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Rocky Top Care Center

⌖ Rocky Top, TN · Anderson County
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Medicare overall rating 1 of 5 stars
Certified beds117
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Rocky Top Care Center

Rocky Top Care Center is a 117-bed for-profit nursing home in Rocky Top, TN. Medicare rates it 1 out of 5 stars overall (much below average); the average in Tennessee is 3.0. Medicare lists it as a candidate for its Special Focus program because of a history of serious problems. At its last full inspection (Mar 2026), inspectors found 3 problems, fewer than the Tennessee average of 4.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 01 min a day with each resident, about the same as the Tennessee average of 3 hr 48 min. About 46% of its nursing staff left in the past year. Medicare fined it $86,768 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameRocky Top Care Center
LocationAnderson County, Tennessee
Address204 Industrial Park Rd Po Box 659, Rocky Top, TN 37769 · Anderson County
CMS provider number445259
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 2, 1990 (36 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections1 of 5Much below average
Quality measures4 of 5Above average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Mar 2026.
    Strength
  • Health citations at last inspection3 (Mar 2026)Tennessee average: 4.4. Most citations are minor and corrected within weeks.
    Strength
  • Registered nurse time per resident56 min a dayTennessee average: 36 min
    Strength

About average

  • Nurse staffing per resident4 hr 01 min a dayTennessee average: 3 hr 48 min
    About average
  • Nursing staff turnover46% a yearTennessee average: 49%
    About average

Things to ask about

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  • Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.
    Ask about this
  • Fines and penalties1 fine totaling $86,768Federal penalties from the last three years, most recently in Aug 2024 (about 2 years ago). The national average is $30,972 per home.
    Ask about this

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Tennessee average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare has not rated this part of the home’s care.

  • Newly given antipsychotic drugs0.0%State average: 1.7%
    Better than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury4.6%State average: 3.4%
    Worse than average
  • Pressure sores (bedsores)3.8%State average: 5.0%
    Better than average
  • Given antipsychotic drugs13.9%State average: 16.8%
    About average
  • Hospital stays per 1,000 resident days1.3State average: 1.7
    Better than average

Source: Medicare (CMS) quality measures, compared with the Tennessee average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Tennessee, Medicaid pays for 63% of resident days at a typical home.

  • 76% Medicaid
  • 2% Medicare
  • 22% Private pay, insurance and other
Beds in use, on average76%Tennessee typical: 73%
Cost of care per resident day$267Tennessee typical: $352

Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, down from 3 stars in January 2019. It has ranged from 1 to 3 stars and changed 2 times.

Overall rating1★
Health inspections1★
Staffing4★
Quality of care4★
Nurse hours per resident per day4.0
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201932353.6
Jan 202011243.4
Jan 202111333.9
Jan 20221111–
Jan 20231113–
Jan 202411223.3
Feb 202511132.3
Feb 202611333.5
Sep 202611444.0

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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