Mountain City Care & Rehabilitation Center

Name: Mountain City Care & Rehabilitation Center
Address: 919 MEDICAL PARK DRIVE, Mountain City, TN, 37683, US
Telephone: 4237277800

919 Medical Park Drive, Mountain City, TN 37683 · Johnson County · 120 certified beds · avg 72 residents/day · certified since Dec 1, 1988

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.35

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (6)

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 19, 2022	D · Potential for 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.
Oct 2, 2019	E · Potential for harm, repeated	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.
Oct 2, 2019	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 2, 2019	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 2, 2019	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 2, 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

Year	Citations	Serious (G–L)	Worst severity that year
2019	5	0	E
2022	1	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)

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)	3.35	3.62	3.95	bottom 39% in Tennessee; bottom 29% in the U.S.
Registered Nurse hours	0.73	0.57	0.69	top 20% in Tennessee; top 33% in the U.S.
Weekend total nurse staffing	2.83	3.15	3.50	bottom 34% in Tennessee; bottom 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.39	0.48	top 49% in Tennessee; bottom 41% in the U.S.
Total nursing staff turnover (%)	35.4	48.9	45.8	top 14% in Tennessee; top 25% in the U.S.
RN turnover (%)	27.3	43.2	42.9	top 23% in Tennessee; top 24% 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 3.43, RN 0.75, weekend 2.90. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Agemo Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2016
Jjla LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2007
LP CR Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2007
LPSNF II LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2016
Steier III, Elmer	Individual	5% or Greater Indirect Ownership Interest	—	11/01/2007
Wheaten LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2007
Harrison, John	Individual	Corporate Officer	NOT APPLICABLE	11/01/2007
Rife, James	Individual	W-2 Managing Employee	NOT APPLICABLE	09/25/2023

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?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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 medication error rate, and what have you changed to bring errors down?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Abingdon Health & Rehab Center	17.2 mi	Abingdon, VA	★★★★★	5/5
Deer Meadows Rehabilitation and Nursing	18.1 mi	Abingdon, VA	★☆☆☆☆	2/5
The Rehab Center at Bristol	19.6 mi	Bristol, VA	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Mountain City →

Facility data as of CMS processing date 2026-08-01. CCN 445214.

The Care File

Visit checklist — Mountain City Care & Rehabilitation Center

919 Medical Park Drive, Mountain City, TN 37683 · 4237277800

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 medication error rate, and what have you changed to bring errors down?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445214 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)