Federal inspection record · CMS data as of October 1, 2026

Christian Care Center Of Unicoi County

100 Greenway Circle, Erwin, TN · (423) 743-3141

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
50
Residents per day
45
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 15, 1969

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Christian Care Center Of Unicoi County carries 10 inspection points. That is fewer than 85% of Tennessee's 300 rated homes.

5★4★3★2★1★+9 homes above 175.505102550100inspection points → fewer is better on the leftThis home · 10 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–17 pts
  • 3★ 17–31 pts
  • 2★ 31–61 pts
  • 1★ over 61 pts

Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

7 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights2D
  1. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    April 15, 2026 · Standard · F584 · Corrected May 15, 2026

  2. D

    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.

    August 30, 2023 · Standard · F578 · Corrected September 28, 2023

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 30, 2023 · Standard · F644 · Corrected September 28, 2023

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 30, 2023 · Standard · F842 · Corrected September 28, 2023

Pharmacy Service1D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    April 15, 2026 · Standard · F759 · Corrected May 15, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    August 30, 2023 · Standard · F880 · Corrected September 28, 2023

Quality of Life and Care1D
  1. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    August 31, 2021 · Standard · F698 · Corrected September 16, 2021

Inspection history

  1. 2026-04-15

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

  2. 2023-08-30

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2021-08-31

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 21 min of nursing staff time a day, 35 min of it from a registered nurse.

This home

4 h 21 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 32% of nursing staff and 29% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better92.5%89.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts worse93.2%93.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts worse6.2%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms12.9 pts better2.0%14.9%13.5%
Percentage of long-stay residents who lose too much weight5.2 pts worse11.2%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication16.2 pts worse47.9%31.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.3 pts better13.7%17.0%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.4 pts worse19.8%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts worse16.3%13.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.3%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection9.1 pts worse10.8%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts better14.7%19.0%18.3%
Percentage of long-stay residents with pressure ulcers2.4 pts worse7.2%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts better100.0%79.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3 pts worse14.3%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.9%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.5 pts better87.7%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.9 pts worse30.5%22.6%23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Lewis, Jimmy5% Or Greater Direct Ownership Interest · Individual100%3 facilities
Arnold, RoyOperational/Managerial Control · Individual0%1 facilities
Arnold, RoyAdp Of The SNF · Individual0%1 facilities
Baumgardner, MelissaOperational/Managerial Control · Individual0%1 facilities
Byrd, JenniferOperational/Managerial Control · Individual0%1 facilities
Care Centers Management Consulting, Inc.Operational/Managerial Control · Organization0%4 facilities
Cawood-Gray, LisaCorporate Officer · Individual0%3 facilities
Cawood-Gray, LisaOperational/Managerial Control · Individual0%3 facilities
Claxton Dietetic Solutions, LLCAdp Of The SNF · Organization0%2 facilities
Edwards, DanielOperational/Managerial Control · Individual0%1 facilities
Encore Healthcare, LLCAdp Of The SNF · Organization0%3 facilities
Greer, LoriOperational/Managerial Control · Individual0%1 facilities
Inpatient Consultants Of Tennessee PcAdp Of The SNF · Organization0%3 facilities
Lewis, JimmyCorporate Director · Individual0%3 facilities
Lewis, JimmyCorporate Officer · Individual0%3 facilities
Lyons, PeggyOperational/Managerial Control · Individual0%1 facilities
Lyons, SusanAdp Of The SNF · Individual0%1 facilities
Noe, StaceyOperational/Managerial Control · Individual0%1 facilities
Tumkur, DeepikaAdp Of The SNF · Individual0%3 facilities
West, AnitaCorporate Officer · Individual0%2 facilities
West, AnitaOperational/Managerial Control · Individual0%2 facilities
Woodby, ScottOperational/Managerial Control · Individual0%1 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke1D
  1. D

    Install corridor and hallway doors that block smoke.

    April 15, 2026 · K363 · Corrected April 22, 2026

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    April 15, 2026 · K511 · Corrected April 22, 2026

Miscellaneous1D
  1. D

    Provide a written emergency evacuation plan.

    August 30, 2023 · K711 · Corrected August 29, 2023

·

Other homes nearby

  1. Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 19 min
    Fines
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  2. Erwin Health Care Center

    Erwin, TN · Green Tree Health Management

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 14 min
    Fines
    $10,024
  3. Four Oaks Health Care Center

    Jonesborough, TN · Ahava Healthcare

    Worst citation, 3 yrs
    D
    Nursing / resident / day
    3 h 23 min
    Fines
    $0