Elizabethton, TN

Hillview Health Center

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1666 Hillview Drive, Elizabethton, TN

(423) 542-5061

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

76

Certified beds

Average residents

64

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Twin Rivers Health & Rehabilitation

Operator or chain grouping

Approved since

2002-10-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars

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

0.79

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.28

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.00

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.72

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.19

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

3.82

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

29%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,721

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

42.96

Composite VBP score used to determine payment impact.

Payment multiplier

0.9959

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.56

Baseline 21.91% · Performance 18.95% · Measure score 5.56 · Achievement 5.35 · Improvement 5.56

Healthcare-associated infections

1.65

Baseline 5.50% · Performance 7.34% · Measure score 1.65 · Achievement 1.65 · Improvement 0

Total nurse turnover

8.28

Baseline 26.56% · Performance 29.85% · Measure score 8.28 · Achievement 8.28 · Improvement 0

Adjusted total nurse staffing

1.70

Baseline 3.20 hours · Performance 3.56 hours · Measure score 1.70 · Achievement 1.70 · Improvement 0.92

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.58%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 141 · Observed rate 11.35% · Lower 95% interval 7.58%
Discharge to community	51.47%	50.57% 0.9 pts better	No Different than the National Rate · Eligible stays 126 · Observed rate 50.79% · Lower 95% interval 44.47%
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 104 · Denominator 104
Falls with major injury	1.92%	0.77% 1.1 pts worse	Numerator 2 · Denominator 104
Discharge self-care score	64.86%	53.69% 11.2 pts better	Numerator 48 · Denominator 74
Discharge mobility score	41.89%	50.94% 9 pts worse	Numerator 31 · Denominator 74
Pressure ulcers or injuries, new or worsened	0.96%	2.29% 1.3 pts better	Numerator 1 · Denominator 104 · Adjusted rate 0.99%
Healthcare-associated infections requiring hospitalization	7.34%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 93 · Observed rate 6.45% · Lower 95% interval 4.36%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 85
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	56.76%	56.45% 0.3 pts better	Numerator 42 · Denominator 74
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 26 · Denominator 26
Transfer of health information to patient	96.08%	96.28% 0.2 pts worse	Numerator 49 · Denominator 51
Resident COVID-19 vaccinations up to date	17.65%	25.2% 7.6 pts worse	Numerator 9 · Denominator 51

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.6 0.6 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	1.6 0.2 pts worse	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	89.9% 9.2 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 98.1% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	94.5% 3.8 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	8.1%	3.6% 4.5 pts worse	3.3% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 9.4% · Q3 9.3% · Q4 3.8% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	19.9%	11.8% 8.1 pts worse	11.4% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 19.5% · Q3 27.3% · Q4 17.8% · 4Q avg 19.9%
Percentage of long-stay residents who lose too much weight	11.1%	6.2% 4.9 pts worse	5.4% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 6.4% · Q3 8.3% · Q4 16.3% · 4Q avg 11.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	47.4%	32.2% 15.2 pts worse	19.6% 27.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.7% · Q2 44.9% · Q3 49.0% · Q4 49.0% · 4Q avg 47.4%
Percentage of long-stay residents who received an antipsychotic medication	19.0%	18.1% 0.9 pts worse	16.7% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 22.2% · Q3 17.4% · Q4 17.4% · 4Q avg 19.0% · 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	8.0%	19.9% 11.9 pts better	16.3% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 11.2% · Q3 3.0% · Q4 6.9% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.2%	15.3% 10.1 pts better	14.9% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 6.2% · Q3 3.9% · Q4 5.9% · 4Q avg 5.2% · 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	3.0%	1.9% 1.1 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 3.9% · Q4 5.9% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.4%	20.2% 5.2 pts worse	19.8% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 34.3% · Q3 30.0% · Q4 22.5% · 4Q avg 25.4%
Percentage of long-stay residents with pressure ulcers	2.5%	5.4% 2.9 pts better	5.1% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.5% · Q3 1.9% · Q4 1.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	79.6% 18.8 pts better	81.7% 16.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 98.4% · Q3 99.2% · Q4 99.1% · 4Q avg 98.4%
Percentage of short-stay residents who had an outpatient emergency department visit	4.7%	11.2% 6.5 pts better	12.0% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.4% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.6% 1.3 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.8% · Q3 2.8% · Q4 2.7% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.5%	79.8% 18.7 pts better	79.7% 18.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.9%	22.2% 2.3 pts better	23.9% 4 pts better	Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 18.9% · Expected 22.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-11-14 · Fire 2023-11-14

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2020-03-18 · Fire 2020-03-18

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2019-03-06 · Fire 2019-03-06

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-11-14

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-11-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-20

D · Potential for more than minimal harm 2020-03-18

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 2020-04-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-11-14

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-12-12

D · Potential for more than minimal harm 2023-11-14

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-12-05

D · Potential for more than minimal harm 2023-11-14

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 2023-12-06

F · Potential for more than minimal harm 2019-03-06

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 2019-04-03

E · Potential for more than minimal harm 2019-03-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-04-03

D · Potential for more than minimal harm 2019-03-06

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 2019-04-03

D · Potential for more than minimal harm 2019-03-06

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 2019-04-03

Penalties and ownership