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Nursing HomeMedicaid Investigative

Red Boiling Springs Tn Opco LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

309 Main St, Red Boiling Springs, TN 37150119 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 100 Google reviews

5
4
3
2
1
Red Boiling Springs Tn Opco LLC Nursing Home in Red Boiling Springs, TN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 5.0)

Below average in TN · Critically understaffed (RN) · No penalties on record

Source: Medicare data

What this means for your family

The Palace receives high marks for its clean environment and compassionate staff, making it a strong candidate for many families. However, given the specific concerns regarding night-shift staffing and clinical oversight, we recommend asking the administration directly about their RN-to-patient ratios during overnight hours and their protocol for escalating medical concerns to the ER.

Google Reviews

Google Reviews

100 reviews on Google
The Palace Health & Rehab is frequently praised for its warm, family-like atmosphere and a staff that many reviewers describe as caring and attentive. While the majority of reviews are highly positive, a small but vocal minority of families have raised serious concerns regarding understaffing, particularly at night, and lapses in medical oversight that they feel led to preventable health issues.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean9.0Activities8.0Meds7.0MemoryN/AComms7.0ValueN/A

Strengths

  • Warm, family-like atmosphere
  • Clean and well-maintained facility
  • Attentive and compassionate nursing staff
  • Effective physical therapy team

Concerns

  • Understaffing, particularly during night shifts (mentioned by 2 reviewers)
  • Lack of RN presence during night hours (mentioned by 2 reviewers)
  • Inadequate medical oversight leading to preventable issues like dehydration or UTIs (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02015(1)3.72017(3)3.02018(1)4.82021(5)5.02024(8)5.02025(59)4.42026(26)

Distribution · 103 analyzed

5
95
4
1
3
2
2
0
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has a 1-star staffing rating, how do you ensure that residents receive consistent attention and care, especially during the night shift?
  • 2I noticed some concerns regarding medical oversight and dehydration management; what specific protocols do you have in place to monitor resident health and prevent these types of complications?
  • 3Since there is a 2-star rating for health inspections, could you walk me through how your team is currently addressing the recent deficiencies to improve the quality of care?
  • 4I see that you occasionally engage with feedback online; how do you use that family input to make tangible improvements to the daily experience here?
  • 5With the facility being known for its warm, family-like atmosphere, what kind of daily social activities or engagement programs do you offer to keep residents active and connected?
  • 6What is the typical availability of an RN on-site during the overnight hours to handle any urgent medical needs that might arise?

Personalized based on this facility's data


Key Review Excerpts

The staff went above and beyond to ensure her comfort and well-being every single day. What stood out most was how they treated her like family.

Family member · 2025★★★★★

I also immediately noticed when I walked in there wasn’t a “normal nursing home smell” which was a very nice change to what I have seen in other nursing homes!

Visitor · 2026★★★★★

It is particularly concerning that there is no RN on staff at night when patients frequently require higher levels of clinical assessment.

Family member · 2026☆☆☆☆
Source: 100 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.22hrs
78%
All nurses + aides combined
Staff Turnover
48%
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
5/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.5%
Worse than Avg
Here
33.5%
US
19.5%
TN
31.9%
Macon
22.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TN
12.9%
Macon
13.2%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TN
89.5%
Macon
87.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
14.4%
TN
14.6%
Macon
18.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
5.3%
TN
6.3%
Macon
7.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.4%
Better than Avg
Here
14.4%
US
19.4%
TN
20.1%
Macon
19.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.1%
Better than Avg
Here
95.1%
US
81.8%
TN
79.4%
Macon
74.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.2%
Better than Avg
Here
93.2%
US
79.8%
TN
79.8%
Macon
73.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.2%
Worse than Avg
Here
4.2%
US
1.6%
TN
1.6%
Macon
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Above state avg (5.9)
1 complaint-triggered

This facility shows recurring problems across multiple areas, with 20 deficiencies over four surveys and one complaint filed by families regarding resident rights. The most frequent issues involve care planning and assessment, safety systems (fire alarms, sprinklers, electrical), and infection control programs. While all deficiencies have correction dates, the pattern of repeated problems in care planning and safety systems across different surveys suggests ongoing operational challenges that families should carefully consider.

Aug 15, 2023Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Sep 28, 2022Routine
9
0757Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0835Potential for harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jul 24, 2019Routine
4
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.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Oct 31, 2018Routine
6
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Red Boiling Springs Tn Opco LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Simcha Hyman & Naftali Zanziper

Chain Size

85 facilities nationwide

Chain avg rating: 2.3/5 · Rank 56 of 94

Ownership & Management

Owners

Clearview Tn Snf Holdco LLC

Owner · Organization

Shnz Holdings LLC

Owner (parent company) · Organization

Sweet Home Management LLC

Owner (parent company) · Organization

Vujanovic, Mick

Owner (parent company)

Key personnel

Eakle, KimberlyManaging Control - Governing BodyMasden, TylerManaging Control - Governing BodyClearview Healthcare Management Tn LLCManagerEakle, KimberlyManagerMasden, TylerManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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