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

RIVER GROVE HEALTH AND REHABILITATION

LOUDON, TN · 180 certified beds · Last Life Safety survey August 11, 2025

CMS Certification Number 445253 · first certified June 1990

Ownership

Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Limited Liability company

  • Ownership changed July 1, 2019 (change of ownership)from EAGLE ACQUISITION XI LLC
11
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TN

11 citations — more than 66% 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

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

The latest survey found 1 citation; the earlier surveys in the window averaged 3.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was August 2025. 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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Which alerts

Physical environment (health survey)

2 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 11 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

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.

This facility11TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0252023-1142024-0512025-08
Citations at each Life Safety survey
Survey dateCitations
February 9, 20221
November 28, 20235
May 2, 20244
August 11, 20251

Most-cited tags

Most-cited tags at this facility
K-03212K-09231K-03511K-02221K-05111K-07121K-07811K-09111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-05-02
K-0923Have proper medical gas storage and administration areas.12023-11-28
K-0351Install an approved automatic sprinkler system.12025-08-11
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-05-02
K-0511Have properly installed electrical wiring and gas equipment.12024-05-02
K-0712Have simulated fire drills held at unexpected times.12022-02-09
K-0781Have restrictions on the use of portable space heaters.12024-05-02
K-0911Meet requirements for the installation and maintenance of electrical systems.12023-11-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Services Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1
Egress Deficiencies1

Every citation on file

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

August 11, 2025 — 1 citation

Citations issued on August 11, 2025
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 29, 2025)

May 2, 2024 — 4 citations

Citations issued on May 2, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (May 22, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 22, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 22, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (May 22, 2024)

November 28, 2023 — 5 citations

Citations issued on November 28, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 15, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 13, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (December 13, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 13, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 29, 2023)

February 9, 2022 — 1 citation

Citations issued on February 9, 2022
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 3, 2022)

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