Foothills Transitional Care and Rehabilitation
1012 Jamestown Way, Maryville, TN 37803 · Blount County · 185 certified beds · avg 115 residents/day · certified since Mar 1, 1990
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ 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)
▲ Actual harm, one-off · Feb 18, 2025 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 1, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Aug 11, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 16, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| Feb 18, 2025 | ▲ G · Actual harm, one-off | 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 |
| Feb 18, 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 18, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Feb 18, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Feb 18, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jan 10, 2024 | 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 10, 2024 | D · Potential for harm, one-off | 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 10, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 10, 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. |
| Jan 10, 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. |
| Jan 10, 2024 | D · Potential for harm, 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. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 10, 2024 | 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. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Jan 10, 2024 | 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 10, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Aug 11, 2023 | ▲ G · Actual harm, one-off | 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 |
| Aug 11, 2023 | 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 |
| Feb 12, 2020 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Feb 12, 2020 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Feb 12, 2020 | D · Potential for harm, one-off | 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 16, 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. |
| Jan 16, 2019 | 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. |
| Jan 16, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2020 | 3 | 0 | D |
| 2023 | 2 | 1 | G ▲ |
| 2024 | 12 | 0 | F |
| 2025 | 5 | 1 | G ▲ |
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 $9,982.
| Date | Type | Amount / length |
|---|---|---|
| Feb 18, 2025 | Fine | $9,982 |
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) | 2.85 | 3.62 | 3.95 | bottom 11% in Tennessee; bottom 9% in the U.S. |
| Registered Nurse hours | 0.42 | 0.57 | 0.69 | bottom 31% in Tennessee; bottom 26% in the U.S. |
| Weekend total nurse staffing | 2.47 | 3.15 | 3.50 | bottom 9% in Tennessee; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.39 | 0.48 | top 34% in Tennessee; top 44% in the U.S. |
| Total nursing staff turnover (%) | 51.1 | 48.9 | 45.8 | bottom 47% in Tennessee; bottom 34% in the U.S. |
| RN turnover (%) | 56.3 | 43.2 | 42.9 | bottom 26% in Tennessee; bottom 26% 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 3.33, RN 0.49, weekend 2.88. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rocky Top Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/18/2023 |
| Albrechtsen, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 12/18/2023 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 12/18/2023 |
| Dietrich, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Dietrich, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| Onshift INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/11/2025 |
| Salazar-Catron, Teresa | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Salazar-Catron, Teresa | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Thatcher, Brent | Individual | Corporate Officer | NOT APPLICABLE | 12/18/2023 |
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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Shannondale of Maryville Health Care Center | 0.5 mi | Maryville, TN | ★★★★★ | 4/5 | |
| Fairpark Health and Rehabilitation | 1.5 mi | Maryville, TN | ★★☆☆☆ | 1/5 | |
| Ocoee Transitional Care Center LLC | 2.9 mi | Maryville, TN | ★★☆☆☆ | 2/5 | |
| Asbury Place at Maryville | 3.9 mi | Maryville, TN | ★☆☆☆☆ | 2/5 | abuse |
| Life Care Center of Blount County | 8.1 mi | Louisville, TN | ★★★☆☆ | 2/5 | |
| NHC Healthcare, Farragut | 12.3 mi | Knoxville, TN | ★★★★★ | 4/5 | |
| Lyonsview Health and Rehabilitation Center | 13.8 mi | Knoxville, TN | ★☆☆☆☆ | 1/5 | SFF |
| Legacy Park Health and Rehabilitation | 15.2 mi | Knoxville, TN | ★☆☆☆☆ | 2/5 | |
| Wellpark Health and Rehabilitation | 15.2 mi | Knoxville, TN | ★★★☆☆ | 2/5 | |
| West Hills Health and Rehab | 15.3 mi | Knoxville, TN | ★★★☆☆ | 4/5 | |
| Fort Sanders Tcu | 16.0 mi | Knoxville, TN | ★★★★☆ | 4/5 | |
| NHC Healthcare, Ft Sanders | 16.0 mi | Knoxville, TN | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445245.