Cycle 1
Health 2023-08-30 · Fire 2023-08-30
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Erwin, TN
Christian Care Center Of Unicoi County
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
100 Greenway Circle, Erwin, TN
(423) 743-3141
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
48
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1969-09-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.36
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.90
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.80
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,684
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9920
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.41
Baseline 17.96% · Performance 20.31% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Healthcare-associated infections
0.67
Baseline 7.72% · Performance 7.63% · Measure score 0.67 · Achievement 0.67 · Improvement 0
Total nurse turnover
10
Baseline 38.89% · Performance 17.78% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.50
Baseline 3.79 hours · Performance 3.79 hours · Measure score 2.50 · Achievement 2.50 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.09% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 78 · Observed rate 17.95% · Lower 95% interval 8.73% |
| Discharge to community | 61.79% |
50.57%
11.2 pts better
|
Better than the National Rate · Eligible stays 66 · Observed rate 59.09% · Lower 95% interval 50.77% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.04% |
95.27%
2.8 pts better
|
Numerator 50 · Denominator 51 |
| Falls with major injury | 1.96% |
0.77%
1.2 pts worse
|
Numerator 1 · Denominator 51 |
| Discharge self-care score | 22.58% |
53.69%
31.1 pts worse
|
Numerator 7 · Denominator 31 |
| Discharge mobility score | 41.94% |
50.94%
9 pts worse
|
Numerator 13 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 1.96% |
2.29%
0.3 pts better
|
Numerator 1 · Denominator 51 · Adjusted rate 2.15% |
| Healthcare-associated infections requiring hospitalization | 7.63% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 8.51% · Lower 95% interval 4.45% |
| Staff COVID-19 vaccination coverage | 18.6% |
8.2%
10.4 pts better
|
Numerator 16 · Denominator 86 |
| Staff flu vaccination coverage | 45.9% |
42%
3.9 pts better
|
Numerator 28 · Denominator 61 |
| Discharge function score | 22.58% |
56.45%
33.9 pts worse
|
Numerator 7 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 27 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 6.9% |
25.2%
18.3 pts worse
|
Numerator 2 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
89.9%
4.9 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.4% · Q3 91.9% · Q4 92.7% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
94.5%
0.5 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.6%
1.6 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.3% · Q3 5.4% · Q4 4.9% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.5% |
11.8%
8.3 pts better
|
11.4%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.8% · Q3 2.9% · Q4 2.6% · 4Q avg 3.5% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
6.2%
1.7 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 11.1% · Q4 16.7% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 51.0% |
32.2%
18.8 pts worse
|
19.6%
31.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.7% · Q2 58.3% · Q3 50.0% · Q4 50.0% · 4Q avg 51.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.8% |
18.1%
2.3 pts better
|
16.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 12.9% · Q3 17.9% · Q4 15.2% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.9% |
19.9%
6 pts worse
|
16.3%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.4% |
15.3%
9.1 pts worse
|
14.9%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 15.2% · Q3 36.4% · Q4 22.6% · 4Q avg 24.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.4% |
1.9%
7.5 pts worse
|
1.7%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 11.1% · Q3 8.1% · Q4 10.3% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.0% |
20.2%
4.2 pts better
|
19.8%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 11.9% · Q3 22.1% · Q4 18.7% · 4Q avg 16.0% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.4%
0.5 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.8% · Q3 5.4% · Q4 4.2% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
79.6%
19.3 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.6% · Q3 98.7% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
11.2%
2.3 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 11.3% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.6%
1.1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.6% |
79.8%
14.8 pts better
|
79.7%
14.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
22.2%
3.2 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 20.8% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-08-31 · Fire 2021-08-31
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-06-05 · Fire 2019-06-05
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-08-30
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-08-29
E · Potential for more than minimal harm
2019-06-05
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-07-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-08-30
F578 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-08-30
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-08-30
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-08-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-28
D · Potential for more than minimal harm
2021-08-31
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-09-16
D · Potential for more than minimal harm
2019-06-05
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-07-11
D · Potential for more than minimal harm
2019-06-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-11
D · Potential for more than minimal harm
2019-06-05
F761 · Pharmacy Service Deficiencies
Health
Ensure 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.
Corrected 2019-07-11
C · Minimal harm
2019-06-05
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-07-11
Penalties and ownership
What sits behind the stars
Ownership
Lewis, Jimmy
5% Or Greater Direct Ownership Interest · Individual
Arnold, Roy
Operational/Managerial Control · Individual
Baumgardner, Melissa
Operational/Managerial Control · Individual
Byrd, Jennifer
Operational/Managerial Control · Individual
Care Centers Management Consulting, Inc.
Operational/Managerial Control · Organization
Cawood-Gray, Lisa
Operational/Managerial Control · Individual
Cawood-Gray, Lisa
Corporate Officer · Individual
Edwards, Daniel
Operational/Managerial Control · Individual
Greer, Lori
Operational/Managerial Control · Individual
Lewis, Jimmy
Corporate Director · Individual
Lewis, Jimmy
Corporate Officer · Individual
Lyons, Peggy
Operational/Managerial Control · Individual
Noe, Stacey
Operational/Managerial Control · Individual
West, Anita
Operational/Managerial Control · Individual
West, Anita
Corporate Officer · Individual
Woodby, Scott
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Center On Aging And Health
Erwin, TN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Erwin Health Care Center
Erwin, TN
1-star overall rating with 2-star inspections with $10,024 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Four Oaks Health Care Center
Jonesborough, TN
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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