PlainNursing
CMS Nursing Home Compare · August 2026

Rocky Top Care Center

204 Industrial Park Rd Po Box 659, Rocky Top, TN 37769

Rocky Top Care Center, a 117-bed for profit - corporation nursing facility in Rocky Top, TN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #242 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8654262147

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1 / 5
Much below average · CMS overall · nat'l 3.0
#242 of 300
In-state rank among rated TN homes
4.02
About average · nurse hrs/day · nat'l 3.86
28
Inspection findings · 4 serious

The verdict

Rocky Top Care Center, a 117-bed for profit - corporation nursing facility in Rocky Top, TN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #242 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#242 of 300
In-state rank among rated TN homes
4.02
Nurse hrs/resident-day · national 3.86
28
Inspection findings · 4 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 303 TN nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
445259
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
117
Residents
83
In Hospital
No
County
Anderson
Last Inspection
Mar 4, 2026

Staffing Data

How the 4.02 total nursing hours per resident-day are staffed:

RN Hours
0.93 (nat'l avg: 0.69)
LPN Hours
1.02
CNA Hours
2.06
Total Nursing Hours
4.02 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
45.7%
RN Turnover
44.4%

What the CMS Record Reveals About Rocky Top Care Center

According to CMS Nursing Home Compare, Rocky Top Care Center ranks #242 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Rocky Top Care Center operates 117 certified beds in Rocky Top, TN with approximately 83 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 4★).

The inspection file contains 28 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $87K levied against this facility. Per resident day, this facility reports 4.02 total nursing hours (national average 3.86) and 0.93 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Rocky Top Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (28 most recent)

D - Isolated - Minimal harm Mar 4, 2026 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 4, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2026

E - Pattern - Minimal harm Mar 4, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 1, 2026

C - Widespread - No harm Aug 22, 2024 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Sep 19, 2024

D - Isolated - Minimal harm Aug 22, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2024

D - Isolated - Minimal harm Aug 22, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 19, 2024

D - Isolated - Minimal harm Aug 22, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2024

D - Isolated - Minimal harm Aug 22, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 19, 2024

D - Isolated - Minimal harm Aug 22, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2024

F - Widespread - Minimal harm Aug 22, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2024

F - Widespread - Minimal harm Aug 22, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 19, 2024

L - Widespread - Jeopardy Aug 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 19, 2024

L - Widespread - Jeopardy Aug 22, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Sep 19, 2024

L - Widespread - Jeopardy Aug 22, 2024 Tag: 0837

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Category: Administration Deficiencies

Corrected: Sep 19, 2024

L - Widespread - Jeopardy Aug 22, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Sep 19, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jun 19, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 19, 2024

D - Isolated - Minimal harm May 15, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 19, 2024

E - Pattern - Minimal harm May 15, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 19, 2024

E - Pattern - Minimal harm May 15, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 19, 2024

D - Isolated - Minimal harm Jun 23, 2021 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 19, 2021

D - Isolated - Minimal harm Jun 23, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2021

D - Isolated - Minimal harm Jun 23, 2021 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2021

D - Isolated - Minimal harm Jun 23, 2021 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 19, 2021

D - Isolated - Minimal harm Jun 23, 2021 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 90.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 50.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 47.5% No

Penalty History 1 penalties totaling $87K

Date Type Amount
Aug 22, 2024 Fine $87K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Rocky Top Care Center, both outside TN so the neighborhoods are not the same-state geography list below.

What the CMS records show for Rocky Top Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
  • Peer homes near 117 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Rocky Top Care Center?
Rocky Top Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (4★).
Where does Rocky Top Care Center rank among nursing homes in TN?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Rocky Top Care Center ranks 242nd among 300 rated nursing homes in TN (#242 of 300). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Rocky Top Care Center?
Rocky Top Care Center reports 4.02 total nursing hours per resident day (national average: 3.86). RN hours are 0.93 per resident day (national average: 0.69). Nursing staff turnover is 45.7%.
How many beds does Rocky Top Care Center have?
Rocky Top Care Center has 117 certified beds with approximately 83 residents. The facility is located at 204 Industrial Park Rd Po Box 659, Rocky Top, TN 37769.
Does Rocky Top Care Center have any deficiencies on record?
Yes, Rocky Top Care Center has 28 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Rocky Top Care Center received any fines or penalties?
Yes, Rocky Top Care Center has received 1 penalties totaling $87K.
Who owns Rocky Top Care Center?
Rocky Top Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Rocky Top Care Center last inspected?
The most recent health inspection for Rocky Top Care Center was on Mar 4, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Rocky Top Care Center?
Rocky Top Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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