Life Care Center of Crossville
80 Justice St, Crossville, TN 38555 · Cumberland County · 122 certified beds · avg 79 residents/day · certified since Aug 8, 1984
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 28, 2024 · 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: Sep 20, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Mar 18, 2026 | 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. |
| Mar 18, 2026 | 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. |
| Mar 18, 2026 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Dec 4, 2024 | F · Potential for harm, facility-wide | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Dec 4, 2024 | E · Potential for harm, repeated | 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. |
| Dec 4, 2024 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Dec 4, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 4, 2024 | E · Potential for harm, repeated | 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 4, 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. |
| Dec 4, 2024 | 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. |
| Dec 4, 2024 | D · Potential for harm, one-off | 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 28, 2024 | ▲ 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 28, 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 28, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Dec 21, 2023 | 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 |
| Nov 17, 2021 | 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. |
| Nov 17, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | D |
| 2023 | 1 | 0 | D |
| 2024 | 11 | 1 | G ▲ |
| 2026 | 3 | 0 | D |
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 $8,824.
| Date | Type | Amount / length |
|---|---|---|
| Aug 28, 2024 | Fine | $8,824 |
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) | 3.54 | 3.62 | 3.95 | top 45% in Tennessee; bottom 39% in the U.S. |
| Registered Nurse hours | 0.26 | 0.57 | 0.69 | bottom 5% in Tennessee; bottom 6% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.15 | 3.50 | top 36% in Tennessee; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.39 | 0.48 | bottom 1% in Tennessee; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 41.3 | 48.9 | 45.8 | top 27% in Tennessee; top 40% in the U.S. |
| RN turnover (%) | 20.0 | 43.2 | 42.9 | top 11% in Tennessee; top 13% 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 3.68, RN 0.27, weekend 3.33. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Developers Investment Company II, INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/13/2008 |
| Preston, Forrest | Individual | Direct Ownership Interest | NOT APPLICABLE | 06/13/2008 |
| Preston, Forrest | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/13/2008 |
| Bilbrey, Emily | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/19/2024 |
| Bilbrey, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/19/2024 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2008 |
| Crossville Medical Investors, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/12/2009 |
| Crossville Medical Investors, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/12/2009 |
| Developers Investment Company II, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/13/2008 |
| Fletcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2008 |
| Howe, Cathy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/13/2019 |
| Howe, Cathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2019 |
| Howe, Cathy | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Lay, Lisa | Individual | Corporate Director | NOT APPLICABLE | 04/24/2017 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2008 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Preston, Aubrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Preston, Forrest | Individual | ADP of the SNF | NOT APPLICABLE | 01/12/2009 |
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?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can I see where garbage is stored and how often it's removed?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Wyndridge Health and Rehab Ctr | 1.6 mi | Crossville, TN | ★★☆☆☆ | 3/5 | |
| Wharton Nursing Home | 9.6 mi | Pleasant Hill, TN | ★☆☆☆☆ | 1/5 | |
| The Preserve at Fairfield Glade | 11.7 mi | Crossville, TN | ★★★★☆ | 4/5 | |
| Standing Stone Care and Rehab | 19.7 mi | Monterey, TN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445167.