1. What type of bidding/estimate procedures will be recommended for renovations?
We are in the process of negotiating a master contract with a single contractor for all renovations on both campuses. We will use the same contractor should repairs beyond what our maintenance staff can handle. The contract will include fixed prices for specific tasks. We will furnish the materials and appliances through our own suppliers which will be separately bid.
2. Will those on the waitlist still be offered residency?
Individuals on the waitlist will be offered homes or apartments at both campuses. All units will be renovated to a uniform standard package (paint, flooring, countertops, and appliances). Prospective residents can purchase upgrades for their unit for a standard catalogue of available options. Specific renovations will be considered on a case-by-case basis and will have to be performed by our contractor at the new resident’s expense.
3. What are the terms for the 8.5%, $60 million loan? When was the loan obtained?
There are three individual loans. Two in the form of tax-exempt bond issues which were privately placed with Home Federal Bank of Tennessee and a third which is a commercial line of credit also with Home Federal Bank. The purpose, terms, maturity, and current balance as of July 31, 2023, are summarized as follows:
- Tax-exempt bonds to construct Well Park, issued on July 24, 2014, average interest rate 4.95%, matures on July 31, 2029, current balance $5,651,416.
- Tax-exempt bonds to construct the Lodge and refinance the remaining mortgage on the Maryville campus, issued on January 24, 2019, average interest rate 4.35%, matures on January 21, 2041, current balance $45,095,381.
- Commercial line of credit to provide working capital, issued on December 1, 2022, current variable interest rate 8,25%, matures on September 30, 2023, current balance $6,974,699. We expect during September that the current line of $7 million will be increased to $8.5 million and the maturity extended to December 31, 2023.
4. What have auditors recommended or commented on over the last ten years?
I have not reviewed all the audit reports and management letters for the ten years ending December 31, 2021. The 2022 audit has been suspended until such time as we formally select a partner to acquire Presbyterian Homes of Tennessee, Inc. The management letters for 2020 and 2021 were unremarkable and address only routine matters. For both years the auditors provided a “clean opinion” on the fair presentation of the corporation’s financial statements.
5. What is the accounting on the books when a unit is vacated, renovated, and “sold” to another resident?
Units are never sold to a resident. The resident’s residency agreement provides the resident with the right to occupy a unit until their death or until they leave the unit for either a higher level of care or voluntarily choose to leave the community. Accordingly, there is no change in the accounting for a unit on the corporation’s books when it is occupied by a new resident. Routine renovations and maintenance are typically treated as an operating expense in the year in which they occur.
6. Form 990, Part VI, section B, policies line 11b- Please describe the process mentioned for review of form 990 with the Board.
I, Scott Phillips, have never personally participated in the review of Form 990 (Tax Return for a Tax-Exempt Organization) with the Shannondale board of directors. I presume that they were just given a copy, which is what I have typically done in the past at other tax-exempt organizations. Form 990 is generally prepared and filed months after the board has received the audited financial statements and reviewed them with the independent accountants.
7. What is the “conflict of interest” policy mentioned on line 12 of Form 990?
We are following up with our auditor. Please reach out to Erik Hockman, CFO to ensure we have your contact information.
8. What is the fee for HMP?
HMP was paid $80,000 including expenses to prepare its initial assessment of Shannondale. In addition, for management services, HMP is paid $125,000 per month plus related travel and other expenses which may not exceed 15% of the $125,000 base fee.
9. Is there a detailed report available to residents of the assessment from HMP? If this is not available, why not?
The initial assessment was performed under the direction of corporate counsel and accordingly is not available for public distribution. A summary of the findings included in the assessment was presented at each of eight resident town hall meetings conducted in June.
10. Is there a detailed plan of action from HMP we can read?
The best way to stay up to date on the restructuring plans is to read the Friday Update, visit the website, and attend regularly scheduled town hall meetings. If you have a specific question, please reach out to your administrator.
11. Are board or council meetings open to residents? Why or why not?
Presbyterian Homes of Tennessee, Inc. is a private corporation and accordingly its board meetings are not open to the public. However, to facilitate communications with the residents, the corporation amended its bylaws to permit the presidents of two resident councils to be appointed by position as full voting members of the board of directors. They are free to share information from the board meetings with the residents.
12. What is the differential between income and expense for Shannondale?
As of the end of June 2023 the corporation’s expenses exceeded its revenues by approximately $1 million per month. All components were losing money.
