River Grove Health and RehabilitationCMS ratings, inspections and fines
- Address
- 1520 Grove St Box 190, Loudon, TN 37774
- CCN
- 445253
- Ownership type
- For-profit, limited liability company
- Certified beds
- 180
- Chain
- Chain name not shown
- Residents per day
- 98
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives River Grove Health and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 11 Aug 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Tennessee is 4. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Tennessee median | US average (CMS) |
|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 303 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Tennessee median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Aug 2025 | 11 | 4 |
| Cycle 2 | 2 May 2024 | 7 | 4 |
| Cycle 3 | No date | 5 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0584 | 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. | D | Complaint investigation | 29 Aug 2025 |
| 11 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 Aug 2025 |
| 11 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 29 Aug 2025 |
| 11 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Aug 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 May 2024 |
| 2 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 May 2024 |
| 2 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 May 2024 |
| 2 May 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 24 May 2024 |
| 2 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 May 2024 |
| 2 May 2024 | F0761 | 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. | D | Standard survey | 24 May 2024 |
| 2 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 May 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 8 Dec 2023 |
| 28 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Dec 2023 |
| 9 Feb 2022 | F0641 | Ensure each resident receives an accurate assessment. | C | Standard survey | 25 Mar 2022 |
| 9 Feb 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Mar 2022 |
| 9 Feb 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Mar 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Tennessee median | Tennessee average (CMS) |
|---|---|---|---|
| All nurse staff | 3.13 | 3.60 | 3.80 |
| Registered nurses (RN) | 0.45 | 0.50 | 0.60 |
| Licensed practical nurses (LPN) | 0.95 | 1.09 | |
| Nurse aides | 1.72 | 2.12 | |
| All nurse staff, weekends | 2.79 | 3.20 | 3.31 |
- Nurse staff turnover in a year
- 40.0%
- Nurse staff turnover, Tennessee median
- 50.0%
- RN turnover in a year
- 37.5%
- Administrators who left in a year
- 3
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.9% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.7% | 15.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Loudon Opco LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| TN M53 Spe Opco Holdco LLC | Direct ownership interest | 1 Dec 2021 | |
| Clearview TN SNF Holdco LLC | Indirect ownership interest | 1 Dec 2021 | |
| SHNZ Holdings LLC | Indirect ownership interest | 1 Dec 2021 | |
| Sweet Home Management LLC | Indirect ownership interest | 1 Dec 2021 | |
| Clearview Healthcare Management TN LLC | Operational/managerial control | 1 Dec 2021 | |
| Clearview Healthcare Management TN LLC | Adp of the snf | 27 Feb 2026 | |
| TN M53 Spe Opco Holdco LLC | Adp of the snf | 27 Feb 2026 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Tennessee Health Facilities Commission: filing a complaintThe complaint page of the State Survey Agency for Tennessee, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of River Grove Health and Rehabilitation (CCN 445253). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/river-grove-health-and-rehabilitation-loudon-tn-445253/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was River Grove Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 11 Aug 2025. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 2 May 2024.
- Who operates River Grove Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names Clearview Healthcare Management TN LLC for operational or managerial control. This site does not show the names of persons.
- Is River Grove Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Tennessee as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.