Nursing Care Index

Union City Health And Rehabilitation

Union City, Obion County, Tennessee · CCN 445381 · For-profit (Individual) · part of The Ensign Group (342 facilities, chain average 3.2 stars)

CMS rates Union City Health And Rehabilitation 1 of 5 overall as of August 2026. 115 certified beds, 69 residents a day on average. 10 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $10,348.

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★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 4 of 5

Staffing

Total nurse staffing3.48889 hours per resident per day
Registered nurses0.72743 hours per resident per day
Weekend total3.03942 hours per resident per day
Nursing staff turnover22.4% (registered nurses 16.7%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2025-08-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2025-09-17
2025-08-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-17
2025-08-21 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-17
2024-05-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-03
2024-05-15 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-03
2024-05-15 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-03
2019-10-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-31
2019-10-03 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-31
2019-10-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-31
2019-10-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-31

Fines and payment denials

DatePenaltyAmount
2025-08-21Fine$10,348

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.

NameRoleShareSince
Rocky Top Healthcare LLC
Organization
5% or greater direct ownership interest100%2024-08-12
Chadwick, Amy
Individual
adp of the snf2025-03-27
Hale, John
Individual
adp of the snf2025-01-01
Albrechtsen, Tyler
Individual
corporate director2024-08-12
Albrechtsen, Tyler
Individual
corporate officer2024-08-12
Burnam, Soon
Individual
corporate officer2024-08-12
Sato, Ami
Individual
corporate officer2024-09-09
Thatcher, Brent
Individual
corporate officer2024-08-12
Chadwick, Amy
Individual
operational/managerial control2025-01-01
Hale, John
Individual
operational/managerial control2025-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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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 Obion County.