident #1.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of facility policy, medical record review and interview, the facility failed to provide pressure ulcer care in accordance with the care plan for 1 resident (Resident #1) of 3 residents reviewed for pressure ulcers. The facility failure resulted in missed treatments of a stage 2 sacral pressure ulcer for 5 days, 6/2/2023-6/7/2023.
February 9, 2022Standard inspection · 3 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.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure the care plan was updated for 2 residents (#23 and #30) of 23 residents reviewed.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to provide 3 provisions necessary to address 1 resident's (#23) tracheostomy care: the interval for replacing the inner cannula; the interval for replacing the full tracheostomy appliance; and a pulmonology physician for consultation as needed for 1 resident reviewed with a tracheostomy.
- C Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 2 residents (#95 and #117) of 32 residents reviewed for MDS assessments.
Fire safety inspections
11 fire safety citations on file: 1 on August 11, 2025, 4 on May 2, 2024, 5 on November 28, 2023, 1 on February 9, 2022.
Every fire safety citation11 citations
- D Install an approved automatic sprinkler system.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of portable space heaters.
- E Install corridor and hallway doors that block smoke.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- F Have simulated fire drills held at unexpected times.
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) | 3.13 | 3.80 | 3.86 |
| Registered nurses | 0.45 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.31 | 3.42 |
| Nurse aides | 1.72 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 48.9% | 45.8% |
| Registered nurse turnover | 37.5% | 43.2% | 42.9% |
| Administrators who left | 3 |
CMS expects 4.35 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 3.27 on weekdays and 2.79 on weekends, 15% 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 3.03 in April to June 2025 to 3.13 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 | 3.13 | 0.45 | 3.27 | 2.79 | 0.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.06 | 0.44 | 3.16 | 2.78 | 1.9% | 0 of 92 | 97 |
| Jul to Sep 2025 | 3.01 | 0.34 | 3.13 | 2.70 | 2.0% | 0 of 92 | 97 |
| Apr to Jun 2025 | 3.03 | 0.38 | 3.22 | 2.56 | 0.0% | 0 of 91 | 103 |
| 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 whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.9 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.6 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.3 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 11.2 | 12.0 |
Owners and operators
Legal business name: LOUDON OPCO LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tn M53 Spe Opco Holdco LLC | Direct ownership interest | Organization | 12/01/2021 | |
| Clearview Tn SNF Holdco LLC | Indirect ownership interest | Organization | 12/01/2021 | |
| Hc Family Trust | Indirect ownership interest | Organization | 12/01/2021 | |
| Shnz Holdings LLC | Indirect ownership interest | Organization | 12/01/2021 | |
| Sweet Home Management LLC | Indirect ownership interest | Organization | 12/01/2021 | |
| Zanziper Family Trust | Indirect ownership interest | Organization | 12/01/2021 | |
| Vujanovic, Mick | Indirect ownership interest | Individual | 01/01/2020 | |
| Salazar-Catron, Teresa | Managing control - governing body | Individual | 10/01/2025 | |
| Vujanovic, Mick | Corporate officer | Individual | 01/01/2020 | |
| Clearview Healthcare Management Tn LLC | Operational/managerial control | Organization | 12/01/2021 | |
| Smith, Laura | Operational/managerial control | Individual | 10/20/2025 | |
| Vujanovic, Mick | Operational/managerial control | Individual | 01/01/2020 | |
| Clearview Healthcare Management Tn LLC | Adp of the SNF | Organization | 02/27/2026 | |
| Tn M53 Spe Opco Holdco LLC | Adp of the SNF | Organization | 02/27/2026 | |
| Salazar-Catron, Teresa | Adp of the SNF | Individual | 10/01/2025 | |
| Smith, Laura | Adp of the SNF | Individual | 10/20/2025 | |
| Vujanovic, Mick | Adp of the SNF | Individual | 01/01/2020 |
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 7 problems in this area, most recently on August 11, 2025: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on August 11, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on August 11, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 11, 2025: "Keep residents' personal and medical records private and confidential."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Wood Village Sweetwater, 11.3 mi · 4 of 5 stars · 4 citations
- Waters of Sweetwater a Rehabilitation & Nursing Sweetwater, 13.3 mi · 2 of 5 stars · 19 citations
- NHC Healthcare, Farragut Knoxville, 14.5 mi · 5 of 5 stars · 14 citations
- Monroe Health and Rehabilitation Center Madisonville, 15.5 mi · 3 of 5 stars · 16 citations
- Renaissance Terrace Harriman, 19.5 mi · 2 of 5 stars · 27 citations
- Foothills Transitional Care and Rehabilitation Maryville, 19.9 mi · 2 of 5 stars · 23 citations
- Shannondale of Maryville Health Care Center Maryville, 20.2 mi · 5 of 5 stars · 6 citations
- Fairpark Health and Rehabilitation Maryville, 20.3 mi · 4 of 5 stars · 17 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 River Grove Health and Rehabilitation's Medicare star rating?
- CMS rates River Grove Health and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did River Grove Health and Rehabilitation get at its last inspection?
- 11 health deficiencies at the standard inspection on August 11, 2025. The Tennessee average is 4.4.
- Has River Grove Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does River Grove Health and Rehabilitation 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 River Grove Health and Rehabilitation?
- CMS lists 17 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: LOUDON OPCO 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.