Hamilton County, Tennessee · Nursing home
Siskin Subacute West
5 of 5 overall from CMS
1 Sisken Plaza, Chattanooga, TN 37403
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 5.86 hours Above the state average of 3.80
- Nursing staff who left in a year 26.4% Below the state average of 48.9%
- Health citations, last 3 inspection cycles 16 5 at the harm level or above
- Fines in 3 years $93,919 1 fine
- Certified beds in use 31.6% of 108 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Siskin Subacute West is a 108-bed nursing home in Chattanooga, Tennessee (Hamilton County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 5.86 nurse staffing hours per resident per day, above the Tennessee average of 3.80. CMS lists 1 fine totaling $93,919 in the past three years.
- Certified beds
- 108
- Residents per day (average)
- 34.1
- Certified since
- 1967 (59 yrs)
Non profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Siskin Subacute West
Chosen from this home's public data.
- CMS lists 1 fine totaling $93,919 in the past three years. What changed after the most recent one?Penalties in CMS data
- About 31.6% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Tennessee average 3.0
- Health inspections 5 of 5 Tennessee average 3.0
- Staffing 5 of 5 Tennessee average 2.5
- Quality measures 5 of 5 Tennessee average 3.6
The vertical line marks the Tennessee average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.86 h Tennessee average 3.80
- Nurse aides 2.81 h Tennessee average 2.12
- Licensed practical nurses 1.36 h Tennessee average 1.09
- Registered nurses 1.69 h Tennessee average 0.60
- All staff, weekends 5.64 h Tennessee average 3.31
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Tennessee average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover26.4%
- Tennessee average48.9%
- Registered nurse turnover31.6%
- Tennessee average43.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Tennessee and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | Too few residents or stays to report | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | Too few residents or stays to report | 6.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | Too few residents or stays to report | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | Too few residents or stays to report | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | Too few residents or stays to report | 13.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | Too few residents or stays to report | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | Too few residents or stays to report | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 89.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Too few residents or stays to report | 31.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | Too few residents or stays to report | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Too few residents or stays to report | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 16.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.67 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.56 | 1.78 |
Short-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% | 79.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% | 79.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.0% | 22.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 16 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level; the rest were graded as no actual harm. The most recent citation at the harm level or above was on Oct 29, 2023: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 6, 2026 | 1 | 0 |
| Apr 16, 2025 | 0 | 3 |
| Oct 29, 2023 | 15 | 2 |
Tennessee homes averaged 4.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (16)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (May 21, 2026)
-
KImmediate jeopardy, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 28, 2023)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 28, 2023)
-
KImmediate jeopardy, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Nov 28, 2023)
-
KImmediate jeopardy, pattern
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration · Deficient, Provider has date of correction (Nov 28, 2023)
Show 11 more
-
KImmediate jeopardy, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Nov 28, 2023)
-
FPotential for more than minimal harm, widespread
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 28, 2023)
-
FPotential for more than minimal harm, widespread
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 28, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Nov 28, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 29, 2023 | Fine | $93,919 |
Tennessee homes averaged 0.5 fines and $22,907 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Tennessee
Common questions
What is the CMS star rating for Siskin Subacute West?
Siskin Subacute West has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 5 and quality measures is 5.
How many beds does Siskin Subacute West have?
Siskin Subacute West has 108 certified beds. It averages 34.1 residents per day, about 31.6% of its certified beds.
How much nursing care do residents get at Siskin Subacute West?
The home reports 5.86 hours of nurse staffing per resident per day, including 1.69 hours from registered nurses. The Tennessee average is 3.80 hours and 0.60 hours from registered nurses.
Has Siskin Subacute West been fined?
Yes. CMS lists 1 fine totaling $93,919 in the past three years.
Does Siskin Subacute West accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 NHC Healthcare, Chattanooga 200beds 87.5%in use 3.66nurse hours a day
- 2 of 5 Life Care Center of Red Bank 148beds 56.7%in use 3.59nurse hours a day
- 2 of 5 NHC Healthcare Rossville 112beds 86.8%in use 3.10nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hamilton County
Who to call in Tennessee
These offices serve residents of every nursing home in Tennessee.
- Long-term care ombudsman Tennessee Long-Term Care Ombudsman Program 877-236-0013 (Toll-free; routes callers to the District Ombudsman program for their area. State office: 615-253-5412.) An advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Commission complaint intake (Division of Licensure and Regulation) 1-877-287-0010 (Toll-free; Monday through Friday, 8:00 a.m. - 4:30 p.m. Complaints can also be filed through the Commission's online Public Records & Complaints Portal.) The state agency that inspects nursing homes.
Tennessee staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 445008. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.