Union City Health and Rehabilitation

1630 E Reelfoot Ave · Union City, TN · 38261 · 7318858095

115 certified beds For profit - Individual Chain: The Ensign Group

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation 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.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 70
Staffing 20% 76
Federal penalties 15% 76
Trend 10% 18
Context 5% 100

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: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.730.55–0.75
Weekend hours / resident-day3.26≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)1 · $10,348

Inspection citations (10 in the current record)

  • Immediate jeopardy · K August 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 17, 2025 · Infection Control

  • Potential for harm · D August 21, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 21, 2025

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected September 17, 2025 · Nursing and Physician Services

  • Potential for harm · D May 15, 2024

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

    Corrected June 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 15, 2024

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

    Corrected June 3, 2024 · Quality of Life and Care

  • Potential for harm · D May 15, 2024

    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.

    Corrected June 3, 2024 · Pharmacy Service

  • Potential for harm · D October 3, 2019

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

    Corrected October 31, 2019 · Resident Rights

  • Potential for harm · D October 3, 2019

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 31, 2019 · Resident Rights

  • Potential for harm · D October 3, 2019

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

    Corrected October 31, 2019 · Quality of Life and Care

  • Potential for harm · D October 3, 2019

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 31, 2019 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
August 21, 2025Fine$10,348

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445381 · certified since August 7, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.