Oneida Nursing and Rehab Center

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 →

1/5

Health inspection rating (on-site)

inspected Sep 22, 2023

Serious findings on record

most recent Sep 22, 2023

$52,111

Fines, last 3 years

4.34

Nurse hours/resident/day (adjusted)

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

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.

Most serious findings (actual harm or immediate jeopardy)

▲ 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.

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.

Corrected: Oct 9, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.

Sep 22, 2023K · 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, 2023K · 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, 2023K · 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

View all 8 inspection findingsShow only the latest 3 findings

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

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2018

2023

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.

Fines and enforcement (last 3 years)

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTennessee averageU.S. average

Total nurse staffing (hours per resident per day)

4.34

3.62

3.95

Registered Nurse hours

0.72

0.57

0.69

Weekend total nurse staffing

3.76

3.15

3.50

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.

Quality measures: assessments & claims

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

Costs & payment

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.

Calculate a stay from a quote you receive

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.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 60% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 27 owning or managing parties — who makes the decisions about staffing levels?"
"CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

All facilities in Oneida →

Facility data as of CMS processing date 2026-08-01. CCN 445254.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Oneida Nursing and Rehab Center

18805 Alberta Dr, Oneida, TN 37841 · (423) 569-8382

Health inspection rating 1/5 · CMS overall 1/5 · SFF Candidate· Fines (3y): $52,111

Most serious findings on record:

▲ Sep 22, 2023 (F-0658, 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.
▲ Sep 22, 2023 (F-0684, 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.
▲ Sep 22, 2023 (F-0760, 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.

Questions for the administrator:

☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 60% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 27 owning or managing parties — who makes the decisions about staffing levels?"
☐ "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 445254 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)