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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A member of Hillcrest Community, Island Home Park Health is a skilled nursing and rehabilitation center that has been providing service for many families since 1960; they have strived to be one of the nursing homes that offer a top-notch level of service. Management ensures that the mental, physical, and emotional needs of their residents are met and satisfied; they provide a personalized care program that is focused on the specific needs of each unique individual. Marian Manor is where opportunities happen, and where residents feel as if they’re home away from home.
Island Home offers a range of services such as short-term and sub-acute care, skilled nursing, rehabilitative services, and long-term care; to name a few of the highlighted services including specializing in respiratory care, wound care, IV therapy, and bariatric care.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 115th out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 14m per day | ▼ 61% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 9m per day | ▲ 4% State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 50m per day | ▼ 15% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 40m per day | ▼ 20% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 78% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 8m per day | ▼ 68% State avg: 25m per day · National avg: 29m per day |
Higher than the Tennessee average: 71.6%Island Home Park Health and Rehab is legally operated by Hillcrest Healthcare Communities, Inc, and administrated by Trudy K. Durham.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 4 | This facility has 25% more total citations than a typical Tennessee nursing home (5 vs. TN avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2019.
| 0.7 | 0.6 | This facility has 17% more citations per year than a typical Tennessee nursing home (0.7 vs. TN avg 0.6).↑ 17% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Tennessee average 3.5
Last Health inspection on Mar 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 5 citations resulted from standard inspections; and 2 of 5 resulted from complaint investigations.
100% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% fewer staff per resident than Tennessee average
6% worse than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 1 full-time employee and 11 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
46 total: 18 full-time employees and 28 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,438 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 13,716 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 18 | 28 | 46 | 7,621 | 92 | 100% | 8.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 957 | 80 | 87% | 5.9 |
| RN Director of Nursing | 2 | 0 | 2 | 926 | 65 | 71% | 7.7 |
| Registered Nurse | 1 | 11 | 12 | 741 | 56 | 61% | 8.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 719 | 81 | 88% | 7.5 |
| Physical Therapy Aide | 0 | 4 | 4 | 556 | 69 | 75% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 458 | 64 | 70% | 7 |
| Dietitian | 1 | 0 | 1 | 443 | 52 | 57% | 8.5 |
| Dental Services Staff | 1 | 0 | 1 | 405 | 60 | 65% | 6.8 |
| Feeding Assistant | 0 | 2 | 2 | 231 | 52 | 57% | 4.3 |
| Qualified Social Worker | 0 | 1 | 1 | 137 | 27 | 29% | 5.1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 136 | 57 | 62% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 75 | 9 | 10% | 8.3 |
| Medical Director | 0 | 1 | 1 | 74 | 37 | 40% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.1
44% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.2
39% worse than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
9% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
47.6%
120% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.4%
7% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
28% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
0.9%
84% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.7%
20% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
9.7%
54% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
2.0%
82% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
6.9%
58% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.99
89% worse than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.93
41% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
24% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
5% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
20% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.3%
27% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.8%
66% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
14.8%
72% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.6%
16% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
84Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Island Home Park Health and Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #84 / 176Payroll — State benchmarkedThis home is ranked 84th out of 176 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
3.9 miles from city center
Estimated distance in miles from Knoxville's city center to Island Home Park Health and Rehab's address, calculated via Google Maps.
— 2.64 miles to nearest hospital (Select Specialty Hospital - Knoxville)
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Island Home Park Health and Rehab is located in Knoxville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| Holston Health And Rehabilitation Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville | 94
Facility
94
TN AVG
88
Rank
#174 / 427 | 81.9% | +12% | 3.36 | -1% | -7% | $0 | 5 | 2.5 | - | 77 |
2
Facility
2
TN AVG
34
Rank
#508 / 554 | Daniel Mckenzie | $13.4M | $6.2M | 46.5% | 445344 | ||||
| NHC HealthCare, Farragut |
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. | Knoxville | 88
Facility
88
TN AVG
88
Rank
#186 / 427 | 100.0% | +37% | 4.17 | +27% | +15% | $0 | 12 | 6.0 | - | 94 |
24
Facility
24
TN AVG
34
Rank
#358 / 554 | Karla Lane | $21.8M | $10.2M | 46.7% | 445415 | ||||
| Island Home Park Health and Rehab |
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. | Knoxville (South Knoxville) | 95
Facility
95
TN AVG
88
Rank
#172 / 427 | 89.0% | +22% | 3.24 | -2% | -11% | $0 | 5 | 2.5 | - | 81 |
18
Facility
18
TN AVG
34
Rank
#395 / 554 | Trudy Durham | $10.8M | $5.8M | 53.5% | 445476 | ||||
| Beverly Park Place Health And Rehab |
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. | Knoxville (Corinth) | 53
Facility
53
TN AVG
88
Rank
#331 / 427 | 49.1% | -33% | 3.40 | +36% | -6% | $0 | 14 | 2.8 | - | 26 |
8
Facility
8
TN AVG
34
Rank
#458 / 554 | Hillcrest Healthcare Communities Inc | $20.0M | $10.2M | 51.2% | 445131 | ||||
| Renaissance Terrace |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville (Fourth & Gill) | 50
Facility
50
TN AVG
88
Rank
#341 / 427 | 29.2% | -60% | 2.82 | +75% | -22% | $9.3k | 27 | 6.8 | 1 | 43 |
74
Facility
74
TN AVG
34
Rank
#26 / 554 | William Sharpe | $4.8M | $2.2M | 45.2% | 445223 |
Island Home Park Health and Rehab is in the South Knoxville neighborhood of Knoxville.
The legal owner and operator of Island Home Park Health and Rehab is Hillcrest Healthcare Communities, Inc.
Island Home Park Health and Rehab has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Island Home Park Health and Rehab's license number is 00000144.
According to TN state health department records, Island Home Park Health and Rehab's license expires on February 24, 2026.
Island Home Park Health and Rehab's occupancy is 89%.
Trudy K. Durham is the administrator of Island Home Park Health and Rehab.
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