Deficiency Index

Union City Health and Rehabilitation

Union City, Tennessee · CCN 445381

12 surveys since 2010, 11 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
64
Surveys
12
Harm or worse
11
Immediate jeopardy
8
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file9/12

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

The facility

Certified beds
115
Ownership
For profit - Individual
Chain
THE ENSIGN GROUP
County
Obion · rural
Medicare-certified since
1996

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=6, floor 20).

Last survey on record

Aug 21, 2025

445 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 day3.493.58
Registered-nurse hours per resident day0.73—
Annual nurse turnover22.4%48.0%

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

Enforcement

Fines
$10,348 across 1 penalty

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—K110.0%L—
Actual harmG—H—I—
No harm, potential for more than minimalD990.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 64 citations on record.

In the surveyor’s words

From the most serious findings on record at Union City Health and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Aug 21, 2025

    Based on Centers for Disease Control and Prevention (CDC) guidelines, facility policy review, Glucometer (a device used to check blood sugar levels with the use of a blood sample) User's Guide review, skills check off list review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when a multi-use blood glucose meter was not cleaned and disinfected with an Environmental Protection Agency (EPA) approved disinfecting wipe to prevent the cross-contamination of bloodborne pathogens for 2 of 2 (Resident #6 and Resident #48) sampled residents reviewed for blood glucose monitoring. […]

  • No harm, potential for more than minimal, isolatedF689Aug 21, 2025

    Based on the policy review, medical record review, observation, and interview, the facility failed to provide an environment free from accident hazards for 3 of 72 (Resident #42, #51 and #60) residents when razors and a bottle of rubbing alcohol were left unsecured and unattended in in Resident's rooms. There were 7 residents with wandering behaviors in the facility. The findings include: 1. Review of the facility policy titled .Personal Property, Resident's, dated 01/2025, revealed .Facility to provide space and safety for resident's personal property.The right to retain and use personal possessions.unless to do so would infringe upon the rights or health and safety of other residents. […]

  • No harm, potential for more than minimal, isolatedF726Aug 21, 2025

    Based on policy review, Licensed Practical Nurse (LPN) Job Description review, Medication Administration Observation review, observations and interviews, the facility failed to ensure all licensed nurses independently demonstrated competency while providing care and services for 1of 3 Nurses (Licensed Practical Nurse (LPN) A) observed, when 2 of 6 residents (Resident #48 and #6) observed for medication administration, and when 28 of 32 nurses (LPN A, LPN B, RN C, LPN D, RN E, RN F, LPN G, LPN H, RN I, LPN J, LPN K, LPN L, LPN M, LPN N, LPN O, RN P, LPN Q, LPN R, RN S, LPN T, LPN U, RN V, LPN W, LPN X, RN Y, LPN AA, RN BB, and the DON) reviewed did not have completed competency audits for medication pass. […]

  • No harm, potential for more than minimal, isolatedF657May 15, 2024

    Based on policy review, medical record review, observation and interview the facility failed to revise the comprehensive care plan for 2 of 18 sampled residents (Resident #21 and #51) to reflect the residents ' status related to the use of oxygen and urinary tract infection. The findings include: 1. Review of the facility's policy titled, Comprehensive Care plan, dated 10/24/2022, revealed .It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident .that includes measurable objectives and time frames to meet the resident ' s medical .needs that are identified in the resident ' s comprehensive assessment .The comprehensive care plan shall describe, at a minimum, the following .any specialized services .The comprehensive care plan… […]

  • No harm, potential for more than minimal, isolatedF692May 15, 2024

    Based on policy review, medical record review, and interview, the facility failed to accurately assess the nutritional status and to follow the Registered Dietician's (RD) recommendations to provide nutritional interventions for 1 of 6 sampled residents (Resident #24) reviewed for nutrition. The findings include: Review of the facility's policy titled, .Dietary: Weight Monitoring, dated 11/09/2023, revealed .The facility shall utilize a systemic approach to optimize a resident's nutritional status .Identifying and assessing each resident's nutritional status and risk factors .Evaluating/analyzing the assessment information .Developing and consistently implementing pertinent approaches .Monitoring the effectiveness of interventions and revising them as necessary .The Registered… […]

Read 25 findings in full →The most serious and the most recent: 25 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2025Standard3 findings · 1 harm
  • May 15, 2024Standard3 findings
  • Oct 3, 2019Standard4 findings
  • Nov 15, 2018Standard2 findings
  • Dec 6, 2017Standard3 findings
  • Oct 27, 2016Standard9 findings · 3 harm
  • Feb 10, 2015Complaint1 finding
  • Jul 16, 2014Standard11 findings
Show the 4 earlier surveys
  • Jun 18, 2014Complaint3 findings · 2 harm
  • Apr 18, 2013—9 findings
  • Jan 19, 2012—13 findings · 5 harm
  • Oct 26, 2010—3 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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