River Grove Health and Rehabilitation

Name: River Grove Health and Rehabilitation
Address: 1520 GROVE ST BOX 190, Loudon, TN, 37774, US
Telephone: 8654585436

1520 Grove St Box 190, Loudon, TN 37774 · Loudon County · 180 certified beds · avg 98 residents/day · certified since Jun 1, 1990

Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.76

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (23)

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
Aug 11, 2025	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.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 11, 2025	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.
Aug 11, 2025	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. · from a complaint
Aug 11, 2025	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.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Aug 11, 2025	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Aug 11, 2025	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.
May 2, 2024	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.
May 2, 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.
May 2, 2024	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.
May 2, 2024	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.
May 2, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
May 2, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 2, 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.
Sep 28, 2023	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. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Feb 9, 2022	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.
Feb 9, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 9, 2022	C · Minimal risk, facility-wide	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 11).

Year	Citations	Worst severity that year
2022	3	D
2023	2	D
2024	7	F
2025	11	F

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)	2.76	3.62	3.95	bottom 7% in Tennessee; bottom 7% in the U.S.
Registered Nurse hours	0.40	0.57	0.69	bottom 25% in Tennessee; bottom 22% in the U.S.
Weekend total nurse staffing	2.46	3.15	3.50	bottom 8% in Tennessee; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.39	0.48	bottom 37% in Tennessee; bottom 28% in the U.S.
Total nursing staff turnover (%)	40.0	48.9	45.8	top 24% in Tennessee; top 36% in the U.S.
RN turnover (%)	37.5	43.2	42.9	top 40% in Tennessee; top 42% 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 3.13, RN 0.45, weekend 2.79. Staffing rating: 1/5.

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: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Clearview TN SNF Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2021
HC Family Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2021
SHNZ Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2021
Sweet Home Management LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2021
TN M53 Spe Opco Holdco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2021
Vujanovic, Mick	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2020
Zanziper Family Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/01/2021
Clearview Healthcare Management TN LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Clearview Healthcare Management TN LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2026
Salazar-Catron, Teresa	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2025
Salazar-Catron, Teresa	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Smith, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	10/20/2025
Smith, Laura	Individual	ADP of the SNF	NOT APPLICABLE	10/20/2025
TN M53 Spe Opco Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2026
Vujanovic, Mick	Individual	Corporate Officer	NOT APPLICABLE	01/01/2020
Vujanovic, Mick	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Vujanovic, Mick	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Wood Village	11.3 mi	Sweetwater, TN	★★★★★	5/5
Waters of Sweetwater a Rehabilitation & Nursing	13.3 mi	Sweetwater, TN	★★☆☆☆	2/5
NHC Healthcare, Farragut	14.5 mi	Knoxville, TN	★★★★★	4/5
Monroe Health and Rehabilitation Center	15.5 mi	Madisonville, TN	★★★☆☆	2/5
Renaissance Terrace	19.5 mi	Harriman, TN	★☆☆☆☆	1/5	abuse
Foothills Transitional Care and Rehabilitation	19.9 mi	Maryville, TN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Loudon →

Facility data as of CMS processing date 2026-08-01. CCN 445253.

The Care File

Visit checklist — River Grove Health and Rehabilitation

1520 Grove St Box 190, Loudon, TN 37774 · 8654585436

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 445253 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)