Antioch TN Opco, LLC – Nursing Home, ANTIOCH, Tennessee
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Cited for abuse in CMS records
Special Focus Facility: SFF Candidate
Last cited survey: 9 October 2025 · 84 health and 100 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home Antioch TN Opco, LLC performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in ANTIOCH. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
Antioch TN Opco, LLC
Address
500 HICKORY HOLLOW TERRACE, ANTIOCH, TN 37013
Federal Provider Number
445170
Phone
(615) 731-7130
Ownership Type
For profit - Corporation
Certified Beds
110
Residents in Certified Beds
75.3
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
EBENEZER HOME OF TENNESSEE INC
Date of First Medicare/Medicaid Approval
1985-01-16
Continuing Care Retirement Community
Special Focus Status
SFF Candidate
Data current as of
31 May 2026
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Location
500 HICKORY HOLLOW TERRACE
ANTIOCH, TN 37013
Phone: (615) 731-7130
Compare to TN average
See how this facility compares to the TN state average among rated nursing homes (315 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | TN average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 2.96 | 5 |
| Health inspection | 1 | 2.87 | 5 |
| Staffing | 1 | 2.39 | 4 |
| Quality measures | 5 | 3.58 | 5 |
| Certified beds | 110 | 114.7 | — |
| Citations on file (health + fire) | 189 | ~3.6 health* | — |
- ABUNDANT CHRISTIAN LIVING COMMUNITY REHABILITATION — 5★ overall
- ADAMSPLACE, LLC — 3★ overall
- ADAMSVILLE HEALTHCARE AND REHABILITATION CENTER — 4★ overall
- ADVANCED HEALTH CARE OF NASHVILLE
- AGAPE REHABILITATION & NURSING CENTER, A WATERS CM — 3★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| SANTOS, ARMANDO REX | CORPORATE OFFICER | Individual | 0.00 | 01/01/2018 |
| SANTOS, ARMANDO REX | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 09/01/2009 |
| BRYDON, JOSEPHINE V | CORPORATE OFFICER | Individual | - | 12/01/2009 |
| EBENEZER HOME INC | OTHER | Organization | - | 05/13/2014 |
| GLENWRIGHT, DEBORAH | CORPORATE OFFICER | Individual | - | 12/01/2009 |
| VALDOMAR, CELIA D | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100.00 | 08/06/1986 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
184 citations on file · Latest survey: 9 October 2025 · 84 health · 100 fire safety
D: 124
F: 24
J: 15
G: 15
E: 6
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-10-09 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-10-09 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-10-09 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-10-09 | F610 | J — Immediate jeopardy, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-10-09 | F610 | J — Immediate jeopardy, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-10-09 | F610 | J — Immediate jeopardy, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-10-09 | F600 | J — Immediate jeopardy, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-10-09 | F600 | J — Immediate jeopardy, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-10-09 | F600 | J — Immediate jeopardy, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2023-08-02 | F882 | F — Minimal harm, widespread | Health | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| 2023-08-02 | F882 | F — Minimal harm, widespread | Health | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| 2023-08-02 | F882 | F — Minimal harm, widespread | Health | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| 2023-08-02 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2023-08-02 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2023-08-02 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2023-08-02 | F865 | J — Immediate jeopardy, isolated | Health | Have a plan that describes the process for conducting QAPI and QAA activities. |
| 2023-08-02 | F865 | J — Immediate jeopardy, isolated | Health | Have a plan that describes the process for conducting QAPI and QAA activities. |
| 2023-08-02 | F865 | J — Immediate jeopardy, isolated | Health | Have a plan that describes the process for conducting QAPI and QAA activities. |
| 2023-08-02 | F851 | D — Minimal harm, isolated | Health | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. |
| 2023-08-02 | F851 | D — Minimal harm, isolated | Health | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2023-08-24 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2023-08-24 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2023-08-24 | E15 | F — Minimal harm, widespread | Fire Safety | Address subsistence needs for staff and patients. |
| 2023-08-24 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2023-08-24 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2023-08-24 | E15 | F — Minimal harm, widespread | Fire Safety | Address subsistence needs for staff and patients. |
| 2023-08-24 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2023-08-24 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2023-08-24 | E15 | F — Minimal harm, widespread | Fire Safety | Address subsistence needs for staff and patients. |
| 2023-08-02 | E31 | D — Minimal harm, isolated | Fire Safety | Provide emergency officials' contact information. |
| 2023-08-02 | E32 | D — Minimal harm, isolated | Fire Safety | Provide primary/alternate means for communication. |
| 2023-08-02 | E33 | D — Minimal harm, isolated | Fire Safety | Establish methods for sharing information. |
| 2023-08-02 | E34 | D — Minimal harm, isolated | Fire Safety | Provide a means of sharing information on occupancy/needs. |
| 2023-08-02 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2023-08-02 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2023-08-02 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2023-08-02 | K712 | D — Minimal harm, isolated | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2023-08-02 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2023-08-02 | K918 | D — Minimal harm, isolated | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2023-08-02 | E9 | D — Minimal harm, isolated | Fire Safety | Include a process for Emergency Preparedness collaboration. |
Additional information
Get more details on Antioch TN Opco, LLC, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 3 |
| Staffing Rating | 1 |
| Staffing Rating (Footnote) | 23 |
| RN Staffing Rating | 4 |
| Reported Staffing (Footnote) | 23 |
| Reported CNA Staffing Hours per Resident per Day | 2.21824 |
| Physical Therapist Staffing (Footnote) | 23 |
| Casemix CNA Staffing Hours per Resident per Day | 2.20186 |
| Casemix LPN Staffing Hours per Resident per Day | 0.70107 |
| Casemix RN Staffing Hours per Resident per Day | 0.3031 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.20604 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.07978 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-05-02 |
Date of Standard Health Survey (Cycle 2) | 2018-04-18 |
Total Number of Health Deficiencies (Cycle 1) | 2 |
Number of Standard Health Deficiencies (Cycle 1) | 2 |
Health Deficiency Score (Cycle 1) | 20 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 20 |
Total Number of Health Deficiencies (Cycle 2) | 10 |
Number of Standard Health Deficiencies (Cycle 2) | 9 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 132 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 132 |
Date of Standard Health Survey (Cycle 3) | 2017-02-16 |
Total Number of Health Deficiencies (Cycle 3) | 8 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 80 |
Total Health Score (Cycle 3) | 80 |
Total Weighted Health Survey Score | 336.5 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 32 |
Number of Fines | 3 |
Total Amount of Fines in Dollars | 360721 |
Number of Payment Denials | 1 |
Total Number of Penalties | 4 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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