How many deficiencies did Spring City Care and Rehabilitation Center get at its last inspection?

4 health deficiencies at the standard inspection on May 6, 2026. The Tennessee average is 4.4.

Does Spring City Care and Rehabilitation Center 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 Spring City Care and Rehabilitation Center?

CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP SPRING CITY LLC.

Spring City Care and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on May 6, 2026, inspectors cited 4 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 15 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,512 in the last three years; the largest was $8,512, and the latest is dated February 27, 2024.

Nurses and nurse aides worked 3.69 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

40.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Signature Healthcare, an affiliated group of 67 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.

410/19

403/23

302/24

405/26

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 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

13D

Potential for minimal harm

May 6, 2026Standard inspection · 4 citations

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 29, 2026

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews the facility failed to maintain dignity for 3 residents (Resident #25, #45, and #62) of 8 residents reviewed.
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) May 29, 2026

Inspectors wroteBased on review of the Resident Assessment Instrument Manual 3.0 (RAI), medical record review, interview, and observation, the facility failed to accurately complete Minimum Data Set (MDS) assessments for 5 residents (Resident #32, # 62, #2, #59, and #27) of 20 residents reviewed for MDS assessments.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 29, 2026

Inspectors wroteBased on medical record review, observation's, and interview's, the facility failed to provide assistance for activities of daily living (ADL) for 1 dependent resident (Resident #42) of 26 residents sampled for ADL care.
D

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, isolated · Corrected (the home has a date of correction) May 29, 2026

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure the safety of 1 resident (Resident #44) of 74 residents reviewed for accidents.

February 27, 2024Complaint inspection · 3 citations

G

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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2024

Inspectors wroteBased on facility policy, facility investigations police reports, medical record review and interview, the facility failed to protect a resident's right to be free from abuse for 6 of 20 (Resident #23, #24, #7, #8, #10 and #11) residents reviewed for abuse. The facility failed to protect Resident #23, a cognitively impaired female resident, from sexual abuse when Resident #24, a cognitively impaired male resident, made sexual advances toward Resident #23 causing mental distress, which resulted in actual harm to Resident #23 and when the facility failed to protect Resident (#7, #8, #10, #11) from resident-to-resident physical abuse.
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) March 18, 2024

Inspectors wroteBased on review of a facility policy, facility investigation, medical record review and interviews, the facility failed to report an allegation of sexual abuse within the required 2-hour timeframe for 1 resident (#21) of 8 allegations of abuse reviewed for reporting.
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) March 18, 2024

Inspectors wroteBased on review of facility policy, medical record review and interviews, the facility failed to follow physician orders for medication administration for 1 resident (#18) of 3 residents reviewed for medication administration.

March 1, 2023Standard inspection · 4 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) March 27, 2023

Inspectors wroteBased on facility policy review, manufacturer recommendations, observation, and interview, the facility failed to ensure the appropriate chemical sanitization ratio of a 3 compartment sink used for cleaning and sanitizing cooking equipment, failed to maintain a clean and sanitary work area in the dish room, and in 1 of 1 nourishment rooms which had the potential to affect 82 of 84 residents.
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 · Corrected (the home has a date of correction) March 27, 2023

Inspectors wroteBased on facility policy review, medical record review, the facility documentation review, and interview, the facility failed to prevent and protect 3 residents (Resident #39, Resident #51, and Resident #52) from physical abuse of 24 residents reviewed for abuse.
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2023

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure a decline in wound was reported to the physician for 1 resident (#7) of 3 residents reviewed for pressure ulcers.
D

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 27, 2023

Inspectors wroteBased on review of the facility's nurse staffing schedules and interview, the facility failed to ensure a Registered Nurse (RN) worked 7 days a week for at least 8 hours a day for 2 days of 92 days reviewed.

October 23, 2019Standard inspection · 4 citations

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 · Corrected (the home has a date of correction) November 22, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview the facility failed to ensure 2 residents (#10 and #53) were free from abuse of 24 residents reviewed for abuse.
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) November 22, 2019

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to report abuse for 1 resident (#53) of 24 residents reviewed.
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2019

Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to investigate abuse for 1 resident (#53) of 24 residents reviewed for abuse.
D

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, isolated · Corrected (the home has a date of correction) November 22, 2019

Inspectors wroteBased on review of medical record review and interview the facility failed to ensure the Tennessee Physician Orders for Scope of Treatment (POST) form was completed for 1 resident (#283) of 24 residents reviewed.

