Spring City Care and Rehabilitation Center
331 Hinch Street, Spring City, TN 37381 · Rhea County · 138 certified beds · avg 77 residents/day · certified since Feb 16, 1988
Abuse citation flag (CMS)
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
⚠ 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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 27, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Feb 27, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 27, 2024 | 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. · from a complaint |
| Mar 1, 2023 | 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. |
| Mar 1, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Mar 1, 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. |
| Mar 1, 2023 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Oct 23, 2019 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Oct 23, 2019 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Oct 23, 2019 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Oct 23, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 24, 2018 | F · Potential for harm, facility-wide | 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. |
| Oct 24, 2018 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 24, 2018 | 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. |
| Oct 24, 2018 | 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. |
| Oct 24, 2018 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 5 | 0 | F |
| 2019 | 4 | 0 | D |
| 2023 | 4 | 0 | F |
| 2024 | 3 | 1 | G ▲ |
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)
1 fine totaling $8,512.
| Date | Type | Amount / length |
|---|---|---|
| Feb 27, 2024 | Fine | $8,512 |
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) | 3.26 | 3.62 | 3.95 | bottom 32% in Tennessee; bottom 24% in the U.S. |
| Registered Nurse hours | 0.43 | 0.57 | 0.69 | bottom 33% in Tennessee; bottom 27% in the U.S. |
| Weekend total nurse staffing | 2.71 | 3.15 | 3.50 | bottom 25% in Tennessee; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.39 | 0.48 | bottom 16% in Tennessee; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 40.5 | 48.9 | 45.8 | top 25% in Tennessee; top 38% in the U.S. |
| RN turnover (%) | 44.4 | 43.2 | 42.9 | bottom 45% in Tennessee; bottom 45% 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 3.69, RN 0.49, weekend 3.06. Staffing rating: 2/5.
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: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Agemo Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2016 |
| Jjla LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| LP CR Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2007 |
| LPSNF II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2016 |
| Steier III, Elmer | Individual | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Wheaten LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Owens, Tommie | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/22/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Life Care Center of Rhea County | 11.5 mi | Dayton, TN | ★★★★☆ | 3/5 | |
| Decatur Wellness and Rehabilitation Center | 11.7 mi | Decatur, TN | ★★★☆☆ | 4/5 | |
| Signature Healthcare of Rockwood Rehab & Wellness | 17.6 mi | Rockwood, TN | ★★★★★ | 5/5 | |
| Bledsoe County Nursing Home | 18.6 mi | Pikeville, TN | ★★★★☆ | 4/5 | |
| Laurelbrook Nursing Home | 18.8 mi | Dayton, TN | ★★☆☆☆ | 1/5 | |
| Renaissance Terrace | 20.0 mi | Harriman, TN | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 445209.