13. What is the projected income needed above present income?
A healthy CCRC will produce an operating profit margin of 3-5%. To achieve that outcome Shannondale will have to increase revenues by $5-7 million per year and reduce operating expenses by a similar amount.
14. Has fraud or malfeasance in or associated with Shannondale been ruled out as a contributing factor to the current situation?
Yes. Neither we nor our independent accountants have observed any indications of fraud or malfeasance in the operation of Shannondale. Clearly a great many management mistakes were made during a very difficult period marked by a 30-month national pandemic. Many healthcare providers made mistakes during this difficult period.
15. How do residents communicate with different levels of management?
Residents should communicate directly with the Administrator responsible for their component of Shannondale.
Keith McCord, Assisted Living and SNF David Maxwell, Assisted Living and SNF
Angie Schiller, Independent Living Dawn Daud, Independent Living
Residents can also convey concerns to the members of their respective Residents Council which have frequent contact with senior management and the board of directors.
 Angie is currently out on medical leave. During her absence, Keith McCord will be responsible for the entire Knoxville campus.
16. Phillips referred to a resident survey. When will the survey come out and who will formulate the questions?
The survey will be conducted by an independent market research firm that will also be engaged to conduct a market study to evaluate Shannondale’s pricing. We have narrowed the bid list down to three qualified national firms and should be receiving formal proposals in the first week in September. I would expect that after consultation with the resident councils, the firm will be selected and commence work sometime in October. We do not expect to have the results of either the market study or the resident survey before the end of the year. The market research firm will formulate the questions.
17. In the Lifetime residency contract, there is a schedule for accrued “free” days based on number of year payments, will that remain the same?
Yes. All existing residency agreements will be honored.
18. There is a refund schedule for the home, will that remain the same?
Yes. All existing residency agreements will be honored.
19. How does management view residents? Lessees? Investors? Stockholders?
All independent residential homes, villas, apartments, or bungalow residents neither rent nor own their units. They have entered an “executory service contract” with Shannondale, a Continuing Care Retirement Community or CCRC under which, Shannondale has agree to provide certain services, including housing, in exchange for an initial deposit (a “Membership Fee”) and a recurring monthly fee. Under the terms of the contract a portion of the Membership fee will be refunded upon the resident leaving the CCRC.
Management views the residents as important individuals to whom Shannondale has a service obligation under their individual service contracts. Legally, residents are not lessees, investors, or stockholders.
20. What are the plans, if any, for improving the physical facilities at the Assisted Living Center and the Health Care Center (on the Knoxville Campus)?
We are in the process of finalizing plans to enhance the Knoxville Assisted Living facility inside and out. Work should commence in the next two weeks. On the exterior we will be doing the following:
- Regrading the property to improve drainage.
- Replace or repair all sidewalks.
- Remove all existing beds and planters and replace with an attractive combination of permanent and seasonal flowers and plantings.
- Upgrade and beautify the exterior signage.
- Replace and paid fascia boards, eaves, gutters and down-spouts.
- Create an attractive and well-furnished outside patio in the front and rear of the building.
- Repair flashings on the chimneys to stop leakage into the building.
- Repair and repaint the main entrance canopy.
- Appropriately cut back or trim all mature trees on the property.
The following additional improvements will be made to the interior of the building:
- All carpeting will be removed and replaced with laminate flooring.
- The brick floor in the front hall will be removed and replaced with laminate flooring.
- The bathroom for all rooms will be brought up to “like new” condition (fixtures will be replaced or refinished as needed).
- The existing main dining room will be expanded to accommodate all residents from both wings of the building. The former dining room adjacent to the existing satellite kitchen will be repurposed as activity space for the residents.
- The existing kitchen will be refurbished.
- The current satellite kitchen will be repurposed as offices.
- Both fireplaces will be restored and the gas log sets, which are no longer permitted by code, will be replace with electric log sets.
- Lighting will be replaced throughout to create a welcome and well-lit atmosphere.
- All the walls, trim etc., will be repainted.
We have currently budgeted $500,000 for the project and hope to have it completed before the end of the year.
21. What are the plans to address staffing shortages across the organization?
We do not have any significant staff shortages. The total staff currently authorized is more than 50 less than we employed in May of this year. The 280 staff currently budgeted are adequate to provide quality services to our residents.
