Foothills Transitional Care and Rehabilitation
1012 Jamestown Way · Maryville, TN · 37803 · 8659847400
185 certified beds For profit - Corporation Chain: The Ensign Group
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $17,883 |
Inspection citations (25 in the current record)
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Actual harm · G February 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 1, 2024 · Quality of Life and Care
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Potential for harm · E February 18, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 1, 2025 · Resident Rights
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Potential for harm · D February 18, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 14, 2025 · Nutrition and Dietary
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Potential for harm · F February 18, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected April 1, 2025 · Environmental
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Potential for harm · D January 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 9, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 9, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 9, 2024 · Resident Rights
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Potential for harm · D January 10, 2024
Ensure each resident receives an accurate assessment.
Corrected February 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 9, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024
Provide or obtain dental services for each resident.
Corrected February 9, 2024 · Quality of Life and Care
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Potential for harm · F January 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2024 · Nutrition and Dietary
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Potential for harm · D January 10, 2024
Dispose of garbage and refuse properly.
Corrected February 9, 2024 · Nutrition and Dietary
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Potential for harm · D January 10, 2024
Provide and implement an infection prevention and control program.
Corrected February 9, 2024 · Infection Control
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Potential for harm · D January 10, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 9, 2024 · Infection Control
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Potential for harm · D January 10, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 9, 2024 · Environmental
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Actual harm · G August 11, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 16, 2023 · Quality of Life and Care
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Potential for harm · D August 11, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2020
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 27, 2020 · Resident Rights
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Potential for harm · D February 12, 2020
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 27, 2020 · Nursing and Physician Services
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Potential for harm · D February 12, 2020
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 27, 2020 · Pharmacy Service
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Potential for harm · D January 16, 2019
Provide or obtain dental services for each resident.
Corrected February 18, 2019 · Quality of Life and Care
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Potential for harm · F January 16, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 18, 2019 · Nutrition and Dietary
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Potential for harm · D January 16, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 18, 2019 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 18, 2025 | Fine | $9,982 |
| August 11, 2023 | Fine | $7,901 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445245 · certified since March 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.