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 →
5/5
Health inspection rating (on-site)
inspected May 6, 2026
5
Serious findings on record
most recent Oct 29, 2023
$93,919
Fines, last 3 years
5.88
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 · Oct 29, 2023 · F-0656
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
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: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Oct 29, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Oct 29, 2023 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
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: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Oct 29, 2023 · F-0837
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.
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: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Oct 29, 2023 · F-0867
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
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: Nov 28, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility did not keep residents' personal and medical information private and confidential. F-0583
K · Immediate jeopardy, pattern
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
K · Immediate jeopardy, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
View all 16 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
May 6, 2026
D · Potential for more than minimal harm, isolated
The facility did not keep residents' personal and medical information private and confidential. · F-0583
Oct 29, 2023
▲ K · Immediate jeopardy, pattern
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
Oct 29, 2023
▲ K · Immediate jeopardy, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 29, 2023
▲ K · Immediate jeopardy, pattern
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Oct 29, 2023
▲ K · Immediate jeopardy, pattern
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · F-0837
Oct 29, 2023
▲ K · Immediate jeopardy, pattern
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Oct 29, 2023
F · Potential for more than minimal harm, widespread
The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
Oct 29, 2023
F · Potential for more than minimal harm, widespread
The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · F-0909
Oct 29, 2023
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
Oct 29, 2023
D · Potential for more than minimal harm, isolated
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Oct 29, 2023
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
Oct 29, 2023
D · Potential for more than minimal harm, isolated
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Oct 29, 2023
D · Potential for more than minimal harm, isolated
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Oct 29, 2023
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 29, 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
Oct 29, 2023
D · Potential for more than minimal harm, isolated
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
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)
2023
All citations:
15
Serious citations (G–L):
5
2026
All citations:
1
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
15
5
K ▲
2026
1
0
D
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.
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
Oct 29, 2023
Fine
$93,919
Nurse staffing (from payroll records, adjusted for how much care residents need)
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:
5.88
Tennessee average:
3.62
U.S. average:
3.95
Registered Nurse hours
This facility:
1.69
Tennessee average:
0.57
U.S. average:
0.69
Weekend total nurse staffing
This facility:
5.66
Tennessee average:
3.15
U.S. average:
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)
5.88
3.62
3.95
top 2% in Tennessee; top 5% in the U.S.
Registered Nurse hours
1.69
0.57
0.69
top 2% in Tennessee; top 3% in the U.S.
Weekend total nurse staffing
5.66
3.15
3.50
top 1% in Tennessee; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)
1.23
0.39
0.48
top 1% in Tennessee; top 3% in the U.S.
Total nursing staff turnover (%)
26.4
48.9
45.8
top 5% in Tennessee; top 9% in the U.S.
RN turnover (%)
31.6
43.2
42.9
top 30% in Tennessee; top 32% 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 5.86, RN 1.69, weekend 5.64.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.86 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
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.
No verified facility-specific private-pay price is available in our data for Siskin Subacute West. 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.
CMS records place this facility in Hamilton, TN — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $93,919
Most serious findings on record:
▲ Oct 29, 2023 (F-0656, Immediate jeopardy, pattern): 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.
▲ Oct 29, 2023 (F-0689, Immediate jeopardy, pattern): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Oct 29, 2023 (F-0835, Immediate jeopardy, pattern): The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Questions for the administrator:
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "Who owns and governs this facility, and how long has the current administrator been here?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How often are beds and bed rails inspected, and who does those checks?"
☐ "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 26% 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?"
☐ "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 445008 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)