Hancock Manor Nursing Home
1423 Main Street, Sneedville, TN 37869 · Hancock County · 50 certified beds · avg 27 residents/day · certified since Oct 1, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: TWIN RIVERS HEALTH & REHABILITATION (11 facilities, chain avg rating 3.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
All citations in the current public record (4)
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 |
|---|---|---|
| Aug 13, 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. |
| Aug 13, 2025 | D · Potential for harm, 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. |
| Aug 13, 2025 | 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. |
| Sep 8, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | D |
| 2025 | 3 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.36 | 3.62 | 3.95 | top 14% in Tennessee; top 27% in the U.S. |
| Registered Nurse hours | 0.41 | 0.57 | 0.69 | bottom 27% in Tennessee; bottom 23% in the U.S. |
| Weekend total nurse staffing | 3.92 | 3.15 | 3.50 | top 12% in Tennessee; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.39 | 0.48 | top 43% in Tennessee; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 37.0 | 48.9 | 45.8 | top 18% in Tennessee; top 29% in the U.S. |
| RN turnover (%) | 60.0 | 43.2 | 42.9 | bottom 22% in Tennessee; bottom 22% 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 4.13, RN 0.39, weekend 3.71. Staffing rating: 3/5.
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: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/30/2009 |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/30/2009 |
| J-M Investments, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/30/2009 |
| Sheehan, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/30/2009 |
| Sheehan, Margaret | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/30/2009 |
| Sneedville Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/30/2009 |
| Brewer, George | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/16/2007 |
| Brewer, George | Individual | ADP of the SNF | NOT APPLICABLE | 01/16/2007 |
| Davis, Clinton | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Holcombe, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| J-M Investments, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/30/2009 |
| Pioneer Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Pioneer Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Sheehan, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Swanson, Rual | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Swanson, Rual | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Twin Rivers Health & Rehabilitation LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "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 |
|---|---|---|---|---|---|
| Signature Healthcare of Rogersville | 16.5 mi | Rogersville, TN | ★★★★★ | 5/5 | |
| Lee Health and Rehab Center | 17.7 mi | Pennington Gap, VA | ★★★★★ | 5/5 | |
| Harlan Health and Rehabilitation Center | 19.9 mi | Harlan, KY | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Sneedville →
Facility data as of CMS processing date 2026-08-01. CCN 445459.