Deficiency Index

Church Hill Post-Acute and Rehabilitation Center

Church Hill, Tennessee · CCN 445237

26 surveys since 2011, 14 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
99
Surveys
26
Harm or worse
14
Immediate jeopardy
12
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy12

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/26

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
124
Ownership
For profit - Limited Liability company
Chain
PLAINVIEW HEALTHCARE PARTNERS
County
Hawkins
Medicare-certified since
1989

CMS ratings

Overall
—
Health inspection
—
Staffing
—
Quality measures
—

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 86 for-profit facilities of 100–127 beds in Tennessee.

Last survey on record

Feb 12, 2026

270 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.513.58
Registered-nurse hours per resident day0.42—
Annual nurse turnover52.4%48.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$250,780 across 1 penalty
Payment denials
1
Special focus
SFF

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K12.9%L1131.4%
Actual harmG—H—I—
No harm, potential for more than minimalD1851.4%E38.6%F25.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 35 of the 99 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6922×

    Provide enough food/fluids to maintain a resident's health.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8672×

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

In the surveyor’s words

From the most serious findings on record at Church Hill Post-Acute and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF726Nov 18, 2024

    Based on facility policy review, job description reviews, review of the Centers for Disease (CDC) website for recommendations and guidance for Enhanced Barrier Precautions (EBP) and Coronavirus Disease 2019 (COVID-19), medical record reviews, observations, and interviews, the facility failed to ensure the nursing staff were knowledgeable and fully understood of 6 residents (Residents # 13, #24, #25, #52, #56, and #83) in EBP on 3 of 4 hallways (200, 300, and 400 hallways), of 4 residents (Residents #102, #507, #508, and #509) with active COVID-19 infection on 1 of 4 hallways (100 hallway), and implemented the appropriate use of Personal Protective Equipment (PPE) for isolation rooms to prevent and control the spread of COVID-19, and other infectious organisms. […]

  • Immediate jeopardy, widespreadF835Nov 18, 2024

    Based on facility policy review, Centers for Disease Control and Prevention (CDC) recommendations and guidance review, job description review, facility assessment review, and interviews, the facility's Administration failed to ensure current CDC guidelines were utilized to prevent and control the spread of COVID-19 to the residents and employees. The facility's Administration failed to ensure the staff were competent and knowledgeable on Enhanced Barrier Precautions (EBP) and COVID-19 isolation practices which included use of appropriate Personal Protective Equipment (PPE) for potentially contagious residents. The facility's Administration failed to accurately identify residents with an active diagnosis of COVID-19. […]

  • Immediate jeopardy, widespreadF837Nov 18, 2024

    Based on facility policy review, review of the Centers for Disease Control and Prevention (CDC) recommendations and guidance, job description review, facility assessment review, and interviews, the Governing Body failed to provide oversight to Administration to ensure current CDC guidelines were utilized to prevent and control the spread of COVID-19 to the residents and employees. The Governing Body failed to provide oversight to Administration to ensure the staff were competent and knowledgeable on Enhanced Barrier Precautions (EBP) and COVID-19 isolation practices which included use of appropriate Personal Protective Equipment (PPE) for potentially contagious residents. […]

  • Immediate jeopardy, widespreadF867Nov 18, 2024

    Based on facility policy review, job description review, facility assessment review, Quality Assurance and Performance Improvement (QAPI) Plan review, QAPI Meeting Minutes review, facility documentation review, medical record review, observations, and interviews, the facility's QAPI program failed to ensure an effective, data-driven QAPI program that identified quality deficiencies, implement performance improvement activities to address quality concerns, and perform a root cause analysis related to infection control practices. […]

  • Immediate jeopardy, widespreadF880Nov 18, 2024

    Based on facility policy review, Centers for Disease Control and Prevention (CDC) recommendations and guidance review, medical record review, observations, and interviews, the facility failed to ensure current CDC guidelines dated 6/24/2024 and 10/28/2024 were followed to prevent and control the spread of COVID-19 to residents and staff, failed to identify and track residents with an active COVID-19 infection, failed to wear appropriate Personal Protective Equipment (PPE) in COVID-19 isolation rooms, and failed to perform facility wide employee testing and recommended quarantine time during the COVID-19 outbreaks. The facility failed to ensure COVID-19 positive residents were quarantined according to CDC guidance when Residents #608, #619, and #509 were admitted with COVID-19. […]

Read 32 findings in full →The most serious and the most recent: 32 of 99 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 7, 2026Standard10 findings
  • Feb 12, 2026Standard and complaint6 findings
  • May 5, 2025Complaint1 finding
  • Jan 23, 2025Complaint1 finding
  • Nov 18, 2024Standard and complaint21 findings · 6 harm
  • Sep 5, 2024Complaint1 finding
  • Feb 1, 2023Complaint1 finding
  • Sep 13, 2022Complaint1 finding
Show the 18 earlier surveys
  • Jul 13, 2021Standard6 findings · 6 harm
  • Aug 14, 2019Complaint1 finding
  • Apr 17, 2019Standard5 findings
  • Feb 4, 2019Complaint1 finding
  • Apr 18, 2018Standard and complaint6 findings
  • Jul 19, 2017Complaint2 findings
  • Mar 1, 2017Standard1 finding
  • Feb 7, 2017Complaint2 findings
  • May 24, 2016Complaint1 finding
  • Feb 23, 2016Standard9 findings
  • Feb 3, 2016Complaint3 findings
  • Jun 26, 2015Complaint2 findings
  • Jun 4, 2015Complaint1 finding
  • May 7, 2015Complaint2 findings
  • Feb 3, 2015Standard and complaint3 findings
  • May 31, 2013—2 findings · 2 harm
  • Aug 2, 2012—6 findings
  • Mar 16, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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