Where They Care · plain answers about nursing homes

Oneida Nursing and Rehab Center

18805 Alberta Dr, Oneida, TN 37841 · 56 beds · For profit - Limited Liability company

The records flag: 3 citations at the most serious level; A Special Focus candidate.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
Much below average · 1 of 5
All nursing staff, hours / resident
4.34
RNs, LPNs and aides · state average 3.61
Weekend RN coverage
−38%
vs weekdays
Staff turnover
60%
state average 49%
3 citations at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.
A Special Focus candidate
Medicare lists this facility as a candidate for its increased-oversight programme — not on the list itself, but flagged as being near it.
Registered nurse staffing above the state average
0.72 hours per resident per day, against a state average of 0.57.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.72 hrs
Weekends
0.44 hrs
TN average
0.57 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 38% at weekends.

Staff turnover: 60%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 8 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
3
Potential for harm
No one harmed yet, but conditions could allow it
5
No harm
Rule and paperwork findings
0

0 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $52,111 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Defoor, Perry
51% ownership interest
Direct owner (5% or more) 09/01/1997
Defoor, Kenneth
49% ownership interest
Direct owner (5% or more) 09/01/1997
Chitwood-Owens, Angela Operational or managerial control, Additional disclosable party 05/01/2014
Cotton, Christopher Governing body, Operational or managerial control, Additional disclosable party 12/27/2021
Defoor, Ansley Corporate director, Corporate officer, Operational or managerial control, Additional disclosable party 01/01/2025
Fults, Melissa Governing body, Operational or managerial control, Additional disclosable party 08/03/2020
Holcombe, Michelle Operational or managerial control 09/18/2015
Merkle, Mary Governing body, Additional disclosable party 04/01/2023
Shepherd, Jessica Governing body, Operational or managerial control, Additional disclosable party 11/01/2016
Souchet, Ember Corporate officer 01/01/2025
Taylor, Craig Corporate officer 05/01/2014
Guardian Pharmacy of Knoxville, LLC Additional disclosable party 01/01/2025
Mj Mental Health, LLC Additional disclosable party 01/01/2025
Prema Financial Solutions, LLC Additional disclosable party 01/01/2025
Quality Care Rehab INC Additional disclosable party 01/01/2025
Saltmarsh Additional disclosable party 01/01/2025

Of the 16 parties disclosed here, 2 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Huntsville Post-Acute and Rehabilitation Center
Huntsville
8.2 2 0.45 −58%
Signature Healthcare of Mccreary County Rehab And
Pine Knot
9.2 1 0.83 −48%
Beech Tree Health and Rehabilitation
Jellico
20.6 1 0.48 −19%
Cumberland Village Care
Lafollette
22.4 4 0.42 −49%
Williamsburg Health & Rehabilitation Center
Williamsburg
23.0 3 0.80 −20%
Signature Healthcare of Fentress County
Jamestown
25.9 2 0.54 −53%
Tennova Lafollette Health and Rehab Center
Lafollette
26.9 4 1.09 −42%
Rocky Top Care Center
Rocky Top
28.7 1 1.08 −44%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Turnover here is about 60%. How long has the director of nursing been in post?
  3. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  4. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.