We will of course experience normal turnover and we will have continuing challenges with training and organization. We are addressing the latter by upgrading management, combined with plans to outsource dietary and maintenance services.
22. Are you raising prices so drastically instead of at a reasonable rate in an effort to vacate some residents?
Rates are being raised to meet the market and insure the solvency of the community. An “Ability to Pay” program has been established to ensure no resident will be forced to leave due to financial circumstances.
23. For existing residents- can you raise the rates over a 3–5-year period instead of a one-month plan?
In consultation with the Resident Councils, we have designed an “Ability to Pay” program to phase in the rate increase for the homes, villas, duplexes and bungalows over three years.
24. Will improved services come with the rise in rates?
We promise to continuously work with the resident councils to improve services. We have started the improvement of services in several areas. This will take time, but you should see positive movement in the next several weeks and months. We will keep your resident councils updated.
25. Can residents expect home repairs to be made in a timely manner with the increase in rates?
Mark Henry, VP of Support Services was hired in mid-August and has been given the mandate and budget to accomplish the following priority tasks by the end of 2023.
- Inspect all buildings including individual independent living units and prepare:
- A complete, prioritized, inventory of deferred maintenance projects, which must be accomplished over the next 24 months, including a budget and timeline for their completion.
- A standard recurring preventative maintenance program for all buildings and individual units.
- Inform individual independent living residents’ scope and timing for projects, which will affect their unit.
- Renovate the Knoxville Assisted Living Facility to a high standard.
- Purchase six new 12-14 seat wheelchair accessible vans for resident transportation.
- Replace or repair sidewalks as needed on both campuses to eliminate all fall and drainage hazards.
- Inspect all trees on both campuses. Prune or remove to eliminate hazards. Grind and or remove any new or existing stumps.
- Contract with a single qualified landscaping company to maintain all lawns and common plantings on both campuses.
- Renovate and attractively furnish with plantings and quality outdoor furniture the eight lightwells located in the Maryville Retirement Center.
- Replace the HVAC unit in the kitchen of the Maryville Health Care Center.
- Replace the safety door system (nine doors) for the Maryville Retirement Center.
- Install security system including electronic exterior door locking systems and interior and exterior safety lighting for the Knoxville Bungalows.
- Secure and beautify with privacy fencing the old retirement center building on the Knoxville Campus.
- Relocate or hide behind privacy fencing the dumpsters behind the Lodge and next to the Bungalows.
- Repave the access road and parking lot approaching the Bungalows, including the areas where the dumpsters are currently located.
- Replace the pump system for the Maryville pond.
- Reinvigorate and Chair a Safety Committee for the corporation that will ensure compliance with all contemporary safety and fire standards, including the regular conduct of fire drills and the inspection of all fire prevention or control systems and equipment.
26. Can we expect to have a safety inspection done on units with fireplaces?
This will be accomplished by a qualified outside contractor by the end of October 2023, to ensure that all units will be ready for the winter season.
27. Will the safety concerns at The Bungalows be addressed in a timely manner? (i.e. controlled access entrance doors & better lighting in the parking lot)
See 25 above.
28. Which portion of the fee is being increased? (Basic service fee? Health? Others?)
The monthly service fee is being increased. We have also increased daily service rates for the Maryville Assisted Living and Skilled Nursing facilities.
29. How will the extra funds be used?
Shannondale is a not-for-profit charitable organization. The funds will help cover the cost of operating the community.
30. There was something mentioned in the PM meeting on 6/22 that 15 meals in The Lodge would be assigned to Buckingham residents.
That is partially correct. It is customary to include some meal options within a senior living independent community to promote socialization as part of the overall CCRC concept. The proposed meal program for the residents in the Homes, Villas, Duplexes and Bungalows (15 meals per resident per month, 30 for a couple) will be implemented concurrently with the implementation of the new dining program, which will include in addition to our existing dining options, a catering concept, a pantry on each campus for basic stable and “Grab and Go” packaged meals, sandwiches etc. We expect to have the new dining concept fully implemented before the end of the year. Residents will be able to use their meal credits on either campus.
31. Can we decline these meals? If we do not live in The Lodge, why are we to be assessed in this way?
Individual residents can certainly choose not to take advantage of the new meal program. There will not be a requirement that they dine at the Lodge. They could instead choose to use their credits to buy staples at pantry or have events catered at their home.
