River Grove Health and Rehabilitation
Loudon, Tennessee · CCN 445253
21 surveys since 2010, 2 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
- 73
- Surveys
- 21
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 180
- Ownership
- For profit - Limited Liability company
- Chain
- SIMCHA HYMAN & NAFTALI ZANZIPER
- County
- Loudon
- Medicare-certified since
- 1990
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 77 for-profit facilities with 128 or more beds in Tennessee.
Last survey on record
Aug 11, 2025
455 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.13 | 3.56 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 40.0% | 48.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2087.0% | E— | F28.7% |
| No harm, potential for minimal | A— | B— | C14.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6414×
Ensure each resident receives an accurate assessment.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at River Grove Health and Rehabilitation, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Aug 11, 2025
Based on facility policy review, observations, and interviews the facility failed to store frozen food items properly, failed to maintain kitchen equipment in a sanitary condition, and failed to discard undated cold food items, which had the potential to affect 95 of 97 residents residing in the facility. The findings include: Review of the facility's policy titled, Equipment Cleaning Procedures, dated 5/2018, revealed .all dietary equipment and the environment are cleaning and sanitized in a manner that meets .federal regulations .equipment .soiled between scheduled cleanings must be properly cleaned and sanitized .wash soil from equipment . […]
- No harm, potential for more than minimal, widespreadF812May 2, 2024
Based on facility policy review, observations, and interview the facility failed to ensure food items were sealed properly, failed to keep cleaning products away from open food containers, failed to ensure cooking equipment was maintained in a sanitary condition, and failed to ensure expired food items were not available for resident use which had the potential to effect 87 of 91 residents. The findings include: Review of the facility policy titled, Food Safety and Foodborne Illness Prevention, dated [DATE], revealed .Facility staff shall inspect all food, food products, and beverages .and ensure timely and proper storage .Dry food storage .in a clean, dry area, off the floor and clear of ceiling sprinkler, sewer/waste disposal pipes and vents .Refrigerated storage .Labeling, dating, and… […]
- No harm, potential for more than minimal, widespreadF812Sep 9, 2021
Based on facility policy review, observation, and interview, the facility failed to ensure prepared food was maintained at the appropriate holding temperatures and failed to maintain the dietary kitchen and food service equipment in a clean and sanitary manner during 1 of 1 observations of the facility, affecting 110 of 113 residents. The findings included: Review of the facility's policy titled Food Preparation and Service dated 7/2014, showed .The danger zone for food temperatures is between 41 F [degrees Fahrenheit] and 135 F. This temperature range promotes the rapid growth of pathogenic microorganisms that cause foodborne illness . […]
- No harm, potential for more than minimal, isolatedF583Aug 11, 2025
Based on facility policy review, observations, and interviews, the facility failed to ensure the residents' health information remained private and confidential on 1 medication cart (Station 2 Cart 1) of 3 medication carts observed, which had the potential to allow unauthorized individuals access to the residents' private health information. The findings include:Review of the facility's policy titled, Confidentiality of Personal and Medical Records, dated 3/23/2022, revealed .'Keep confidential' is defined as safeguarding the content of information including written documentation .or other computer stored information from unauthorized disclosure without the consent of the individual and/or the individual's surrogate or representative .Paper notes or reminders with resident's personal or… […]
- No harm, potential for more than minimal, isolatedF584Aug 11, 2025
Based on facility policy review, observations, and interviews the facility failed to maintain a safe, clean, homelike environment for 1 resident (Residents #28) on 1 of 5 hallways observed. The findings include: Review of the facility's policy titled, Safe and Homelike Environment, revised 5/2025, revealed .In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment . Environment refers to any environment in the facility that is frequented by residents, including (but not limited to) the residents' rooms . […]
Read 22 findings in full →The most serious and the most recent: 22 of 73 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 11, 2025Standard and complaint11 findings
- May 2, 2024Standard and complaint7 findings
- Sep 28, 2023Complaint2 findings
- Apr 20, 2023Complaint1 finding
- Jun 8, 2022Complaint1 finding
- Feb 9, 2022Standard3 findings
- Sep 9, 2021Complaint1 finding
- Mar 9, 2021Complaint1 finding
Show the 13 earlier surveys
- May 1, 2019Standard2 findings
- Apr 18, 2019Complaint2 findings
- Aug 8, 2017Complaint1 finding
- Mar 15, 2017Standard and complaint1 finding
- Mar 15, 2016Standard5 findings
- Feb 4, 2016Complaint3 findings
- Mar 18, 2015Standard1 finding
- Jan 30, 2014—5 findings
- Dec 11, 2013—3 findings · 2 harm
- Dec 6, 2012—1 finding
- Aug 2, 2012—13 findings
- Mar 3, 2011—3 findings
- Jan 27, 2010—6 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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