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West Hills Health and Rehab

6801 Middlebrook Pike, Knoxville, TN 37919 · Knox County · (865) 588-7661

194 certified beds, about 106 residents a day · Non profit - Corporation · Medicare and Medicaid since 2011

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445501 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 15, 2024, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 10 health citations since March 2019, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.41 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.

77.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
November 15, 2024Standard inspection · 5 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) December 4, 2024
    Inspectors wroteBased on review of facility policy, medical record review and interviews, the facility failed to provide post dialysis interventions for 1 resident (Resident #151) of 1 residents reviewed for dialysis.
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on medical record review and interview, the facility failed to resubmit a timely Level I (one) Preadmission Screening and Resident Review (PASRR) for 3 residents (Resident #29, #47 and #54) of 5 residents reviewed for PASRR.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on medical record review, observation and interview, the facility failed to obtain physician orders for oxygen for 1 resident (Resident #301) of 3 residents reviewed for oxygen therapy.
  4. 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 · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on review of facility policy, medical record review, pharmacy delivery reports, observation and interviews, the facility failed to accurately transcribe a physician's order for 1 resident (Resident #51) of 7 residents reviewed for medication administration.
  5. 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) December 4, 2024
    Inspectors wroteBased on review of facility policy, medical record review, observation and interviews, the facility failed to ensure infection control practices were observed during medication administration for 1 resident (Resident #1) of 7 residents observed for medication administration and failed to ensure enhanced barrier precautions (EBP) were implemented for 1 resident (Resident # 45) of 17 residents reviewed for EBP.
February 2, 2022Standard inspection · 1 citation
  1. 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) March 5, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide fingernail care for 1 resident (Resident #45) of 3 residents reviewed for Activities of Daily Living (ADL) Care.
March 20, 2019Standard inspection · 4 citations
  1. G
    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 · Actual harm, isolated · Corrected (the home has a date of correction) March 22, 2019
    Inspectors wroteBased on review of facility policy, medical record review, review of facility documentation, and interview the facility failed to follow the plan of care for bed mobility for 1 resident (#9) of 5 residents reviewed for falls of 24 sampled residents. The facility's failure to follow the plan of care for Resident #9 resulted in actual harm.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 22, 2019
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to prevent a fall resulting in actual Harm for 1 resident (#9) of 5 residents reviewed for falls of 24 sampled residents.
  3. 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) April 20, 2019
    Inspectors wroteBased on review of the facility policy, medical record review, and interview the facility failed to administer an ordered medication to 1 resident (#318) of 24 sampled residents.
  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) April 5, 2019
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to follow contact isolation precautions for 1 resident (#87) of 1 resident observed for isolation precautions of 9 halls observed for infection control.

Fire safety inspections

7 fire safety citations on file: 3 on November 15, 2024, 2 on February 2, 2022, 2 on March 20, 2019.

Every fire safety citation7 citations
  1. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · November 15, 2024 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · November 15, 2024 · Corrected (the home has a date of correction)
  3. D
    Have simulated fire drills held at unexpected times.
    K 712 · November 15, 2024 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · February 2, 2022 · Corrected (the home has a date of correction)
  5. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · February 2, 2022 · Corrected (the home has a date of correction)
  6. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 20, 2019 · Corrected (the home has a date of correction)
  7. E
    Have elevators that firefighters can control in the event of a fire.
    K 531 · March 20, 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)3.413.803.86
Registered nurses0.400.600.69
All nursing staff on weekends3.023.313.42
Nurse aides2.11
Licensed practical nurses0.90
Nursing staff turnover (share who left in a year)77.0%48.9%45.8%
Registered nurse turnover86.7%43.2%42.9%
Administrators who left2

CMS expects 4.27 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 3.56 on weekdays and 3.02 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.92 in April to June 2025 to 3.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.410.403.563.02 26.2%0 of 90106
Oct to Dec 20253.640.443.753.36 24.9%0 of 92112
Jul to Sep 20253.910.674.053.56 33.8%0 of 92109
Apr to Jun 20253.920.764.083.51 46.2%0 of 91112
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.

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

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
31.614.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.10.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.31.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
49.117.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.15.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.816.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.422.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.511.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for West Hills Health and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.5% 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

50.5% 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. 132 eligible stays.

Potentially preventable readmissions

10.6% 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. 169 eligible stays.

Infections that led to a hospital stay

7.7% 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. 86 eligible stays.

Self-care and mobility at discharge

31.1% 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. 90 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. 130 residents counted.

New or worsened pressure ulcers

3.1% 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. 130 residents counted.

Medication list given at discharge

96.1% 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. 51 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: HILLCREST HEALTHCARE COMMUNITIES INC.

NameRoleTypeShareSince
Hillcrest Healthcare Communities Inc5% or greater direct ownership interestOrganization100%07/01/2008
Home Federal Bank of Tennessee5% or greater mortgage interestOrganization05/16/2013
Bowers, JonathanW-2 managing employeeIndividual07/24/2023
Dibernardo, BruceW-2 managing employeeIndividual07/01/2021
Lepley, BonnieW-2 managing employeeIndividual08/16/2021
Whitlock, KevinW-2 managing employeeIndividual07/01/2021
Whitlock, KevinCorporate directorIndividual07/01/2021

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 4 problems in this area, most recently on November 15, 2024: "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 3 problems in this area, most recently on November 15, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 15, 2024: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 15, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Tennessee average of 3.31.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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 West Hills Health and Rehab's Medicare star rating?
CMS rates West Hills Health and Rehab 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did West Hills Health and Rehab get at its last inspection?
5 health deficiencies at the standard inspection on November 15, 2024. The Tennessee average is 4.4.
Has West Hills Health and Rehab been fined?
CMS lists no fines in the last three years.
Does West Hills Health and Rehab 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 West Hills Health and Rehab?
CMS lists 7 owners and managers. Legal business name: HILLCREST HEALTHCARE COMMUNITIES INC.

Sources

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