Cycle 1
Health 2023-09-07 · Fire 2023-09-07
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Kingsport, TN
Nhc Healthcare, Kingsport
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2300 Pavilion Drive, Kingsport, TN
(423) 480-7048
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
2014-12-23
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
0.93
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.49
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.98
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.86
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
12%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
670
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.59
Composite VBP score used to determine payment impact.
Payment multiplier
1.0198
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.09% · Performance 16.05% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
5.38
Baseline 6.85% · Performance 6.23% · Measure score 5.38 · Achievement 5.38 · Improvement 2.85
Total nurse turnover
7.71
Baseline 34.18% · Performance 32.18% · Measure score 7.71 · Achievement 7.71 · Improvement 1.64
Adjusted total nurse staffing
3.15
Baseline 4.12 hours · Performance 3.97 hours · Measure score 3.15 · Achievement 3.15 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.68% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 366 · Observed rate 8.2% · Lower 95% interval 7.1% |
| Discharge to community | 68.89% |
50.57%
18.3 pts better
|
Better than the National Rate · Eligible stays 368 · Observed rate 66.58% · Lower 95% interval 64.6% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 199 · Denominator 199 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 199 |
| Discharge self-care score | 71.95% |
53.69%
18.3 pts better
|
Numerator 118 · Denominator 164 |
| Discharge mobility score | 81.1% |
50.94%
30.2 pts better
|
Numerator 133 · Denominator 164 |
| Pressure ulcers or injuries, new or worsened | 0.5% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 199 · Adjusted rate 0.49% |
| Healthcare-associated infections requiring hospitalization | 6.23% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 219 · Observed rate 4.57% · Lower 95% interval 4.03% |
| Staff COVID-19 vaccination coverage | 1.18% |
8.2%
7 pts worse
|
Numerator 2 · Denominator 169 |
| Staff flu vaccination coverage | 19.23% |
42%
22.8 pts worse
|
Numerator 30 · Denominator 156 |
| Discharge function score | 76.22% |
56.45%
19.8 pts better
|
Numerator 125 · Denominator 164 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 143 · Denominator 143 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 33 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 14.42% |
25.2%
10.8 pts worse
|
Numerator 15 · Denominator 104 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.5 |
1.6
1.1 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.8 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.6
1 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.8 · Expected 2.1 · 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 | 8.9% |
3.6%
5.3 pts worse
|
3.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.0% · Q3 10.7% · Q4 4.2% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.1% |
11.8%
6.7 pts better
|
11.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.9% · Q3 4.0% · 4Q avg 5.1% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
6.2%
2.6 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 8.0% · Q3 8.3% · Q4 4.8% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.3% |
32.2%
10.9 pts better
|
19.6%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 24.0% · Q3 25.0% · Q4 14.3% · 4Q avg 21.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
18.1%
9.2 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q3 4.5% · 4Q avg 8.9% · 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 | 22.8% |
19.9%
2.9 pts worse
|
16.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
15.3%
2.1 pts better
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 4.0% · Q3 17.4% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.9%
0.5 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.5% |
1.9%
3.6 pts worse
|
1.7%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.3% · Q3 7.1% · Q4 4.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
20.2%
2.8 pts worse
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 14.6% · Q3 32.7% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
5.4%
4.7 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.8% · Q3 8.9% · Q4 7.6% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
79.6%
20.1 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 99.7% · Q4 99.5% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
11.2%
0.5 pts better
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 9.4% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.6%
0.9 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 0.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.7% |
79.8%
19.9 pts better
|
79.7%
20 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.4% |
22.2%
5.8 pts better
|
23.9%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 13.8% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-08 · Fire 2020-01-08
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-12-18 · Fire 2018-12-18
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-09-07
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-11-17
Inspection history
Recent health citations
F · Potential for more than minimal harm
2023-09-07
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 2023-10-10
F · Potential for more than minimal harm
2018-12-18
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 2019-01-31
Penalties and ownership
What sits behind the stars
Ownership
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
Adams, Don
Operational/Managerial Control · Individual
Dodson, Vicki
Operational/Managerial Control · Individual
Grapperhaus, Eva
Operational/Managerial Control · Individual
Hubbard, Mary
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Nason Jr., Howard
Operational/Managerial Control · Individual
Nason Jr., Howard
Corporate Officer · Individual
National Healthcare Corporation
5% Or Greater Direct Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Ussery, Robert
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Wexford House
Kingsport, TN
2-star overall rating with 2-star inspections with 8 recent health deficiencies
#2
Holston Rehabilitation And Care Center
Kingsport, TN
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Orchard View Post-Acute And Rehabilitation Center
Kingsport, TN
2-star overall rating with 2-star inspections with abuse icon flag with $94,905 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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