32. Why do some residential units appear to be experiencing a much greater increase than other types of units?
Here is an example: Historically, on average, the monthly fees at the Lodge were approximately 300% of those for Buckingham and accordingly much closer to actual market rates. Because of the disparity, in consultation with the Resident Councils, we have agreed to phase in the rate increase to market for the homes, villas, duplexes and bungalows over a three-year period.
33. Why is there no difference in fees based on square footage of their unit?
Good question. This has since been addressed and the rates adjusted for all independent living units.
34. If you have lived at Buckingham-Knoxville or Maryville (Independent homes, villas, etc.) and paid annual fees, has that money been used to pay operating expenses or debt service (interest or principal) for the Lodge or Well Park?
Presbyterian Homes of Tennessee, Inc., Shannondale, is a single corporate entity. All funds are used for the entire entity. Similarly, all debt of the corporation is collateralized by all of the real and intangible assets of the corporation, including the homes, villas, duplexes, bungalows, and apartment buildings, etc.
35. Moving forward, will the increased annual fees be used as operating expenses or debt service for The Lodge or Well Care, or to cover other losses?
As previously noted, Presbyterian Homes of Tennessee, Inc., is a single corporation which owns and operates two campuses. All revenues collected will be used to pay all cash operating costs of the entire corporation, including debt service.
36. Per the town hall, the Home Federal Line of Credit for operating expenses is expected to be paid off by 4/24. Will our new fees be used to pay our “the corporate debt” or our “appropriate prorated amount” of the debt?
See above #35. We expect to complete the sale of the Knoxville Health Care Center and Well Park before the end of the year. The proceeds from the sale will be used to:
- Payoff the Home Federal Line of Credit (See 3c above) in full,
- Fund the capital improvements and equipment detailed in 25, above, and
- Provide a working capital reserve for the corporation.
37. If Buckingham and Maryville (independent homes, villas, etc.) have not contributed to the large amount of debt, why are we being made to help fund the solution?
Part of the operational shortfall was in fact due to Shannondale continuing to charge less than market rates in Buckingham and the Maryville Homes and Villas.
38. What is the breakdown of services covered by the new fee structure and rates for independent living? (i.e., city/county taxes, insurance, lawn care, security, inside and outside corrective/preventative maintenance, campus upkeep, etc.)
Shannondale is a licensed Continuing Care Retirement Community or CCRC. All residents have access to independent living composed of homes, villas, duplexes, bungalows, and apartments, assisted living and skilled nursing care. All these levels of care must be operated and maintained to ensure that individual residents can “age in place” and access different services or accommodations as their individual health needs change. The homes, villas, duplexes, bungalows, and apartments are simply the entry level into the CCRC.
In addition to the services noted in the question, independent living residents can expect to participate in organized activities, access transportation for doctor’s visits, shopping, etc., and participate in a meal program to ensure a level of socialization and be guaranteed access to alternative independent living arrangements as their needs change ( for example, move from a home to an apartment) and have guaranteed access to assisted living or skilled nursing care if their health needs change, including professional assistance in making these difficult life transitions. This is particularly important for couples, whose healthcare needs will likely evolve differently and may require the occupancy of more than one type of care facility concurrently.
A CCRC should not be confused with a commercial age restricted real estate development where individuals own or rent their homes and then must leave the community to individually find care options as their needs change. Shannondale is not a landlord. Rather it has contracted with the Resident to provide lodging and direct access to a range of social and healthcare services on the two campuses.
Maintaining a full range of care options is expensive, particularly during a pandemic like we experienced from 2020 to 2022.
39. Why is there now an annual charge of $12,000 for a second person? What service categories does this fee cover?
In consultation with the Residents’ Councils the second person monthly fee for the homes, villas, duplexes, and bungalows was eliminated in setting the new final monthly fees. Instead, a separate “Second Person Membership Fee” has been introduced and will only apply to NEW Residents who entered into residency agreements after August 1, 2023. (The fee has to do with “wear and tear”. More occupants, more wear.)
40. It doesn’t make sense that the second person annual charge is the same as that of a second person at The Lodge, as they have other expenses incurred that are not provided at Buckingham (utilities, housekeeping, etc.).
See 39, above.
41. Can you lower the extra person fee at Buckingham to $200-300 since there is not obvious benefit?
See 39, above.
