Oneida Nursing And Rehab Center
Oneida, Scott County, Tennessee · CCN 445254 · For-profit (LLC) · not part of a chain
CMS rates Oneida Nursing And Rehab Center 1 of 5 overall as of August 2026. 56 certified beds, 39 residents a day on average. 8 citations on record from the current inspection cycles, 3 at immediate jeopardy; 1 fine totalling $52,111.
On record
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 1 / 1 of 5 |
Staffing
| Total nurse staffing | 3.8593 hours per resident per day |
|---|---|
| Registered nurses | 0.63897 hours per resident per day |
| Weekend total | 3.3415 hours per resident per day |
| Nursing staff turnover | 59.5% (registered nurses 71.4%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2023-09-22 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-10-07 |
| 2023-09-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-10-09 |
| 2023-09-22 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-10-09 |
| 2023-09-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-10-09 |
| 2023-09-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-09-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-20 |
| 2023-09-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-13 |
| 2018-11-28 | Implement 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-07 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-09-22 | Fine | $52,111 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Guardian Pharmacy Of Knoxville, LLC Organization | adp of the snf | — | 2025-01-01 |
| Mj Mental Health, LLC Organization | adp of the snf | — | 2025-01-01 |
| Prema Financial Solutions, LLC Organization | adp of the snf | — | 2025-01-01 |
| Quality Care Rehab Inc. Organization | adp of the snf | — | 2025-01-01 |
| Saltmarsh Organization | adp of the snf | — | 2025-01-01 |
| Defoor, Kenneth Individual | 5% or greater direct ownership interest | 49% | 1997-09-01 |
| Defoor, Perry Individual | 5% or greater direct ownership interest | 51% | 1997-09-01 |
| Chitwood-Owens, Angela Individual | adp of the snf | — | 2014-05-01 |
| Cotton, Christopher Individual | adp of the snf | — | 2021-12-27 |
| Defoor, Ansley Individual | adp of the snf | — | 2025-01-01 |
| Fults, Melissa Individual | adp of the snf | — | 2020-08-03 |
| Merkle, Mary Individual | adp of the snf | — | 2023-04-01 |
| Shepherd, Jessica Individual | adp of the snf | — | 2016-11-01 |
| Defoor, Ansley Individual | corporate director | — | 2025-01-01 |
| Defoor, Ansley Individual | corporate officer | — | 2025-01-01 |
| Souchet, Ember Individual | corporate officer | — | 2025-01-01 |
| Taylor, Craig Individual | corporate officer | — | 2014-05-01 |
| Cotton, Christopher Individual | managing control - governing body | — | 2021-12-27 |
| Fults, Melissa Individual | managing control - governing body | — | 2020-08-03 |
| Merkle, Mary Individual | managing control - governing body | — | 2023-04-01 |
| Shepherd, Jessica Individual | managing control - governing body | — | 2016-11-01 |
| Chitwood-Owens, Angela Individual | operational/managerial control | — | 2014-05-01 |
| Cotton, Christopher Individual | operational/managerial control | — | 2021-12-27 |
| Defoor, Ansley Individual | operational/managerial control | — | 2025-01-01 |
| Fults, Melissa Individual | operational/managerial control | — | 2020-08-03 |
| Holcombe, Michelle Individual | operational/managerial control | — | 2015-09-18 |
| Shepherd, Jessica Individual | operational/managerial control | — | 2016-11-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Oneida Nursing And Rehab Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Scott County.