CHURCH HILL POST-ACUTE AND REHABILITATION CENTER
State inspectors recorded 6 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2024-11-18 — IMMEDIATE JEOPARDY (tag F0880, severity L)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2024-11-18 — IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-18 — IMMEDIATE JEOPARDY (tag F0726, severity L)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
2024-11-18 — IMMEDIATE JEOPARDY (tag F0835, severity L)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2024-11-18 — IMMEDIATE JEOPARDY (tag F0837, severity L)
Administration Deficiencies · correction not recorded in CMS data
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.
2024-11-18 — IMMEDIATE JEOPARDY (tag F0867, severity L)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2021-07-13 — IMMEDIATE JEOPARDY (tag F0609, severity L)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2021-07-13 — IMMEDIATE JEOPARDY (tag F0867, severity L)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Staffing, from payroll records
Nursing hours / resident / day
3.03
state median 3.29
Weekend staffing gap
−19%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.17
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
52%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $250,780 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-18 | Fine | $250,780 |
| 2024-11-18 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PLAINVIEW HEALTHCARE PARTNERS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- LAURELLWOOD POST- ACUTE AND REHABILITATION CENTER (SAINT PETERSBURG, FL) —
- PINELLAS PARK FL OPCO, LLC (PINELLAS PARK, FL) —
- ST. ANDREW POST-ACUTE REHABILITATION CENTER (TAMPA, FL) —
- Good Shepherd Health and Rehabilitation (Phelps, KY) —
- ORCHARDVIEW POST-ACUTE AND REHABILITATION CENTER (KINGSPORT, TN) —
- COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER (LAWRENCEBURG, TN) —
- HUNTSVILLE POST-ACUTE AND REHABILITATION CENTER (HUNTSVILLE, TN) —
- BEECH TREE HEALTH AND REHABILITATION (JELLICO, TN) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-12 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-12 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-12 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-12 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-12 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-12 | F0850 | Administration Deficiencies | D | not recorded |
| 2025-05-05 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-23 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-18 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-18 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-18 | F0584 | Resident Rights Deficiencies | F | not recorded |
| 2024-11-18 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-11-18 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-18 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-11-18 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-11-18 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-18 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-18 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-18 | F0726 | Nursing and Physician Services Deficiencies | L | not recorded |
| 2024-11-18 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-18 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-11-18 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-11-18 | F0835 | Administration Deficiencies | L | not recorded |
| 2024-11-18 | F0837 | Administration Deficiencies | L | not recorded |
| 2024-11-18 | F0838 | Administration Deficiencies | D | not recorded |
| 2024-11-18 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-18 | F0867 | Administration Deficiencies | L | not recorded |
| 2024-11-18 | F0880 | Infection Control Deficiencies | L | not recorded |
| 2024-09-05 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-07-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2021-07-13 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2021-07-13 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2021-07-13 | F0741 | Quality of Life and Care Deficiencies | L | not recorded |
| 2021-07-13 | F0744 | Quality of Life and Care Deficiencies | L | not recorded |
| 2021-07-13 | F0867 | Administration Deficiencies | L | not recorded |