Fire safety inspections

6 fire safety citations on file: 1 on May 6, 2026, 3 on March 1, 2023, 2 on October 23, 2019.

Every fire safety citation6 citations

D
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · May 6, 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 · March 1, 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 · March 1, 2023 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · March 1, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 23, 2019 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · October 23, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
February 27, 2024	Fine	$8,512

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)	3.69	3.80	3.86
Registered nurses	0.49	0.60	0.69
All nursing staff on weekends	3.06	3.31	3.42
Nurse aides	2.29
Licensed practical nurses	0.92
Nursing staff turnover (share who left in a year)	40.5%	48.9%	45.8%
Registered nurse turnover	44.4%	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 3.94 on weekdays and 3.06 on weekends, 22% 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 3.63 in April to June 2025 to 3.69 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	3.69	0.49	3.94	3.06	0.0%	0 of 90	77
Oct to Dec 2025	3.69	0.48	3.91	3.12	0.0%	0 of 92	77
Jul to Sep 2025	3.61	0.53	3.84	3.02	0.0%	0 of 92	73
Apr to Jun 2025	3.63	0.32	3.86	3.06	0.0%	0 of 91	76
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. If you work here, your report helps start one.

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.

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.

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	4.3	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	0.0	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.0	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.9	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	1.0	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.7	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	19.1	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.4	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	8.1	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Spring City Care and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

53.0% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 112 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 141 eligible stays.

Infections that led to a hospital stay

6.3% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 69 eligible stays.

Self-care and mobility at discharge

77.3% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 44 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 53 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 53 residents counted.

Medication list given at discharge

86.7% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 30 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LP SPRING CITY LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

Name	Role	Type	Share	Since
LP Cr Holdings LLC	5% or greater direct ownership interest	Organization	100%	11/01/2007
Agemo Holdings LLC	5% or greater indirect ownership interest	Organization		10/01/2016
Jjla LLC	5% or greater indirect ownership interest	Organization		11/01/2007
Lpsnf II LLC	5% or greater indirect ownership interest	Organization		10/01/2016
Wheaten LLC	5% or greater indirect ownership interest	Organization		11/01/2007
Steier III, Elmer	5% or greater indirect ownership interest	Individual		11/01/2007
Owens, Tommie	W-2 managing employee	Individual		08/22/2022
Harrison, John	Corporate officer	Individual		11/01/2007

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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on February 27, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
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 May 6, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 6, 2026: "Ensure each resident receives an accurate assessment."
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 6, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Life Care Center of Rhea County
Dayton, 11.5 mi · 4 of 5 stars · 16 citations
Decatur Wellness and Rehabilitation Center
Decatur, 11.7 mi · 3 of 5 stars · 9 citations
Signature Healthcare of Rockwood Rehab & Wellness
Rockwood, 17.6 mi · 5 of 5 stars · 8 citations
Bledsoe County Nursing Home
Pikeville, 18.6 mi · 4 of 5 stars · 6 citations
Laurelbrook Nursing Home
Dayton, 18.7 mi · 4 of 5 stars · 16 citations
Renaissance Terrace
Harriman, 20 mi · 2 of 5 stars · 27 citations
Life Care Center of Crossville
Crossville, 20.3 mi · 4 of 5 stars · 17 citations
Wyndridge Health and Rehab Ctr
Crossville, 21.2 mi · 2 of 5 stars · 11 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 Spring City Care and Rehabilitation Center's Medicare star rating?: CMS rates Spring City Care and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Spring City Care and Rehabilitation Center get at its last inspection?: 4 health deficiencies at the standard inspection on May 6, 2026. The Tennessee average is 4.4.
Has Spring City Care and Rehabilitation Center been fined?: Yes. CMS lists 1 fine totaling $8,512 in the last three years.
Does Spring City Care and Rehabilitation Center 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 Spring City Care and Rehabilitation Center?: CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP SPRING CITY 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.