Tennessee ›Loudon

River Grove Health and Rehabilitation

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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★)

2/5
Health inspection rating (on-site)
inspected Aug 11, 2025
0
Serious findings on record
$0
Fines, last 3 years
2.76
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: ★★☆☆☆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.

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

  1. 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

  2. D · Potential for more than minimal harm, isolated

    The facility did not keep residents' personal and medical information private and confidential. F-0583

  3. 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

View all 23 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.

DateSeverityWhat the facility was cited for
Aug 11, 2025F · Potential for more than minimal harm, widespreadThe 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, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Aug 11, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Aug 11, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Aug 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not dispose of garbage and refuse properly. · F-0814
Aug 11, 2025D · Potential for more than minimal harm, isolatedThe 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, 2024F · Potential for more than minimal harm, widespreadThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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, 2022D · Potential for more than minimal harm, isolatedThe 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, 2022D · Potential for more than minimal harm, isolatedThe 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, 2022C · Potential for minimal harm, widespreadThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 3
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 11
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202230D
202320D
202470F
2025110F

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 →

No fines or payment denials in the published 3-year window.

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)
This facility: 2.76
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.40
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.46
Tennessee average: 3.15
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTennessee avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.763.623.95bottom 7% in Tennessee; bottom 7% in the U.S.
Registered Nurse hours0.400.570.69bottom 25% in Tennessee; bottom 22% in the U.S.
Weekend total nurse staffing2.463.153.50bottom 8% in Tennessee; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)0.280.390.48bottom 37% in Tennessee; bottom 28% in the U.S.
Total nursing staff turnover (%)40.048.945.8top 24% in Tennessee; top 36% in the U.S.
RN turnover (%)37.543.242.9top 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.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

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.

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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 / managerTypeRoleStakeSince
Clearview TN SNF Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE12/01/2021
HC Family TrustOrganizationIndirect Ownership InterestNOT APPLICABLE12/01/2021
SHNZ Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE12/01/2021
Sweet Home Management LLCOrganizationIndirect Ownership InterestNOT APPLICABLE12/01/2021
TN M53 Spe Opco Holdco LLCOrganizationDirect Ownership InterestNOT APPLICABLE12/01/2021
Vujanovic, MickIndividualIndirect Ownership InterestNOT APPLICABLE01/01/2020
Zanziper Family TrustOrganizationIndirect Ownership InterestNOT APPLICABLE12/01/2021
Clearview Healthcare Management TN LLCOrganizationOperational/Managerial ControlNOT APPLICABLE12/01/2021
Clearview Healthcare Management TN LLCOrganizationADP of the SNFNOT APPLICABLE02/27/2026
Salazar-Catron, TeresaIndividualManaging Control - Governing BodyNOT APPLICABLE10/01/2025
Salazar-Catron, TeresaIndividualADP of the SNFNOT APPLICABLE10/01/2025
Smith, LauraIndividualOperational/Managerial ControlNOT APPLICABLE10/20/2025
Smith, LauraIndividualADP of the SNFNOT APPLICABLE10/20/2025
TN M53 Spe Opco Holdco LLCOrganizationADP of the SNFNOT APPLICABLE02/27/2026
Vujanovic, MickIndividualCorporate OfficerNOT APPLICABLE01/01/2020
Vujanovic, MickIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2020
Vujanovic, MickIndividualADP of the SNFNOT APPLICABLE01/01/2020

All 17 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

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.

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.

  • "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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 17 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Wood Village11.3 miSweetwater, TN★★★★★5/5
Waters of Sweetwater a Rehabilitation & Nursing13.3 miSweetwater, TN★★☆☆☆2/5
NHC Healthcare, Farragut14.5 miKnoxville, TN★★★★★4/5
Monroe Health and Rehabilitation Center15.5 miMadisonville, TN★★★☆☆2/5
Renaissance Terrace19.5 miHarriman, TN★☆☆☆☆1/5abuse
Foothills Transitional Care and Rehabilitation19.9 miMaryville, 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.

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