Rocky Top Care Center
Assisted Living · USA
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Rocky Top Care Center

Assisted Living · USA
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Rocky Top Care Center accepts Medicare, Medicaid, and private pay.

Overview of Rocky Top Care Center

Rocky Top Care Center is located in Rocky Top, TN. It provides a welcoming and supportive environment for patients and residents, offering services such as short stay rehabilitation, complex medical care, long term care, memory care, and hospice care. The center is dedicated to enhancing the quality of life for each individual in its care.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 25m per day
Rank #70 / 134Nurse hours — state benchmarkedThis home is ranked 70th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg

3 of 6 metrics below state avg

Standout metric RN (Weekend) is +54% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 48m per day ▲ 30% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info 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 7m per day ▲ 3% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info 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 34m per day ▼ 27% State avg: 2h 9m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info 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 58m per day ▼ 12% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▼ 80% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info 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. 37m per day ▲ 54% State avg: 24m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
35 days

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.

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

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$8.0M
Surplus of revenue
$179.7K
Voluntary non-profit community Operated by a church.
Home revenue
$8.0M Rank #113 / 139Revenue — state benchmarkedThis home is ranked 113th out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$179.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #107 / 139Payroll — state benchmarkedThis home is ranked 107th out of 139 homes in Tennessee.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.
$3.4M
41.9% of revenue Rank #56 / 139Payroll % — state benchmarkedThis home is ranked 56th out of 139 homes in Tennessee.Shows payroll as a percentage of revenue versus the Tennessee average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
Total costs $7.9M
Bed community size
117-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 28 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
75%
Rank #81 / 139Occupancy rate — state benchmarkedThis home is ranked 81st out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Higher than the Tennessee average: 71.6%
Occupied beds
88 / 117
Average residents per home in Tennessee 82 per day

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
ExpirationJuly 28, 2026
License Number00000003

Ownership & Operating Entity

Rocky Top Care Center is administrated by Cheryl Unterborn.

Owner NameRocky Top Operations, LLC

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
Licensed Nurses/CNAs

Amenities & Lifestyle

Specific ProgramsShort Stay Rehabilitation, Complex Medical Care

Contact Rocky Top Care Center

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.

Inspection oversight

  • Latest inspection: June 23, 2021

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Health Inspection History

Inspections
Total health inspections 4

State average N/A


Last Health inspection on Aug 2024

Total health citations
37 Rank #134 / 138Health citations — state benchmarkedThis home is ranked 134th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.

State average N/A

Citations per inspection
9.25 Rank #135 / 138Citations per inspection — state benchmarkedThis home is ranked 135th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.

State average N/A


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 More info
8
In line with State average

State average: N/A


Serious Health citations More info 1
In line with State average

State average: N/A

8 critical citations More info State average: N/A

1 serious citation More info State average: N/A

27 moderate citations More info State average: N/A

1 minor citation More info State average: N/A
Citations history (last 7 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Aug 22, 2024
Corrected

Administration critical citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 22, 2024
Corrected

Administration critical citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 22, 2024
Corrected

Administration minor citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 22, 2024
Corrected

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

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 113
Employees 95
Contractors 18
Staff to resident ratio 1.26:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 40
Average shift 8.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 32,275

Nursing staff breakdown

Registered Nurse

Manages medical care and health needs.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

7.8%

2,509 contractor hours this quarter

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

Staff by category

Certified Nursing Assistant3203210,25391100%8.8
Licensed Practical Nurse270279,20091100%9.3
Registered Nurse151163,26091100%10
Clinical Nurse Specialist5161,6027481%8.3
Diagnostic X-ray Services Staff6061,4938695%9
Nurse Aide in Training4041,2105763%10.6
Mental Health Service Worker2021,0566875%8.4
Dietitian2029406774%8.3
Physical Therapy Aide0556218189%6.6
Speech Language Pathologist0335536976%7.2
Administrator1015126470%8
Nurse Practitioner1015126470%8
Physical Therapy Assistant0224566673%6.8
Qualified Social Worker0112744145%6.7
Occupational Therapy Aide0111422730%5.3
Respiratory Therapy Technician0221243336%3.6
Medical Director011361213%3
Occupational Therapy Assistant01132910%3.6
32 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 100%
6 Clinical Nurse Specialist
% of Days 81%
6 Diagnostic X-ray Services Staff
% of Days 95%
4 Nurse Aide in Training
% of Days 63%
2 Mental Health Service Worker
% of Days 75%
2 Dietitian
% of Days 74%
5 Physical Therapy Aide
% of Days 89%
3 Speech Language Pathologist
% of Days 76%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
2 Physical Therapy Assistant
% of Days 73%
1 Qualified Social Worker
% of Days 45%
1 Occupational Therapy Aide
% of Days 30%
2 Respiratory Therapy Technician
% of Days 36%
1 Medical Director
% of Days 13%
1 Occupational Therapy Assistant
% of Days 10%

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.

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 State average

State 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 State average

State 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 State average

State average: 16.0%

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

State 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 State average

State 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 State average

State 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 State average

State average: 5.4%

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

State average: 2.1%

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

State average: 6.3%

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

State average: 11.0%

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

State average: 16.5%

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

State average: 89.9%

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

State average: 94.5%

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

State 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 State average

State 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 State average

State average: 79.7%

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

State average: 1.7%

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

State 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 State average

State average: 0.8%

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 $87K
In line with State average

State average: $86K

Number of fines 1
43% fewer fines than State average

State 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 State average

State average: 0.5

Fines amount comparison
Fines amount comparison
This facility $87K
State 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

Compare Assisted Living around Usa

The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

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Rocky Top Care Center
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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).

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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).

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Frequently Asked Questions about Rocky Top Care Center

Who is the owner of Rocky Top Care Center?

The legal owner and operator of Rocky Top Care Center is Rocky Top Operations, LLC.

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 July 28, 2026.

What is the occupancy rate at Rocky Top Care Center?

Rocky Top Care Center's occupancy is 75%.

Who is the administrator of Rocky Top Care Center?

Cheryl Unterborn is the administrator of Rocky Top Care Center.

How many beds does Rocky Top Care Center have?

Rocky Top Care Center has 117 beds.

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