Total health inspections
5
State average N/A
Last Health inspection on Feb 2025
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
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Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Foothills Transitional Care and Rehabilitation
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Foothills Transitional Care and Rehabilitation
Foothills Transitional Care and Rehabilitation is located in Maryville, TN. It offers skilled nursing and in-house therapy services for short-term rehabilitation and long-term care. The facility provides a variety of activities to help residents stay active.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
185
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
51.8%
Residents per day (avg)
105
Occupancy rate
51.8%
Residents per day (avg)
105
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
62% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.8M
Profit
$156.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$10.8M
Profit
$156.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.6M
185-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000013
CMS Certification Number445245
Foothills Transitional Care and Rehabilitation is administrated by Charles Dietrich.
Owner NameSmoky Mountain Healthcare, Inc
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Specific ProgramsIn-House Therapy, Skilled Nursing, Stay Active
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Tennessee average: 9 complaint visits
Latest inspection
Date
January 10, 2024
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health citations
25
State average N/A
Citations per inspection
5
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 25 citations resulted from standard inspections; and 7 of 25 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
2
2
In line with State averageState average: N/A
0 critical citations
2 serious citations
23 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 18, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Feb 18, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 18, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 18, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 18, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 18, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 18, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
Foothills Transitional Care and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Maryville
185
-
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
10
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
40
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
16
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
12
8
-
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7.0 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
196
Employees
129
Contractors
67
Staff to resident ratio
2.06:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
52
Average shift
9 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
42,478
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
117
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.1%
3,016 contractor hours this quarter
Certified Nursing Assistant: 67
Staff by category
| Certified Nursing Assistant | 50 | 67 | 117 | 17,096 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 22 | 0 | 22 | 8,697 | 91 | 100% | 10.2 |
| Registered Nurse | 10 | 0 | 10 | 3,894 | 90 | 99% | 9.7 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,117 | 91 | 100% | 8.1 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,329 | 79 | 87% | 7.2 |
| Nurse Practitioner | 2 | 0 | 2 | 1,152 | 65 | 71% | 9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,107 | 68 | 75% | 6.8 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,080 | 67 | 74% | 6.9 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,037 | 85 | 93% | 11.7 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,012 | 68 | 75% | 7.2 |
| Dental Services Staff | 2 | 0 | 2 | 972 | 65 | 71% | 7.9 |
| Qualified Social Worker | 5 | 0 | 5 | 855 | 74 | 81% | 6.4 |
| RN Director of Nursing | 2 | 0 | 2 | 612 | 62 | 68% | 9 |
| Dietitian | 1 | 0 | 1 | 522 | 63 | 69% | 8.3 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 478 | 72 | 79% | 5.8 |
117 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
99%
7 Other Dietary Services Staff
% of Days
100%
7 Physical Therapy Assistant
% of Days
87%
2 Nurse Practitioner
% of Days
71%
3 Clinical Nurse Specialist
% of Days
75%
5 Physical Therapy Aide
% of Days
74%
2 Medication Aide/Technician
% of Days
93%
6 Speech Language Pathologist
% of Days
75%
2 Dental Services Staff
% of Days
71%
5 Qualified Social Worker
% of Days
81%
2 RN Director of Nursing
% of Days
68%
1 Dietitian
% of Days
69%
1 Administrator
% of Days
71%
4 Respiratory Therapy Technician
% of Days
79%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
95 residents
Residents by payment source
Medicare
15 residents (15.8%)
Medicaid
72 residents (75.8%)
Private pay or other
8 residents (8.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.4
56% worse than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
56% worse than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
52% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
45.6%
Percent of long-stay residents whose ability to move independently worsened
45.6%
110% worse than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
In line with State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
36% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.4%
Percent of long-stay high risk residents with pressure ulcers
3.4%
37% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
13% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.2%
Percent of long-stay residents who lose too much weight
6.2%
In line with State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
19.1%
Percent of long-stay residents who have depressive symptoms
19.1%
73% worse than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.5%
Percent of long-stay residents who received an antipsychotic medication
4.5%
73% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.0%
38% worse than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
76.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
76.6%
19% worse than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
48.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
48.7%
39% worse than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
44% worse than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.7%
38% worse than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$18K
80% lower than State averageState average: $86K
Number of fines
2
15% more fines than State averageState average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$18K
State average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 18, 2025
$10K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 11, 2023
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Foothills Transitional Care and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
51.8%
↓ 4.9pp vs 2022
Net Income
$156.8K
↓ ~$167.6K vs 2022
Total Payroll
$4.4M
↓ ~$43.9K vs 2022
Profit Margin
1.5%
↓ 1.5pp vs 2022
Loading trend charts...
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