F52

GOOD SAMARITAN HEALTH AND REHAB CENTER

Grade F 52/100 composite score

For profit - CorporationSFF CandidateAbuse Citation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

110

Ownership

For profit - Corporation

Total Fines

$167,771

Last Survey

N/A

500 HICKORY HOLLOW TERRACE, ANTIOCH, TN 37013
6157317130

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Staffing

Staffing data not available for this facility.

Ownership

VALDOMAR, CELIA

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 1986

100%

SANTOS, ARMANDO

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2009

BRYDON, JOSEPHINE

IndividualCORPORATE OFFICERSince Dec 2009

GLENWRIGHT, DEBORAH

IndividualCORPORATE OFFICERSince Dec 2009

SANTOS, ARMANDO

IndividualCORPORATE OFFICERSince Jan 2018

Penalties & Fines (3)

$167,771total fines
DateTypeDescriptionAmount
Oct 10, 2023Fine$7,342
Jul 24, 2023Fine$160,429
Jul 24, 2023Payment Denial

Health Inspection Deficiencies (28)

October 9, 2025Health3 deficiencies3 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 18, 2025
0610JImmediate jeopardy, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 18, 2025
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 18, 2025
August 2, 2023Health14 deficiencies2 severe
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 23, 2023
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Aug 23, 2023
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Aug 23, 2023
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Aug 23, 2023
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Aug 23, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 23, 2023
0656EMinimal harm, Pattern

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

Corrected Aug 23, 2023
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 23, 2023
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 23, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Aug 23, 2023
0851DMinimal harm, Isolated

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Aug 23, 2023
0865JImmediate jeopardy, Isolated

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies

Corrected Aug 23, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 23, 2023
0882FMinimal harm, Widespread

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Aug 23, 2023
May 2, 2019Health2 deficiencies
0803FMinimal harm, Widespread

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected May 23, 2019
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected May 22, 2019
April 18, 2018Health9 deficiencies5 severe
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected May 4, 2018
0580GActual harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected May 4, 2018
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 4, 2018
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 4, 2018
0655GActual harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected May 4, 2018
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 4, 2018
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected May 4, 2018
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 4, 2018
0800FMinimal harm, Widespread

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nutrition and Dietary Deficiencies

Corrected May 4, 2018

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Frequently Asked Questions

What is the CareGrader rating for GOOD SAMARITAN HEALTH AND REHAB CENTER?

GOOD SAMARITAN HEALTH AND REHAB CENTER in ANTIOCH, Tennessee has a CareGrader grade of F (Poor), with a composite score of 51.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for GOOD SAMARITAN HEALTH AND REHAB CENTER?

GOOD SAMARITAN HEALTH AND REHAB CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GOOD SAMARITAN HEALTH AND REHAB CENTER have?

GOOD SAMARITAN HEALTH AND REHAB CENTER has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has GOOD SAMARITAN HEALTH AND REHAB CENTER been fined?

Yes. GOOD SAMARITAN HEALTH AND REHAB CENTER has $167,771 in total fines from CMS enforcement actions across 3 penalties.

How many beds does GOOD SAMARITAN HEALTH AND REHAB CENTER have?

GOOD SAMARITAN HEALTH AND REHAB CENTER has 110 certified beds with approximately 75 current residents (68% occupancy). The facility is located at 500 HICKORY HOLLOW TERRACE, ANTIOCH, Tennessee 37013. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.