Oneida Nursing And Rehab Center
18805 Alberta Dr, Oneida, TN 37841423569838256 certified beds · 39 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
8
● 0● 5● 3
Penalties · 3 yrs
$52,111
1 fine
Last survey
2023-09-22
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2023-09-22 | Standard | 043 | CMS-2567 (Care Compare) | — |
| 2020-01-24 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2018-11-28 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity KHarm
Care planningRecords
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-10-07Record 445254-20230922-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-10-09Record 445254-20230922-F684
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-10-09Record 445254-20230922-F760
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445254-20230922-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 445254-20230922-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-09Record 445254-20230922-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 445254-20230922-F880
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-07Record 445254-20181128-F758
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-09-22 | Civil money penalty | $52,111 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.64
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.86
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.34
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover60%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover71%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 11.4% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.0% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 10.6% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.3% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.9% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.1% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Defoor, Kenneth Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | — | — |
| Defoor, Perry Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | — | — |
| Chitwood-Owens, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cotton, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Defoor, Ansley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fults, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holcombe, Michelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shepherd, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chitwood-Owens, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cotton, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cotton, Christopher Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Defoor, Ansley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Defoor, Ansley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Defoor, Ansley Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fults, Melissa Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Fults, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Guardian Pharmacy Of Knoxville, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Merkle, Mary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Merkle, Mary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mj Mental Health, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Prema Financial Solutions, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Quality Care Rehab Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Saltmarsh Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shepherd, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shepherd, Jessica Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Souchet, Ember Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Taylor, Craig Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Scott.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Huntsville Post-Acute And Rehabilitation Center Huntsville | 8.2 mi | 2025-11-19 | 0133 |
| Signature Healthcare of McCreary County Rehab and Pine Knot | 9.2 mi | 2026-05-14 | 002 |
| Beech Tree Health And Rehabilitation Jellico | 20.6 mi | 2024-07-30 | 0118 |
| Cumberland Village Care Lafollette | 22.4 mi | 2025-01-30 | 080 |
| Williamsburg Health & Rehabilitation Center Williamsburg | 23.0 mi | 2025-12-10 | 080 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |