Red Boiling Springs Tn Opco LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 100 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 103 analyzed
How They Respond to Reviews
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.”
“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!”
“It is particularly concerning that there is no RN on staff at night when patients frequently require higher levels of clinical assessment.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
3
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2023Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Sep 28, 2022Routine9
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Jul 24, 2019Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Oct 31, 2018Routine6
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Ownership & Operations
Who Operates This Facility
Red Boiling Springs Tn Opco LLC
for profit
Chain Affiliation
Simcha Hyman & Naftali Zanziper
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
100 reviews from families & visitors
Official Website
Visit palacehrc.com
Medicare data downloads
Original nursing home datasets
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