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

Hermitage Health Center

1633 Hillview Drive, Elizabethton, TN · (423) 543-2571

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
70
Residents per day
53
Ownership
Non-Profit
Chain
Twin Rivers Health & Rehabilitation
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 23, 2004

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

    −1 star

    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

Hermitage Health Center carries 5 inspection points. That is fewer than 95% of Tennessee's 300 rated homes.

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

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

5 health citations on record since 2022. 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 5 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 Assessment and Care Planning5D
  1. D

    Ensure each resident receives an accurate assessment.

    September 16, 2026 · Standard · F641 · Corrected September 23, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    May 20, 2025 · Standard · F641 · Corrected May 30, 2025

  3. D

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

    May 20, 2025 · Standard · F842 · Corrected May 31, 2025

  4. D

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

    August 10, 2022 · Standard · F644 · Corrected September 15, 2022

  5. D

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

    August 10, 2022 · Standard · F842 · Corrected September 15, 2022

Inspection history

  1. 2026-09-16

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

  2. 2025-05-20

    2 health deficiencies · 2 fire-safety deficiencies

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

  3. 2022-08-10

    2 health deficiencies · 3 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 47 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

3 h 47 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 61% of nursing staff and 36% 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.
Number of hospitalizations per 1000 long-stay resident days0.4 pts worse2.01.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.31.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better100.0%89.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better100.0%93.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse5.2%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms53.2 pts worse68.1%14.9%13.5%
Percentage of long-stay residents who lose too much weight5.4 pts better0.6%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication18 pts worse49.7%31.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.2 pts better15.8%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 worsened1.1 pts better14.3%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts worse20.4%13.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse1.8%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection4.1 pts worse5.8%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.1 pts worse31.1%19.0%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts better3.2%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 visit4.1 pts worse15.4%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse3.0%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.8 pts better100.0%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse22.7%22.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Bradley, DonManaging Control - Governing Body · Individual0%8 facilities
Bradley, DonOperational/Managerial Control · Individual0%8 facilities
Burton, WilliamManaging Control - Governing Body · Individual0%8 facilities
Burton, WilliamOperational/Managerial Control · Individual0%8 facilities
Call, AndrewOperational/Managerial Control · Individual0%2 facilities
Call, AndrewAdp Of The SNF · Individual0%2 facilities
Davis, ClintonOperational/Managerial Control · Individual0%11 facilities
Davis, ClintonAdp Of The SNF · Individual0%11 facilities
Holcombe, MichelleOperational/Managerial Control · Individual0%12 facilities
Holcombe, MichelleAdp Of The SNF · Individual0%12 facilities
Kupchynsky, KathleenManaging Control - Governing Body · Individual0%8 facilities
Kupchynsky, KathleenOperational/Managerial Control · Individual0%8 facilities
Lawrence, AmyOperational/Managerial Control · Individual0%2 facilities
Lawrence, AmyAdp Of The SNF · Individual0%2 facilities
Ocoee Foundation IncDirect Ownership Interest · Organization0%8 facilities
Ocoee Foundation IncOperational/Managerial Control · Organization0%8 facilities
Ocoee Hermitage Property LLCAdp Of The SNF · Organization0%1 facilities
Phillips, DorothyManaging Control - Governing Body · Individual0%8 facilities
Phillips, DorothyOperational/Managerial Control · Individual0%8 facilities
Pioneer Consulting LLCOperational/Managerial Control · Organization0%11 facilities
Pioneer Consulting LLCAdp Of The SNF · Organization0%11 facilities
Sheehan, JohnManaging Control - Governing Body · Individual0%11 facilities
Sheehan, JohnCorporate Officer · Individual0%11 facilities
Sheehan, JohnOperational/Managerial Control · Individual0%11 facilities
Sheehan, JohnAdp Of The SNF · Individual0%11 facilities
Sheehan, MargaretManaging Control - Governing Body · Individual0%11 facilities
Sheehan, MargaretOperational/Managerial Control · Individual0%11 facilities
Smith, FrankManaging Control - Governing Body · Individual0%20 facilities
Smith, FrankOperational/Managerial Control · Individual0%20 facilities
Twin Rivers Health & Rehabilitation LLCOperational/Managerial Control · Organization0%11 facilities
Twin Rivers Health & Rehabilitation LLCAdp Of The SNF · Organization0%11 facilities

·

Fire safety

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

Smoke2D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    May 20, 2025 · K353 · Corrected May 27, 2025

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 10, 2022 · K321 · Corrected August 8, 2022

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    May 20, 2025 · K511 · Corrected May 19, 2025

Miscellaneous1D
  1. D

    Have restrictions on the use of portable space heaters.

    January 10, 2024 · K781 · Corrected February 2, 2024

Gas, Vacuum, and Electrical Systems1F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    August 10, 2022 · K921 · Corrected September 15, 2022

·

Other homes nearby

  1. Hillview Health Center

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    Worst citation, 3 yrs
    D
    Nursing / resident / day
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    Fines
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  2. Life Care Center Of Elizabethton

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    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 8 min
    Fines
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  3. Ivy Hall Nursing Home

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    Worst citation, 3 yrs
    none
    Nursing / resident / day
    4 h 47 min
    Fines
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