Diversicare of Oak Ridge
100 Elmhurst Dr · Oak Ridge, TN · 37830 · 8654813367
120 certified beds For profit - Limited Liability company Chain: Diversicare Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (7 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
7 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.64 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $205,329 |
Inspection citations (35 in the current record)
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Potential for harm · F May 29, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 1, 2025 · Nutrition and Dietary
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Potential for harm · D February 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2024 · found via complaint
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.
Corrected September 18, 2024 · Resident Rights
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Potential for harm · D August 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 20, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 18, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 22, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 19, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 22, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 19, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 22, 2023 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected September 27, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · L September 22, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 13, 2023 · Quality of Life and Care
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Immediate jeopardy · J September 22, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 12, 2023 · Administration
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Immediate jeopardy · J September 22, 2023 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected September 22, 2023 · Administration
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Immediate jeopardy · J September 22, 2023 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected October 19, 2023 · Administration
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Potential for harm · D September 22, 2023
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 19, 2023 · Resident Rights
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Potential for harm · D September 22, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected October 18, 2023 · Quality of Life and Care
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Potential for harm · D September 22, 2023
Provide appropriate foot care.
Corrected October 18, 2023 · Quality of Life and Care
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Potential for harm · D September 22, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 19, 2023 · Quality of Life and Care
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Potential for harm · D September 22, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 18, 2023 · Pharmacy Service
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Potential for harm · D September 22, 2023
Provide or obtain dental services for each resident.
Corrected October 10, 2023 · Quality of Life and Care
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Potential for harm · E September 22, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 16, 2023 · Nutrition and Dietary
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Potential for harm · D September 22, 2023
Provide and implement an infection prevention and control program.
Corrected September 28, 2023 · Infection Control
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Potential for harm · D September 22, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 26, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 31, 2022 · Resident Rights
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Potential for harm · D January 26, 2022
Keep residents' personal and medical records private and confidential.
Corrected March 31, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 22, 2023 | Fine | $205,329 |
| September 22, 2023 | Payment Denial | 38 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445260 · certified since November 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.