Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.49 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.49 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 21, 2023 cited 10 deficiencies.
View inspection evidenceCMS-published records list 38 ownership or control parties.
CMS records show an ownership change effective March 2017.
View ownership evidenceCMS groups this facility with a chain covering 34 facilities across 4 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
16 currently connected nursing homes share this CMS organization identity with MD FRIEDMAN FAMILY 2017 TRUST.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across TN.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 40%
Association date reported to CMS: Mar 1, 2017
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 40%
Association date reported to CMS: Mar 1, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2017
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Sep 25, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2017
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 40%
Association date reported to CMS: Jun 25, 2025
Other facilities connected through this exact CMS organization identity: 15 across FL, NM, TN.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 40%
Association date reported to CMS: Jun 25, 2025
Other facilities connected through this exact CMS organization identity: 15 across FL, NM, TN.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7%
Association date reported to CMS: Mar 1, 2017
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2017
Other facilities connected through this exact CMS organization identity: 3 across FL, TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Other facilities connected through this exact CMS organization identity: 15 across FL, NM, TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Other facilities connected through this exact CMS organization identity: 15 across FL, NM, TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Other facilities connected through this exact CMS organization identity: 3 across FL, TN.
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2017
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Mar 1, 2017
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Mar 1, 2017
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2017
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 16, 2023
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across TN.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 110 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 34 | 3.5 | 2.2 |
| Mon Jun | 34 | 3.5 | 2.1 |
| Fri May | 34 | 3.4 | 2.1 |
| Wed Apr | 34 | 3.4 | 2.1 |
| Sun Mar | 34 | 3.4 | 2 |
| Sun Feb | 34 | 3.4 | 2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Assist a resident in gaining access to vision and hearing services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 27, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 25, 2019)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 25, 2019)
No health-deficiency rows were deterministically linked to this inspection.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 10, 2018)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 10, 2018)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Facility history
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing increased from 0.38 to 0.49 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.38 → 0.49
CMS · Reported in a source release · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: TREVECCA CENTER FOR REHABILITATION AND HEALING LLC.
AVALON HEALTH CARE, LLC. → TREVECCA CENTER FOR REHABILITATION AND HEALING LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.648 | 3.015 |
| RN categories | 0.512 | 0.426 |
Contract staff accounted for 11.7% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.111 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.753 | 0.417 | 1.153 | 2.163 | 5.4% | 91 |
| 2025Q3 | 3.656 | 0.473 | 1.103 | 2.058 | 8.7% | 92 |
| 2025Q4 | 3.562 | 0.376 | 1.155 | 2.027 | 10.8% | 92 |
| 2026Q1 | 3.466 | 0.487 | 0.974 | 2.004 | 11.7% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.