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STARR REGIONAL HEALTH & REHABILITATION Inspection Report, Violations & Safety Grade (ETOWAH, Tennessee)

886 HWY 411 NORTH, ETOWAH, Tennessee 37331

Phone: 4232633646

CMS Overall:5/5

Overview & Bed Count

Certified Beds
88
Avg Residents/Day
50.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Mc Minn
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.870.60+0.27
Total Nurse Hours per Resident per Day4.463.82+0.64
CMS Staffing Rating3/52.5/5-
Nursing Staff TurnoverN/A48.6%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2026-01-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-02-06Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-02-06Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-02-06Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-02-06Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.D – Moderate Harm Potential
2024-02-06Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2024-02-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-06-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2021-06-23Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2021-06-23Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2021-06-23Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-14Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2026-01-14Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential
2024-02-06Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential

Total Penalties & Fines

$8,697
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-02-06Fine$4,017-
2024-02-06Fine$4,680-

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