Renaissance Terrace
257 Patton Lane · Harriman, TN · 37748 · 8653543941
130 certified beds For profit - Corporation Chain: Community Eldercare Services
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
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.
Cited under the freedom-from-abuse rule
Cited 2 times 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.
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: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D February 10, 2026 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected February 25, 2026 · Resident Rights
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Potential for harm · D February 10, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 3, 2026 · Quality of Life and Care
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Potential for harm · F September 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 13, 2023 · Nutrition and Dietary
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Potential for harm · D September 20, 2023 · found via complaint
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 October 13, 2023 · Resident Rights
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Potential for harm · F September 20, 2023 · found via complaint
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 October 13, 2023 · Resident Rights
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Potential for harm · D September 20, 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 October 13, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 20, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 20, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 20, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · F September 20, 2023 · found via complaint
Provide activities to meet all resident's needs.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · E September 20, 2023 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · F September 20, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 13, 2023 · Nursing and Physician Services
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Potential for harm · D September 20, 2023 · found via complaint
Post nurse staffing information every day.
Corrected October 13, 2023 · Nursing and Physician Services
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Potential for harm · D September 20, 2023 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 13, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected October 13, 2023 · Administration
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Potential for harm · E September 20, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · F September 20, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 13, 2023 · Administration
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Potential for harm · E September 20, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 13, 2023 · Infection Control
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Potential for harm · F September 20, 2023 · found via complaint
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected October 13, 2023 · Environmental
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Potential for harm · D December 4, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 17, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 17, 2020 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 17, 2020 · Quality of Life and Care
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Potential for harm · D December 4, 2019
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected January 17, 2020 · Quality of Life and Care
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Potential for harm · D October 17, 2018
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 1, 2018 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 445223 · certified since May 15, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.