Laughlin Health Care Center
801 E McKee St, Greeneville, TN 37743 · Greene County · 90 certified beds · avg 49 residents/day · certified since Apr 12, 1991
Part of chain: AHAVA HEALTHCARE (16 facilities, chain avg rating 2.4★)
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)
▲ Actual harm, one-off · Oct 5, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 29, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 5, 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: Nov 3, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Oct 5, 2023 | ▲ G · Actual 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. · from a complaint |
| Oct 5, 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 |
| Oct 5, 2023 | 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. |
| Oct 5, 2023 | 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. |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 5, 2023 | 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. |
| Oct 5, 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. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Oct 5, 2023 | 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. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Oct 5, 2023 | 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. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 8, 2020 | 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. |
| Dec 19, 2018 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | F |
| 2020 | 1 | 0 | D |
| 2023 | 14 | 2 | 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)
2 fines totaling $9,770, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Oct 5, 2023 | Fine | $4,885 |
| Oct 5, 2023 | Fine | $4,885 |
| Oct 5, 2023 | Payment Denial | 21 days from Nov 8, 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) | 3.60 | 3.62 | 3.95 | top 40% in Tennessee; bottom 42% in the U.S. |
| Registered Nurse hours | 0.81 | 0.57 | 0.69 | top 13% in Tennessee; top 27% in the U.S. |
| Weekend total nurse staffing | 3.11 | 3.15 | 3.50 | top 43% in Tennessee; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.39 | 0.48 | top 24% in Tennessee; top 34% in the U.S. |
| Total nursing staff turnover (%) | 63.3 | 48.9 | 45.8 | bottom 13% in Tennessee; bottom 12% in the U.S. |
| RN turnover (%) | 63.6 | 43.2 | 42.9 | bottom 17% in Tennessee; bottom 17% 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 3.46, RN 0.78, weekend 2.98. 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: 4/5 · short-stay residents: 2/5
Who owns this facility
Government - Federal
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Laughlin Operations Group Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2025 |
| Ahava HC LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Ahava HC LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Ballad Health | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Blue Ridge Medical Management Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Laidlaw, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Laidlaw, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Laughlin Realty Group LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
| Laughlin Realty Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Mountain States Health Alliance | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Niederman, Anshel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/01/2025 |
| Niederman, Anshel | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Tumkur, Deepika | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Tumkur, Deepika | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "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 |
|---|---|---|---|---|---|
| Life Care Center of Greeneville | 0.8 mi | Greeneville, TN | ★★★☆☆ | 3/5 | |
| Signature Healthcare of Greeneville | 2.0 mi | Greeneville, TN | ★★★★☆ | 4/5 | |
| Durham-Hensley Health and Rehabilitation | 9.0 mi | Chuckey, TN | ★★★★☆ | 4/5 | |
| Signature Healthcare of Rogersville | 17.9 mi | Rogersville, TN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445264.