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Nursing HomeMedicaid Investigative

River Grove Health and Rehabilitation

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

1520 Grove St Box 190, Loudon, TN 37774180 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 161 Google reviews

5
4
3
2
1
River Grove Health and Rehabilitation Nursing Home in Loudon, 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 5.0)

Bottom 25% in TN · Critically understaffed (RN) · Worst in SIMCHA HYMAN & NAFTALI ZANZIPER chain · No penalties on record

Source: Medicare data

What this means for your family

While recent reviews indicate significant improvements in facility cleanliness and activity programming, the facility still faces recurring reports of slow response times to call lights and communication gaps. When touring, we strongly recommend asking for a specific plan on how the facility ensures timely assistance for residents who cannot move independently and how they facilitate regular updates for family members.

Google Reviews

Google Reviews

161 reviews on Google
River Grove Health and Rehabilitation receives a wide range of feedback, with many recent reviewers praising the facility's cleanliness, friendly staff, and active engagement programs. However, a persistent minority of reviewers report serious concerns regarding neglect, poor communication, and hygiene issues, suggesting that the quality of care may vary significantly depending on the wing or shift.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean6.0Activities9.0Meds3.0Memory8.0Comms4.0ValueN/A

Strengths

  • Engaging and frequent resident activities
  • Clean and well-maintained facility
  • Professional and supportive therapy department
  • Welcoming and family-oriented atmosphere

Concerns

  • Slow or non-existent response to call lights (mentioned by 5 reviewers)
  • Poor communication and lack of updates for families (mentioned by 4 reviewers)
  • Hygiene issues including odors and soiled linens (mentioned by 4 reviewers)
  • Inadequate nutritional care or assistance with eating (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.32020(7)1.02021(2)3.22022(9)3.82023(13)4.42024(27)4.72025(53)4.92026(34)

Distribution · 145 analyzed

5
115
4
10
3
1
2
0
1
19
19 reviews posted between Jan 29, 2026Jan 29, 2026 · 19 were 5-star
13 reviews posted between Oct 20, 2025Oct 24, 2025 · 13 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the engaging activities here; could you tell us more about what a typical week of social events looks like for residents?
  • 2How does the nursing team ensure that call lights are answered promptly, especially during the night shifts?
  • 3What specific protocols are in place to ensure medication management is handled accurately and consistently every day?
  • 4How does the facility maintain high standards of cleanliness and freshness in the resident rooms and common areas?
  • 5In the event of a medical emergency after hours, what is the process for communicating updates to the family?
  • 6How does the dining team assist residents who may need extra help or supervision during meal times?

Personalized based on this facility's data


Key Review Excerpts

The facility is clean and doesn’t stink of urine like some we visited. The staff was great, especially Aaron the nurse on the skilled hall. Social services was very proactive and had everything perfectly in place when grandma was discharged.

Long-term resident's family · 2024★★★★★

My mother was there for a few months when she broke her hip,most of the caregivers were very nice,the food was good,just took a little too long in-between checks.

Long-term resident's family · 2023★★★★

My grandmother has been here for almost a year. Within the first year of being here they have broke her dentures, lost/broke her hearing aid... She has been on a liquid diet and has lost over 50lbs. Her health has since been declining due to weakness from not enough nutrition.

Long-term resident's family · 2025☆☆☆☆
Source: 161 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
3.06hrs
75%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
40%
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
4/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
TN
12.9%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.8%
Mixed vs Avgs
Here
29.8%
US
19.5%
TN
31.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
14.4%
TN
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
93.4%
TN
89.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
15.3%
TN
18.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TN
94.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
79.8%
TN
79.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.3%
Better than Avg
Here
85.3%
US
81.8%
TN
79.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
TN
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Well above state avg (5.9)
11 complaint-triggered

This facility has concerning patterns with 12 complaint-triggered deficiencies indicating families have reported issues to authorities. The most recurring problems involve resident assessment and care planning, nutritional services, and safety concerns including fire protection and electrical systems. While all deficiencies show correction dates, the persistent issues across multiple surveys—particularly with accurate resident assessments appearing in four different surveys—suggest ongoing challenges with fundamental care practices.

Aug 11, 2025Routine
10
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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0801Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Aug 11, 2025Complaint
2
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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.

May 2, 2024Routine
10
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.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

May 2, 2024Complaint
1
0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Nov 28, 2023Complaint
5
0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

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.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 28, 2023Complaint
2
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Ownership & Operations

Who Operates This Facility

Owner / Operator

River Grove Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Simcha Hyman & Naftali Zanziper

Chain Size

85 facilities nationwide

Chain avg rating: 2.3/5 · Rank 85 of 94 (Worst)

Ownership & Management

Owners

Tn M53 Spe Opco Holdco LLC

Owner · Organization

100%

Clearview Tn Snf Holdco LLC

Owner (parent company) · Organization

100%

Key personnel

Valentino, KristieW-2 Managing EmployeeVujanovic, MickOfficer / DirectorClearview Healthcare Management Tn LLCManagerVujanovic, MickManager
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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