Diversicare of Oak Ridge
100 Elmhurst Dr, Oak Ridge, TN 37830 · Anderson County · 120 certified beds · avg 87 residents/day · certified since Nov 1, 1990
SFF Candidate
Part of chain: DIVERSICARE HEALTHCARE (44 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Sep 22, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Oct 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0657 · triggered by a complaint
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0660 · triggered by a complaint
The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.
Why it matters: Poor discharge planning can send a resident home or elsewhere without the support, equipment, or follow-up care they need.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 27, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 12, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0837 · triggered by a complaint
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 22, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 22, 2023 · F-0865 · triggered by a complaint
The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Why it matters: Without a real quality improvement process, the same care problems tend to repeat instead of getting fixed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 19, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (35)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 29, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Feb 13, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Sep 22, 2023 | ▲ L · Immediate jeopardy, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint |
| Sep 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint |
| Sep 22, 2023 | E · Potential for harm, repeated | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 26, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 26, 2022 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 26, 2022 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 26, 2022 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 26, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jan 26, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 26, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 26, 2022 | D · Potential for harm, one-off | The facility did not perform required COVID-19 testing on residents and staff. |
| Jan 26, 2022 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 10, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 10, 2019 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 10, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (9 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2022 | 9 | 0 | F |
| 2023 | 16 | 7 | L ▲ |
| 2024 | 5 | 0 | D |
| 2025 | 2 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $205,329, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 22, 2023 | Fine | $205,329 |
| Sep 22, 2023 | Payment Denial | 38 days from Oct 21, 2023 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.33 | 3.62 | 3.95 | bottom 37% in Tennessee; bottom 28% in the U.S. |
| Registered Nurse hours | 0.54 | 0.57 | 0.69 | top 44% in Tennessee; bottom 44% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.15 | 3.50 | bottom 36% in Tennessee; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.39 | 0.48 | bottom 16% in Tennessee; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 58.0 | 48.9 | 45.8 | bottom 23% in Tennessee; bottom 20% in the U.S. |
| RN turnover (%) | 90.9 | 43.2 | 42.9 | bottom 1% in Tennessee; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.96, RN 0.48, weekend 2.53. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Advocat Finance, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/18/1996 |
| Dac Newcorp INC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/04/2022 |
| Diversicare Healthcare Services LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/10/1994 |
| Diversicare Leasing LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/07/2005 |
| Diversicare Management Services LP. | Organization | 5% or Greater Indirect Ownership Interest | — | 10/10/1996 |
| DLC GP LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/04/2022 |
| DMS GP LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/04/2022 |
| Kohn, Brian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/19/2021 |
| Bodie, Rebecca | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/02/2020 |
| Bodie, Rebecca | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/02/2020 |
| Diversicare Management Services LP. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/09/2013 |
| Kellman, Franklin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/13/2024 |
| Kohn, Brian | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/19/2021 |
| Martin, Cheryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/25/2025 |
| Martin, Cheryl | Individual | ADP of the SNF | NOT APPLICABLE | 03/12/2026 |
| Montgomery Medical LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Montgomery, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Montgomery, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2026 |
| Nee, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/20/2023 |
| Ratner, Eran | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/13/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Oak Ridge | 0.6 mi | Oak Ridge, TN | ★★★★☆ | 4/5 | |
| Senator Ben Atchley State Veterans' Home | 7.1 mi | Knoxville, TN | ★★★★★ | 5/5 | |
| The Waters of Clinton, LLC | 9.2 mi | Clinton, TN | ★★★★☆ | 3/5 | |
| Wellpark Health and Rehabilitation | 11.7 mi | Knoxville, TN | ★★★☆☆ | 2/5 | |
| Legacy Park Health and Rehabilitation | 11.7 mi | Knoxville, TN | ★☆☆☆☆ | 2/5 | |
| West Hills Health and Rehab | 12.3 mi | Knoxville, TN | ★★★☆☆ | 4/5 | |
| NHC Healthcare, Farragut | 12.5 mi | Knoxville, TN | ★★★★★ | 4/5 | |
| Rocky Top Care Center | 14.1 mi | Rocky Top, TN | ★☆☆☆☆ | 1/5 | |
| Lyonsview Health and Rehabilitation Center | 14.6 mi | Knoxville, TN | ★☆☆☆☆ | 1/5 | SFF |
| Andersonville TN Opco LLC | 15.2 mi | Andersonville, TN | ★★★☆☆ | 4/5 | |
| NHC Healthcare, Ft Sanders | 16.6 mi | Knoxville, TN | ★★★☆☆ | 2/5 | |
| Fort Sanders Tcu | 16.8 mi | Knoxville, TN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445260.