Lyonsview Health and Rehabilitation Center
5837 Lyons View Pike · Knoxville, TN · 37919 · 8655843902
222 certified beds For profit - Limited Liability company Chain: Champion Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 1 · $12,038 |
Inspection citations (18 in the current record)
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Immediate jeopardy · J July 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L April 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 26, 2023 · Nutrition and Dietary
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Immediate jeopardy · L April 13, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 26, 2023 · Administration
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Immediate jeopardy · L April 13, 2023
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected May 26, 2023 · Administration
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Immediate jeopardy · L April 13, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 26, 2023 · Environmental
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Actual harm · G April 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 26, 2023 · Resident Assessment and Care Planning
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Actual harm · G April 13, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 26, 2023 · Quality of Life and Care
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Actual harm · G April 13, 2023
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected May 26, 2023 · Nursing and Physician Services
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Potential for harm · D April 13, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 13, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · D April 13, 2023
Provide activities to meet all resident's needs.
Corrected May 25, 2023 · Quality of Life and Care
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Potential for harm · F April 13, 2023
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected May 26, 2023 · Nursing and Physician Services
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Potential for harm · D June 30, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 31, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 10, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 10, 2019 · Pharmacy Service
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Potential for harm · F August 21, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2019 · Nutrition and Dietary
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Potential for harm · F August 21, 2019
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 10, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2024 | Fine | $12,038 |
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 445114 · certified since January 6, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.