Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
FOOTHILLS TRANSITIONAL CARE AND REHABILITATION
MARYVILLE, TN · 185 certified beds · Last Life Safety survey January 10, 2024
CMS Certification Number 445245 · first certified March 1990
Ownership
Operated by THE ENSIGN GROUP · For profit - Corporation
- Ownership changed May 1, 2024 (change of ownership)from MARYVILLE JAMESTOWN OPCO LLC
Position within TN
5 citations — more than 27% 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
The latest survey found 3 citations; the earlier surveys in the window averaged 1. 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: April 2025 to September 2027. This facility’s last Life Safety survey was January 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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Physical environment (health survey)
6 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 5 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0908 Keep all essential equipment working safely.
- 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.
- F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 5 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 16, 2019 | 1 |
| February 12, 2020 | 1 |
| January 10, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0711 | Provide a written emergency evacuation plan. | 2 | 2024-01-10 |
| K-0281 | Install proper backup exit lighting. | 1 | 2020-02-12 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2024-01-10 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2024-01-10 |
What the citations cover
- Miscellaneous Deficiencies 2
- Smoke Deficiencies 2
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 2 |
| Smoke Deficiencies | 2 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 10, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0321 | Ensure 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 (February 13, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 1, 2024) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (February 1, 2024) |
February 12, 2020 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (March 13, 2020) |
January 16, 2019 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (January 15, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.