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Nursing HomeMedicaid Investigative

Oneida Nursing and Rehab Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

18805 Alberta Dr, Oneida, TN 3784156 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 11 Google reviews

5
4
3
2
1
Oneida Nursing and Rehab Center Nursing Home in Oneida, TN — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (7 vs median 5.0)

Bottom 25% in TN · Below recommended RN staffing · $52,111 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

Recent feedback suggests a significant improvement in staff attentiveness and facility culture compared to older reports. However, given the severity of historical allegations, we recommend conducting a thorough in-person tour and asking specifically about current protocols for medication management and dietary compliance.

Google Reviews

Google Reviews

11 reviews on Google
Oneida Nursing and Rehab Center presents a stark contrast between older, highly critical reports of abuse and neglect and more recent reviews praising the facility's attentive staff and clean environment. While recent families highlight a caring team and positive rehab experiences, historical concerns regarding patient mistreatment and unprofessional conduct remain a significant point of consideration for prospective families.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean8.0ActivitiesN/AMeds2.0MemoryN/AComms6.0ValueN/A

Strengths

  • Attentive and caring nursing staff
  • Clean and well-maintained facilities
  • Effective rehabilitation therapy team
  • Friendly and respectful administrative support

Concerns

  • Allegations of patient mistreatment and abuse (mentioned by 2 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.42017(5)5.02019(2)5.02020(1)5.02023(1)5.02025(2)

Distribution · 11 analyzed

5
9
4
0
3
0
2
0
1
2

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that medication management is a key focus for your team, could you walk us through the specific safety protocols and oversight measures you have in place to ensure accuracy for residents?
  • 2With the recent focus on staffing and care quality, what specific training or support programs are currently in place to ensure all staff members maintain a consistently professional and compassionate approach with residents?
  • 3I’ve read some concerning reports regarding resident safety; how do you foster a culture of transparency and accountability to ensure that every resident feels secure and well-protected at all times?
  • 4What specific steps does the facility take to address and resolve any concerns or grievances raised by families to ensure they feel heard and valued?
  • 5Could you share how the rehabilitation team coordinates with the nursing staff to ensure a seamless transition from therapy sessions back to daily life in the facility?
  • 6What does a typical day look like for residents in terms of social engagement and activities, and how do you tailor these to accommodate different mobility levels?

Personalized based on this facility's data


Key Review Excerpts

My mom has been in rehabilitation here off and on since October. I love the entire team here they are all very nice and attentive.

Rehab patient's daughter · 2025★★★★★

Everyone here has been so friendly, courteous, and respectful during my mom’s stay. By everyone, that is the entire staff!

Long-term resident's family · 2025★★★★★

My mother spent two weeks in the rehab portion of the facility and we were extremely pleased. Everyone was very attentive, caring, and kind.

Rehab patient's daughter · 2023★★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.2%
Worse than Avg
Here
35.2%
US
19.5%
TN
31.9%
Scott
24.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.7%
Worse than Avg
Here
28.7%
US
14.4%
TN
14.6%
Scott
16.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TN
12.9%
Scott
7.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
15.5%
TN
16.9%
Scott
17.4%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.0%
Worse than Avg
Here
8.0%
US
1.6%
TN
1.9%
Scott
3.0%
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility6.9%
Worse than Avg
Here
6.9%
US
0.9%
TN
0.8%
Scott
1.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
79.8%
TN
79.8%
Scott
74.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.5%
Better than Avg
Here
91.5%
US
81.8%
TN
79.4%
Scott
77.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
TN
1.6%
Scott
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Above state avg (5.9)
$52,111 in fines

This facility shows a mixed record with 9 deficiencies across 2 surveys, including a significant cluster of 8 violations in September 2023. The main problem areas involved care planning and assessment, medication management, food safety, and infection control. All deficiencies have been corrected by the provider, and no complaints were filed by families, suggesting issues were identified through routine inspections rather than resident concerns.

Sep 22, 2023Routine
8
0658Immediate jeopardy · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Nov 28, 2018Routine
1
0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Sep 22, 2023

$52,111

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oneida Nursing and Rehab Center

Organization Type

for profit

Ownership & Management

Owners

Defoor, Kenneth

Owner

49%

Defoor, Perry

Owner

51%

Key personnel

Chitwood, AngelaW-2 Managing EmployeeTaylor, CraigOfficer / DirectorGrace Healthcare, LLCManagerHolcombe, MichelleManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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