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Foothills Transitional Care and Rehabilitation

All states › Tennessee › Maryville › Foothills Transitional Care and Rehabilitation

1012 Jamestown Way Maryville, TN 37803 · Blount County

(865) 984-7400

All 5 nursing homes in Maryville, TN (3 take Medicaid)

Accepts Medicare Accepts Medicaid 185 certified beds For profit

CMS certification number 445245 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Foothills Transitional Care and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Foothills Transitional Care and Rehabilitation as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Tennessee average of 3.1. Inspectors issued 23 citations in the last three years. CMS imposed 1 penalty, including $9,982 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.46 hours per resident per day at Foothills Transitional Care and Rehabilitation, below the Tennessee median of 3.66 (US median: 3.72). About 0.61 of those hours are from registered nurses. On weekends it falls to 2.96 hours, 15% below its all-week average. 57.4% of nursing staff left within a year (Tennessee median 48.7%).

Nursing care per resident per day 3.46 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.61 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.96 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 57.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 52.9% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds185
Residents per day 111 About 60% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1990
Part of a chainThe Ensign Group
Legal business nameSMOKY MOUNTAIN HEALTHCARE INC

Paying for care at Foothills Transitional Care and Rehabilitation: Medicare and Medicaid

Foothills Transitional Care and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 10, 2024 and found 12 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 23 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 23 citations at Foothills Transitional Care and Rehabilitation across 4 inspection dates, 5 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on February 18, 2025. The most common areas cited were nutrition and dietary (5) and resident rights (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, February 18, 2025).

February 18, 2025 · 5 citations · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jun 1, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Past Non-Compliance (Jan 14, 2025)

January 10, 2024 · 12 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 9, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Feb 9, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Feb 9, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 9, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Feb 9, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Feb 9, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Feb 9, 2024)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Feb 9, 2024)

DDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Feb 9, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 9, 2024)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Feb 9, 2024)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Feb 9, 2024)

February 12, 2020 · 3 citations

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Mar 27, 2020)

DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Mar 27, 2020)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Mar 27, 2020)

January 16, 2019 · 3 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 18, 2019)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Feb 18, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Feb 18, 2019)

Questions to ask on a tour of Foothills Transitional Care and Rehabilitation

  1. Inspectors cited the home at the actual-harm level on February 18, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $9,982 in fines.

DateTypeAmount or length
Feb 18, 2025 Fine $9,982

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 1/5 2/5 5/5
August 2026 2/5 2/5 1/5 5/5
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Location

Hospitals near Foothills Transitional Care and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.2 mi
    Blount Memorial Hospital Maryville
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 36m for patients treated and sent home
  • 14.8 mi
    University of Tn Memorial Hospital Knoxville
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 4h 9m for patients treated and sent home
  • 14.8 mi
    Parkwest Medical Center Knoxville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 4h 19m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Shannondale of Maryville Health Care Center Maryville · 0.5 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 44 beds
Fairpark Health and Rehabilitation Maryville · 1.5 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 75 beds · Medicaid
Ocoee Transitional Care Center Maryville · 2.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 76 beds
Asbury Place at Maryville Maryville · 3.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 181 beds · Medicaid
Life Care Center of Blount County Louisville · 8.1 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 120 beds

More nursing homes near Foothills Transitional Care and Rehabilitation ›   All nursing homes in Maryville ›

Compare Foothills Transitional Care and Rehabilitation with the 3 closest homes side by side ›

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Other The Ensign Group nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/maryville/foothills-transitional-care-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.