42. Please explain the membership and monthly fee regarding the refund schedule.
Because we have many different contracts with individual options selected by each resident, It is difficult to answer this question without creating confusion. The terms of each existing residents Residency Agreement will be honored.
If you have specific questions regarding your individual situation, please contact your administrator who is listed in 15, above.
43. Can residents use the membership fee refund to help pay the increased monthly maintenance fee?
Yes, under certain circumstances. Residents who are unable due to financial constraints, to both pay the increased monthly fees and maintain a reasonable retirement lifestyle, can confidentially apply for consideration of a “fee discount”. Any discount granted will be deducted from the resident’s future refund.
Residents who would like to be considered should contact their administrator or Erik Hockman, the Chief Financial Officer.
44. The new fee structure is comparable with national rates, however Buckingham, in terms of routine maintenance, upkeep and improvements is not. How long will it take to bring Buckingham up to national standards?
This is a priority. See 25 above.
45. What happens to the concept of continuing care if the Nursing Care unit is sold?
We do not see this as a problem. Shannondale is currently negotiating with the buyer to insure both priority access and favorable pricing for our residents. The resulting contract will be provided to legal counsel retained by the Resident Councils for review and comment prior to execution.
46. Several independent living residents do not consider their community part of a “CCRC” nor have we ever. Presbyterian Homes of TN, Inc. is a CCRC. Please define what this means to our community now to be considered part of a CCRC. How does it change how we have been operating?
Shannondale has always been part of the CCRC, with its residents moving through the various levels of care. All the independent living residency agreements currently require that Shannondale provide CCRC service.
The marking department will begin a series of articles next week in the Shannondale Update to inform and educate residents on the definition and operation of a CCRC.
47. Does a CCRC require money paid into a continuing medical care program? There are different types of CCRC’s?
Shannondale’s pricing does not. The fees are based on each individual resident’s level of care.
48. Is the $150/month life residency fee to be added to the CCRC fee? What additional services does the life residency fee cover?
The $150 per month Life Residency Fee is in addition to the Monthly Service Fee. Participating residents (only about 20-25 individuals) are entitled under the program to a certain number of skilled nursing days of care at no cost beyond existing government insurance coverage, as well as a small discount for skilled and assisted living care.
49. If you have paid the $150 monthly fee and have accumulated an Accrued Health Benefit, how does that transition to the CCRC plan?
There is no transition, Shannondale has always been a CCRC. All existing residency agreements including the existing Life Residency agreement terms will be honored.
50. Does the 15 free days a year health service of the agreement transition to the CCRC structure?
Yes. All existing residency agreements will be honored.
51. Do the new monthly membership fees include payment into a future medical care program? If so, can we opt out of that part of the monthly fee?
Medical expenses are not included in the new monthly service fees. See 48 above.
52. If you agreed to the contract without the lifetime medical services, do we have a choice of fee options? Will our current contract without the medical services be honored?
Yes. All existing residency agreements will be honored.
53. Regarding the categories of “can’t pay” and “won’t pay”- if the only way our family can pay the increase in fees is to close out funds (like a college fund) that we have set up for our grandchildren, and we do not want to do that, is that considered “won’t pay”?
Each individual Resident’s financial situation is different, complex, and confidential. Before liquidating investments, including college funds, a resident who believes that they can not pay the new fees should investigate the “Ability to Pay” program. See 43 above.
54. If we determine that we can’t pay the increase in fees, what are our next steps to stay at Shannondale? Who is our point of contact for these conversations?
Your administrator would be the first contact. See 43 above.
55. Could a “resident’s assistance fund” be set up to help our resident neighbors that can’t afford the new pricing?
This is a wonderful idea. We would be happy to work with the Resident Councils to set up such a fund.
56. Could we put forth fundraising opportunities to help with the debt?
We would encourage fund raising to fund a Resident Assistance Fund.
Surprising as it may sound, Shannondale does not have too much debt relative to its size. The problem has been a long-term failure to adequately manage expenses and revenues and its service mix. For example, Shannondale currently operates 250 licensed nursing home beds across three facilities, but on any given day less than 10% of those beds are occupied by our residents. The two skilled nursing facilities alone account for approximately half of the $12 million negative cash flow for the entire corporation. That is one of the principal reasons we are actively negotiating the sale of these two properties.
