Rocky Top Care Center
204 Industrial Park Rd Po Box 659 · Rocky Top, TN · 37769 · 8654262147
117 certified beds For profit - Corporation
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.
$86,768 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $86,768 |
Inspection citations (37 in the current record)
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Immediate jeopardy · L August 22, 2024
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 September 19, 2024 · Administration
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Immediate jeopardy · L August 22, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 19, 2024 · Administration
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Immediate jeopardy · L August 22, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 19, 2024 · Administration
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Immediate jeopardy · L August 22, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 19, 2024 · Infection Control
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Potential for harm · E August 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 19, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
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 September 19, 2024 · Pharmacy Service
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Potential for harm · F August 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 19, 2024 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
Dispose of garbage and refuse properly.
Corrected September 19, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024 · 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 September 19, 2024 · Resident Rights
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Potential for harm · D August 22, 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 September 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · F August 22, 2024 · 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 September 19, 2024 · Nursing and Physician Services
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No harm found · C August 22, 2024
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected September 19, 2024 · Administration
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Potential for harm · D May 15, 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 June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 15, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected June 19, 2024 · Administration
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Potential for harm · D June 23, 2021
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 19, 2021 · Resident Rights
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Potential for harm · D June 23, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 19, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 19, 2021 · Quality of Life and Care
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Potential for harm · D June 23, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 19, 2021 · Quality of Life and Care
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Potential for harm · D June 23, 2021
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 19, 2021 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2024 | Fine | $86,768 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445259 · certified since August 2, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.