Cycle 1
Health 2023-11-14 · Fire 2023-11-14
7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Elizabethton, TN
Life Care Center Of Elizabethton
3-star overall rating with 3-star inspections with $10,036 in total fines with 7 recent health deficiencies
1641 Highway 19e, Elizabethton, TN
(423) 542-4133
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
158
Certified beds
Average residents
120
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1993-01-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.42
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.74
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,449
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.36
Baseline 28.32% · Performance 21.70% · Measure score 5.36 · Achievement 0 · Improvement 5.36
Healthcare-associated infections
2.05
Baseline 10.78% · Performance 9.30% · Measure score 2.05 · Achievement 0 · Improvement 2.05
Total nurse turnover
1.35
Baseline 61.91% · Performance 58.16% · Measure score 1.35 · Achievement 1.35 · Improvement 0.51
Adjusted total nurse staffing
0.68
Baseline 3.63 hours · Performance 3.27 hours · Measure score 0.68 · Achievement 0.68 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.06% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 105 · Observed rate 21.9% · Lower 95% interval 9.02% |
| Discharge to community | 49.97% |
50.57%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 40.38% · Lower 95% interval 39.15% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96.43% |
95.27%
1.2 pts better
|
Numerator 54 · Denominator 56 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 56 |
| Discharge self-care score | 64% |
53.69%
10.3 pts better
|
Numerator 16 · Denominator 25 |
| Discharge mobility score | 68% |
50.94%
17.1 pts better
|
Numerator 17 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 1.82% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 55 · Adjusted rate 1.58% |
| Healthcare-associated infections requiring hospitalization | 9.3% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 18.18% · Lower 95% interval 5.52% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 125 |
| Staff flu vaccination coverage | 29.41% |
42%
12.6 pts worse
|
Numerator 55 · Denominator 187 |
| Discharge function score | 72% |
56.45%
15.5 pts better
|
Numerator 18 · Denominator 25 |
| Transfer of health information to provider | 78.26% |
95.95%
17.7 pts worse
|
Numerator 18 · Denominator 23 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4.55% |
25.2%
20.6 pts worse
|
Numerator 1 · Denominator 22 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.6
1.2 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.6
0.7 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.0% |
89.9%
11.9 pts worse
|
93.4%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.7% · Q2 79.2% · Q3 76.4% · Q4 76.4% · 4Q avg 78.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.4% |
94.5%
4.1 pts worse
|
95.5%
5.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.6%
0.1 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.0% · Q3 3.6% · Q4 3.6% · 4Q avg 3.7% · 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 | 7.5% |
6.2%
1.3 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 6.6% · Q3 8.7% · Q4 6.1% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.0% |
32.2%
10.8 pts worse
|
19.6%
23.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.8% · Q2 38.7% · Q3 39.4% · Q4 42.2% · 4Q avg 43.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.6% |
18.1%
1.5 pts worse
|
16.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 18.8% · Q3 13.4% · Q4 18.7% · 4Q avg 19.6% · 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 | 3.8% |
19.9%
16.1 pts better
|
16.3%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 0.0% · Q3 2.1% · Q4 6.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.4% |
15.3%
12.9 pts better
|
14.9%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 1.0% · Q4 4.0% · 4Q avg 2.4% · 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 | 2.2% |
1.9%
0.3 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 2.7% · Q4 3.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% |
20.2%
4.4 pts worse
|
19.8%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 24.8% · Q3 18.4% · Q4 25.8% · 4Q avg 24.6% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.4%
0.1 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 6.1% · Q3 4.8% · Q4 3.7% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.6% |
79.6%
48 pts worse
|
81.7%
50.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.8% · Q2 25.9% · Q3 34.8% · Q4 24.4% · 4Q avg 31.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
11.2%
0.1 pts worse
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 13.7% · Expected 13.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 31.5% |
79.8%
48.3 pts worse
|
79.7%
48.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 31.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.4% |
22.2%
5.2 pts worse
|
23.9%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 31.4% · Expected 27.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-10 · Fire 2019-12-10
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2018-11-15 · Fire 2018-11-15
4 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2019-12-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-27
D · Potential for more than minimal harm
2018-11-15
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2018-12-07
Inspection history
Recent health citations
J · Immediate jeopardy
2024-02-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-05
J · Immediate jeopardy
2024-02-29
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-12-05
J · Immediate jeopardy
2024-02-29
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 2023-12-05
D · Potential for more than minimal harm
2023-11-14
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-11-28
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 2023-11-28
D · Potential for more than minimal harm
2023-11-14
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-11-14
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 2023-11-28
D · Potential for more than minimal harm
2023-11-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-11-14
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-11-14
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 2023-11-28
D · Potential for more than minimal harm
2018-11-15
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 2018-12-07
Penalties and ownership
What sits behind the stars
$10,036
2024-02-29
Fine
Fine · fine $10,036
Fine
Ownership
Archer, Melissa
Operational/Managerial Control · Individual
Consolidated Resources Health Care Fund I LP
General Partnership Interest · Organization
Consolidated Resources Health Care Fund I LP
Operational/Managerial Control · Organization
Cross, Cindy
Corporate Officer · Individual
Elizabethton Medical Investors LP
Operational/Managerial Control · Organization
Fletcher, Todd
Corporate Officer · Individual
Fund I Investments Limited Partnership
5% Or Greater Indirect Ownership Interest · Organization
Grindstaff, Brandy
Operational/Managerial Control · Individual
Hcf Inc
Operational/Managerial Control · Organization
Henry, Terry
Corporate Officer · Individual
Lay, Lisa
Corporate Officer · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Preston, Aubrey
Operational/Managerial Control · Individual
Preston, Forrest
5% Or Greater Indirect Ownership Interest · Individual
Preston, Forrest
Limited Partnership Interest · Individual
Solomon, Jennifer
Operational/Managerial Control · Individual
Swanker, Richard
Corporate Officer · Individual
Thurmond, Joan
Corporate Officer · Individual
Tumkur, Deepika
Operational/Managerial Control · Individual
Ziegler, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Ivy Hall Nursing Home
Elizabethton, TN
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
#2
Signature Healthcare Of Elizabethon Rehab & Wellne
Elizabethton, TN
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#3
Hermitage Health Center
Elizabethton, TN
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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