Cycle 1
Health 2022-05-11 · Fire 2022-05-11
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Johnson City, TN
Nhc Healthcare, Johnson City
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3209 Bristol Hwy, Johnson City, TN
(423) 282-3311
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
167
Certified beds
Average residents
155
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 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
0.43
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.38
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,021
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.02
Composite VBP score used to determine payment impact.
Payment multiplier
1.0161
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.69
Baseline 15.88% · Performance 17.41% · Measure score 8.69 · Achievement 8.69 · Improvement 0
Healthcare-associated infections
7.59
Baseline 7.30% · Performance 5.57% · Measure score 7.59 · Achievement 7.59 · Improvement 7.02
Total nurse turnover
7.17
Baseline 52.38% · Performance 34.38% · Measure score 7.17 · Achievement 7.17 · Improvement 6.04
Adjusted total nurse staffing
0.96
Baseline 3.21 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0.03
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.91% |
10.72%
2.8 pts better
|
No Different than the National Rate · Eligible stays 261 · Observed rate 4.6% · Lower 95% interval 5.89% |
| Discharge to community | 61.02% |
50.57%
10.5 pts better
|
Better than the National Rate · Eligible stays 267 · Observed rate 57.3% · Lower 95% interval 54.26% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 92.37% |
95.27%
2.9 pts worse
|
Numerator 121 · Denominator 131 |
| Falls with major injury | 1.53% |
0.77%
0.8 pts worse
|
Numerator 2 · Denominator 131 |
| Discharge self-care score | 52.69% |
53.69%
1 pts worse
|
Numerator 49 · Denominator 93 |
| Discharge mobility score | 54.84% |
50.94%
3.9 pts better
|
Numerator 51 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 131 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.57% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 160 · Observed rate 3.13% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 1.01% |
8.2%
7.2 pts worse
|
Numerator 2 · Denominator 199 |
| Staff flu vaccination coverage | 42.8% |
42%
0.8 pts better
|
Numerator 113 · Denominator 264 |
| Discharge function score | 52.69% |
56.45%
3.8 pts worse
|
Numerator 49 · Denominator 93 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 84 · Denominator 84 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 22.22% |
25.2%
3 pts worse
|
Numerator 16 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.3 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.6
1.4 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.8 · 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 | 2.9% |
3.6%
0.7 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.5% · Q3 3.2% · Q4 3.1% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
11.8%
6.4 pts better
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 1.9% · Q3 8.2% · Q4 6.9% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
6.2%
2.5 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 11.1% · Q3 9.3% · Q4 5.7% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.3% |
32.2%
1.1 pts worse
|
19.6%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.7% · Q2 33.9% · Q3 36.1% · Q4 34.6% · 4Q avg 33.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.5% |
18.1%
0.4 pts worse
|
16.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 23.6% · Q3 14.4% · Q4 14.4% · 4Q avg 18.5% · 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 | 15.6% |
19.9%
4.3 pts better
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 12.8% · Q3 18.6% · Q4 13.5% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.2% |
15.3%
1.1 pts better
|
14.9%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 13.1% · Q3 15.6% · Q4 10.2% · 4Q avg 14.2% · 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 | 2.9% |
1.9%
1 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.3% · Q3 3.2% · Q4 2.4% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.0% |
20.2%
0.8 pts worse
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 19.5% · Q3 21.0% · Q4 22.2% · 4Q avg 21.0% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
5.4%
4.3 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.9% · Q3 0.9% · Q4 0.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
79.6%
20.3 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.8% |
11.2%
8.4 pts better
|
12.0%
9.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.8% · Observed 2.6% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.6%
0.8 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 3.8% · Q4 4.2% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
79.8%
19.7 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 5.8% |
22.2%
16.4 pts better
|
23.9%
18.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.2% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-17 · Fire 2019-07-17
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-07-25 · Fire 2018-07-25
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-05-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-08
F · Potential for more than minimal harm
2019-07-17
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-07-17
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 2019-08-30
D · Potential for more than minimal harm
2018-07-25
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2018-09-01
D · Potential for more than minimal harm
2018-07-25
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2018-09-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-05-11
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-06-22
D · Potential for more than minimal harm
2018-07-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-09-01
D · Potential for more than minimal harm
2018-07-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-09-01
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Bowling, Alexandra
Operational/Managerial Control · Individual
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
Nason Jr., Howard
Operational/Managerial Control · Individual
Nason Jr., Howard
Corporate Officer · Individual
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Ussery, Robert
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Vogt, Charity
Operational/Managerial Control · Individual
Williams, Tyler
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Princeton Transitional Care & Assisted Living
Johnson City, TN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Agape Rehabilitation & Nursing Center, A Waters Cm
Johnson City, TN
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Abundant Christian Living Community Rehabilitation
Johnson City, TN
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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