Cycle 1
Health 2025-03-19 · Fire 2025-03-19
4 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Erwin, TN
Erwin Health Care Center
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
100 Stalling Lane, Erwin, TN
(423) 743-4131
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
125
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-07-01
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
0.82
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.89
CMS adjusted RN staffing hours
Adjusted total hours
3.84
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
9,399
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 21.91% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
6.13
Performance 6.00% · Measure score 6.13 · Achievement 6.13 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.96
Baseline 31.94% · Performance 59.74% · Measure score 0.96 · Achievement 0.96 · Improvement 0
Adjusted total nurse staffing
2.41
Baseline 3.26 hours · Performance 3.76 hours · Measure score 2.41 · Achievement 2.41 · Improvement 1.48
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.35% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 74 · Observed rate 6.76% · Lower 95% interval 6.73% |
| Discharge to community | 32.96% |
50.57%
17.6 pts worse
|
Worse than the National Rate · Eligible stays 43 · Observed rate 16.28% · Lower 95% interval 19.33% |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 29 · Denominator 29 |
| Falls with major injury | 6.9% |
0.77%
6.1 pts worse
|
Numerator 2 · Denominator 29 |
| Discharge self-care score | 22.73% |
53.69%
31 pts worse
|
Numerator 5 · Denominator 22 |
| Discharge mobility score | 27.27% |
50.94%
23.7 pts worse
|
Numerator 6 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 10.34% |
2.29%
8.1 pts worse
|
Numerator 3 · Denominator 29 · Adjusted rate 7.58% |
| Healthcare-associated infections requiring hospitalization | 6% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 38 · Observed rate 0% · Lower 95% interval 2.71% |
| Staff COVID-19 vaccination coverage | 0.69% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 145 |
| Staff flu vaccination coverage | 36.36% |
42%
5.6 pts worse
|
Numerator 44 · Denominator 121 |
| Discharge function score | 22.73% |
56.45%
33.7 pts worse
|
Numerator 5 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.6
0.4 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.8% |
3.6%
4.2 pts worse
|
3.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.9% · Q3 8.7% · Q4 8.3% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.8%
11.8 pts better
|
11.4%
11.4 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 who lose too much weight | 5.1% |
6.2%
1.1 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 9.2% · Q4 7.5% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 62.1% |
32.2%
29.9 pts worse
|
19.6%
42.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.4% · Q2 62.9% · Q3 62.1% · Q4 58.8% · 4Q avg 62.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.2% |
18.1%
13.1 pts worse
|
16.7%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 25.5% · Q3 31.8% · Q4 39.6% · 4Q avg 31.2% · 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 | 19.8% |
19.9%
0.1 pts better
|
16.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 16.0% · Q3 24.3% · Q4 18.4% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% |
15.3%
6.9 pts worse
|
14.9%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 27.1% · Q3 37.0% · Q4 10.5% · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
0.9%
1.2 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.5% · Q3 1.2% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.9%
0.2 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 1.5% · Q4 1.4% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.1% |
20.2%
6.9 pts worse
|
19.8%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 30.0% · Q3 30.5% · Q4 24.5% · 4Q avg 27.1% |
| 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 5.6% · Q2 2.9% · Q3 5.0% · Q4 5.9% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
79.6%
17.7 pts better
|
81.7%
15.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 100.0% · Q4 100.0% · 4Q avg 97.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
11.2%
3.5 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 17.4% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
22.2%
1.6 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 17.4% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-01-20 · Fire 2022-01-20
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-05-30 · Fire 2019-05-30
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-19
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 2025-03-24
D · Potential for more than minimal harm
2025-03-19
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-03-19
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-24
F · Potential for more than minimal harm
2019-05-30
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-07-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-19
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-03-19
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 2025-03-20
D · Potential for more than minimal harm
2025-03-19
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-04-03
D · Potential for more than minimal harm
2025-03-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-24
K · Immediate jeopardy
2024-05-17
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-05-18
K · Immediate jeopardy
2024-05-17
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-05-18
F · Potential for more than minimal harm
2022-01-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-04
F · Potential for more than minimal harm
2022-01-20
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-03-04
D · Potential for more than minimal harm
2022-01-20
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2022-03-04
D · Potential for more than minimal harm
2022-01-20
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 2022-03-04
D · Potential for more than minimal harm
2022-01-20
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-03-04
D · Potential for more than minimal harm
2022-01-20
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 2022-03-04
F · Potential for more than minimal harm
2019-05-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-07-14
E · Potential for more than minimal harm
2019-05-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
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 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-07-14
D · Potential for more than minimal harm
2019-05-30
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-07-14
Penalties and ownership
What sits behind the stars
$5,012
2024-05-17
Fine
Fine · fine $5,012
Fine
$5,012
2024-05-17
Fine
Fine · fine $5,012
Fine
Ownership
C & E Management Inc
5% Or Greater Indirect Ownership Interest · Organization
Price, Wendy
5% Or Greater Direct Ownership Interest · Individual
Wagner, Lindsey
5% Or Greater Direct Ownership Interest · Individual
Bailey, Keith
5% Or Greater Direct Ownership Interest · Individual
Bailey, Kreis
5% Or Greater Direct Ownership Interest · Individual
Nelson, Kimball
5% Or Greater Direct Ownership Interest · Individual
Bailey, Jane
W-2 Managing Employee · Individual
Bailey, Kreis
Contracted Managing Employee · Individual
C & E Management Inc
Operational/Managerial Control · Organization
Price, Wendy
Limited Partnership Interest · Individual
Wagner, Lindsey
Limited Partnership Interest · 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
Christian Care Center Of Unicoi County
Erwin, TN
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 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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