Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WEST HILLS HEALTH AND REHAB

KNOXVILLE, TN · 194 certified beds · Last Life Safety survey November 15, 2024

CMS Certification Number 445501 · first certified January 2011

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TN

7 citations — more than 45% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: February 2026 to July 2028. This facility’s last Life Safety survey was November 2024. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Emergency preparedness

1 of the 7 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0004

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	7
Median facility in TN	8
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 20, 2019	2
February 2, 2022	2
November 15, 2024	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0324	Provide properly protected cooking facilities.	1	2022-02-02
K-0363	Install corridor and hallway doors that block smoke.	1	2024-11-15
K-0541	Install properly constructed and protected linen or trash chutes.	1	2022-02-02
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	1	2024-11-15
K-0531	Have elevators that firefighters can control in the event of a fire.	1	2019-03-20
K-0712	Have simulated fire drills held at unexpected times.	1	2024-11-15
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	1	2019-03-20

What the citations cover

Citations by CMS category

Smoke Deficiencies 2
Services Deficiencies 2
Miscellaneous Deficiencies 1
Emergency Preparedness Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	2
Services Deficiencies	2
Miscellaneous Deficiencies	1
Emergency Preparedness Deficiencies	1
Gas, Vacuum, and Electrical Systems Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 15, 2024 — 3 citations

Citations issued on November 15, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 16, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 16, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 16, 2024)

February 2, 2022 — 2 citations

Citations issued on February 2, 2022
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 5, 2022)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (March 5, 2022)

March 20, 2019 — 2 citations

Citations issued on March 20, 2019
Tag	What the surveyor checks	Status
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (March 18, 2019)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (April 5, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.