Oneida Nursing and Rehab Center
18805 Alberta Dr, Oneida, TN 37841 · Scott County · 56 certified beds · avg 39 residents/day · certified since Jan 7, 1991
SFF Candidate
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)
▲ Immediate jeopardy, repeated · Sep 22, 2023 · F-0658
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 7, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 22, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 9, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Sep 22, 2023 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Oct 9, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (8)
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 |
|---|---|---|
| Sep 22, 2023 | ▲ K · Immediate jeopardy, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 22, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 22, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Sep 22, 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | 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. |
| Sep 22, 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. |
| Sep 22, 2023 | 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. |
| Nov 28, 2018 | 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2023 | 7 | 3 | K ▲ |
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 $52,111.
| Date | Type | Amount / length |
|---|---|---|
| Sep 22, 2023 | Fine | $52,111 |
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) | 4.34 | 3.62 | 3.95 | top 14% in Tennessee; top 28% in the U.S. |
| Registered Nurse hours | 0.72 | 0.57 | 0.69 | top 21% in Tennessee; top 34% in the U.S. |
| Weekend total nurse staffing | 3.76 | 3.15 | 3.50 | top 14% in Tennessee; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.39 | 0.48 | top 30% in Tennessee; top 41% in the U.S. |
| Total nursing staff turnover (%) | 59.5 | 48.9 | 45.8 | bottom 21% in Tennessee; bottom 17% in the U.S. |
| RN turnover (%) | 71.4 | 43.2 | 42.9 | bottom 10% in Tennessee; bottom 11% 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 3.86, RN 0.64, weekend 3.34. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Defoor, Kenneth | Individual | 5% or Greater Direct Ownership Interest | 49% | 09/01/1997 |
| Defoor, Perry | Individual | 5% or Greater Direct Ownership Interest | 51% | 09/01/1997 |
| Chitwood-Owens, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2014 |
| Chitwood-Owens, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Cotton, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/27/2021 |
| Cotton, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2021 |
| Cotton, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Defoor, Ansley | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Defoor, Ansley | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Defoor, Ansley | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Defoor, Ansley | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Fults, Melissa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/03/2020 |
| Fults, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/03/2020 |
| Fults, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 08/03/2020 |
| Guardian Pharmacy of Knoxville, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Holcombe, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/18/2015 |
| Merkle, Mary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2023 |
| Merkle, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| MJ Mental Health, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Prema Financial Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Huntsville Post-Acute and Rehabilitation Center | 8.2 mi | Huntsville, TN | ★★☆☆☆ | 2/5 | |
| Signature Healthcare of McCreary County Rehab and | 9.2 mi | Pine Knot, KY | ★★☆☆☆ | 2/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445254.