18805 Alberta Dr, Oneida, TN 37841 (opens Google Maps) · Scott County · (423) 569-8382· 56 certified beds · avg 39 residents/day · certified since Jan 7, 1991 · 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 →
SFF Candidate
What Special Focus status means →
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 7, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 9, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 9, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
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. F-0760
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 22, 2023 | ▲ K · Immediate jeopardy, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Sep 22, 2023 | ▲ K · Immediate jeopardy, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Sep 22, 2023 | ▲ K · Immediate jeopardy, pattern | 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. · F-0760 |
| Sep 22, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Nov 28, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $52,111.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 22, 2023 | Fine | $52,111 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.86 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Oneida Nursing and Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 27 parties CMS has on file for this facility; 7 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 445254.
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