How to file a complaint about care →
No fines or payment denials in the published 3-year window.
1520 Grove St Box 190, Loudon, TN 37774 (opens Google Maps) · Loudon County · (865) 458-5436· 180 certified beds · avg 98 residents/day · certified since Jun 1, 1990 · 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 →
Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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.
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
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
The facility did not keep residents' personal and medical information private and confidential. F-0583
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
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 |
|---|---|---|
| Aug 11, 2025 | 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 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | 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 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Aug 11, 2025 | 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 |
| May 2, 2024 | 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 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 2, 2024 | 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 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0693 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Feb 9, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Feb 9, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Feb 9, 2022 | C · Potential for minimal harm, widespread | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
Citations from standard inspections increased between the last two inspection cycles (7 → 11).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | D |
| 2023 | 2 | 0 | D |
| 2024 | 7 | 0 | F |
| 2025 | 11 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
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) | 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 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 3.13, RN 0.45, weekend 2.79.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.13 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for River Grove Health and Rehabilitation. 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 |
|---|---|---|---|---|
| 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 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Simcha Hyman & Naftali Zanziper — 79 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 78 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 445253.
May we use Google Analytics cookies to measure visits and pages viewed? Optional — every feature works without them. Privacy details