Rocky Top Care Center
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Rocky Top, TN
CMS overall rating Info 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.

Rocky Top Care Center

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Rocky Top, TN
CMS overall rating Info 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.
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Rocky Top Care Center accepts Medicare, Medicaid, and private pay.

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.

Since 2023 · 3 years of data 0 citations

Inspection Scorecard Info 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.

Since 2023 vs. Tennessee state average
Overall vs. TN average 0 Worse No metrics in this bucket. 1 Better Metrics better than Tennessee average:
• Total citations (100% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTN Averagevs. TN Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 04 This facility has 100% fewer total citations than a typical Tennessee nursing home (0 vs. TN avg 4).↓ 100% better

Health Inspection History

Inspections since 2019
Total health inspections 4

State average 3.5


Last Health inspection on Aug 2024

Total health citations
37 Rank #173 / 181Health citations — State benchmarkedThis home is ranked 173rd out of 181 homes in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 181 TN facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 15.4

Citations per inspection
9.25 Rank #178 / 181Citations per inspection — State benchmarkedThis home is ranked 178th out of 181 homes in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 181 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.39


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

24 of 37 citations resulted from standard inspections; 5 of 37 resulted from complaint investigations; and 8 of 37 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
8
627% worse than State average

State average: 1.1


Serious health citations
1
67% worse than State average

State average: 0.6

8 critical citations State average: 1.1

1 serious citation State average: 0.6

27 moderate citations State average: 13.7

1 minor citation State average: 0.1
Citations history (last 7 years)
Abuse/Neglect moderate citation Aug 22, 2024
Corrected

Administration critical citation Aug 22, 2024
Corrected

Administration critical citation Aug 22, 2024
Corrected

Administration minor citation Aug 22, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 123
Employees 103
Contractors 20
Staff to resident ratio 1.37 : 1
22% fewer staff per resident than Tennessee average
Tennessee average ratio: 1.75 : 1 Tennessee average ratio: 1.75 : 1See full Tennessee ranking
Avg staff/day 44
Average shift 9.1 hours
10% better than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 36,683

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 14 RN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 24 LPN Staff are full-time employees. No contractors work on this role. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 37 CNA Staff are full-time employees. No contractors work on this role. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.5%

2,368 contractor hours this quarter

Physical Therapy Aide: 5 Speech Language Pathologist: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 2 Medical Director: 1 Nurse Practitioner: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3703712,43492100%9.3
Licensed Practical Nurse240248,53992100%9.2
Registered Nurse140144,64392100%9.8
Diagnostic X-ray Services Staff8082,5359199%9.9
Nurse Aide in Training110112,1038795%9.2
Clinical Nurse Specialist4041,5817076%8.1
Dietitian2021,0296773%8.4
Mental Health Service Worker2029636672%8.3
Administrator1014886166%8
Nurse Practitioner0114806065%8
Physical Therapy Aide0554726065%7.5
Physical Therapy Assistant0224516470%6.9
Speech Language Pathologist0334495863%7.6
Respiratory Therapy Technician0222043538%5.7
Occupational Therapy Aide0221942426%8.1
Qualified Social Worker033451516%3
Occupational Therapy Assistant011371112%3.3
Medical Director0113667%6
37 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
14 Registered Nurse
% of Days 100%
8 Diagnostic X-ray Services Staff
% of Days 99%
11 Nurse Aide in Training
% of Days 95%
4 Clinical Nurse Specialist
% of Days 76%
2 Dietitian
% of Days 73%
2 Mental Health Service Worker
% of Days 72%
1 Administrator
% of Days 66%
1 Nurse Practitioner
% of Days 65%
5 Physical Therapy Aide
% of Days 65%
2 Physical Therapy Assistant
% of Days 70%
3 Speech Language Pathologist
% of Days 63%
2 Respiratory Therapy Technician
% of Days 38%
2 Occupational Therapy Aide
% of Days 26%
3 Qualified Social Worker
% of Days 16%
1 Occupational Therapy Assistant
% of Days 12%
1 Medical Director
% of Days 7%

Penalties and fines

Includes penalties issued in 2024

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 $87K Rank #162 / 182Federal fines — State benchmarkedThis home is ranked 162nd out of 182 homes in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 182 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
In line with Tennessee average

Tennessee average: $86K

Number of fines 1
43% fewer fines than Tennessee average

Tennessee average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Tennessee average

Tennessee average: 0.5

Fines amount comparison
Fines amount comparison
This facility $87K
Tennessee average $86K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 22, 2024 · $87K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 22, 2024
$87K

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.6
In line with Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.8
9% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.6%
9% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.0%
22% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.8%
5% worse than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.0%
62% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.7%
42% worse than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
In line with Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.9%
25% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.3%
79% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.3%
29% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.0%
In line with Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8%
In line with Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.11
30% better than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.43
55% worse than Tennessee average

Tennessee average: 1.57

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 43.7%
45% worse than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 47.5%
40% worse than Tennessee average

Tennessee average: 79.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Tennessee average

Tennessee average: 0.8%

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 2 years

Private pay

48% of new residents, often for short stays.

Typical stay 4 months

Medicaid

36% of new residents, often for long-term daily care.

Typical stay 11 days

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 90
Medicare
6
6.7% of residents
Medicaid
75
83.3% of residents
Private pay or other
9
10% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$416.5K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.1M Rank #152 / 181Revenue — State benchmarkedThis home is ranked 152nd out of 181 homes in Tennessee for revenue. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$416.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$596.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #155 / 181Payroll — State benchmarkedThis home is ranked 155th out of 181 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.4M 55.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #109 / 181Payroll % — State benchmarkedThis home is ranked 109th out of 181 homes in Tennessee for payroll %. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.5M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 4 months.

Admissions
134 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 48%
Medicaid 36%
Discharges
133 total

Coverage residents most often leave under.

Medicare 11%
Private pay 47%
Medicaid 43%

Places of interest near Rocky Top Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Rocky Top's city center to Rocky Top Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Rocky Top Care Center

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Address

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445259

Frequently Asked Questions about Rocky Top Care Center

Who is the owner of Rocky Top Care Center?

Rocky Top Care Center is legally operated by Rocky Top Operations, LLC, and administered by Cheryl Unterborn.

Is Rocky Top Care Center in a walkable area?

Rocky Top Care Center has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Rocky Top Care Center?

According to TN state health department records, Rocky Top Care Center's license number is 00000003.

When does Rocky Top Care Center's license expire?

According to TN state health department records, Rocky Top Care Center's license expires on April 20, 2027.

What is the occupancy rate at Rocky Top Care Center?

Rocky Top Care Center's occupancy is 70%.

How long has Rocky Top Care Center been in business?

Rocky Top Care Center has been operating for approximately 34 years, based on available licensing and registration records.

Are pets allowed at Rocky Top Care Center?

No, Rocky Top Care Center has a no-pet policy.

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