57. If we pay the increase in fees and Shannondale goes bankrupt, how can we be assured we will receive a refund?
Scott Phillips, CEO, has shared, the likelihood of bankruptcy is very low and getting lower each day as we continue to make improvements. The sale of the two nursing facilities in Knoxville combined with other efforts well underway will ensure the solvency of the corporation and our ability to find a quality partner. Refunds will continue to be paid in the normal course of business.
58. If Shannondale goes into bankruptcy, what happens to the independent homes/apartments and their occupants?
See 57 above.
59. Do we have the option to purchase the homes we are currently living in?
No, the homes are part of a CCRC.
60. If I move from Buckingham to The Lodge, will I pay the old or new rate?
The new rates apply.
61. If I decide to move out of the Shannondale community, how much notice must I give?
Your contract requires 30 days written notice.
62. If I move out of my home, it is my understanding that the return of my deposit will not happen until the resale of my vacated home.
That is correct under the terms of your contract.
63. What are the plans to make ready the property for resale?
It is in the best interest of the residents and Shannondale to resell the unit as quickly as possible. Mark Henry, VP Support Services has been given the mandate that any unit vacated must be ready to be reoccupied in less than 60 days. Mark has the responsibility to manage this activity on both campuses.
64. Are there funds to do the ready the property for resale at this time?
Yes, the funds necessary to renovate units as they become available have been budgeted and are available.
65. How long should I expect that process to take?
30 to 60 days.
66. Can you provide a complete, in-depth look at the finances? To include: List of debts, expenses, etc. Break down into property types-
Audited and unaudited financial statements are available. Should you have any questions please reach out to Erik Hockman, CFO.
67. Can we have a meeting with the bank officers?
No. This relationship is being appropriately managed by current management.
68. Is there a less painful way to reduce the debt, like by refinancing?
Refinancing is not an attractive option as current loan interest rates and maturities are well below current market rates.
As described in 36 above, the proceeds from the sale of the Knoxville skilled nursing facilities will be used to repay the high interest line of credit in full. We expect this to happen before the end of the year.
69. Can we organize a board of residents that can relate to and influence the governing body?
Effective in July, the bylaws of the corporation were amended to have two presidents of elected Resident Councils serve by position as full voting members of the Board of Directors. Alice Ann Moore (Knoxville) and Charlie Mulligan (Maryville) attended the August board meeting on behalf of the residents. The program to formally seat the two resident members is being finalized and is pending review by the Resident Councils’ legal counsel.
70. Can we have a council member from the different properties attend the Board of Director meetings?
See 69 above.
71. Why is the Board of Directors not being held more accountable for what has happened?
The board is an unpaid volunteer board. As indicated in Chairwoman Suzy Booker’s letter on July 24, 2023 to the Resident Councils and their lawyers, the board has accepted full responsibility for the current situation and for guiding the organization to appropriate long-term solution to the problems identified.
72. Was there ever an audit of financials performed in the last five years? If so, was this information provided to the Board of Directors?
Yes, audits of the corporations’ financial statements have been completed every year through 2021 and unaudited financial statements for 2022 and through June 2023 have all been shared with the board.
73. You have shared that the current rate for Buckingham is below market value. What are the “comps” for Knoxville you used to determine this?
The comps were from an internally conducted market study of the area’s other senior living communities and options. In consultation with the Resident Councils, Shannondale will contract with a third-party market research firm to complete an independent study by year end. Also see 16 above.
74. Is the plan for Scott’s company to get the financials in better shape then sell Shannondale?
HMP has been retained by the Board of Directors to make improvements which will make Shannondale attractive to potential partners (buyers) who currently successfully operate CCRCs.
75. What is the timeline to find a partner?
Fortunately, we have had interest previously from three prospective partners. The improvements now underway are designed to address the concerns raised by the prior bidders and attract new bidders. We plan to recommence actively marketing Shannondale to the national market before the end of September and are hopeful that we can have a formal agreement in place by year end that can close early in the new year.
76. What type of license does each property type have?
Presbyterian Homes of Tennessee, Inc., is a licensed CCRC.
The Lodge is a licensed Tennessee Home for the Aged.
Well Park (30 Beds) and the Knoxville Health Care Center (176 Beds) are licensed skilled nursing facilities.
The Knoxville Assisted Living Facility is a 49-bed licensed Assisted Living Facility.
The Heath Care Center at Maryville includes 44 licensed Skilled Nursing beds and 42 Assisted Living beds.