Federal inspection record · CMS data as of October 1, 2026
Signature Healthcare Of Elizabethton Rehab & Welln
1200 Spruce Lane, Elizabethton, TN · (423) 543-3202
- Certified beds
- 94
- Residents per day
- 63
- Ownership
- For-Profit
- Chain
- Signature Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 17, 1989
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Signature Healthcare Of Elizabethton Rehab & Welln carries 13 inspection points. That is fewer than 77% of Tennessee's 300 rated homes.
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 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-07-29
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2025-05-07
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2022-11-09
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 7 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 7 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 98.2% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 100.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts worse | 15.4% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts better | 3.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication23.9 pts worse | 55.6% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts worse | 19.3% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.9 pts worse | 22.3% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 12.4% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.4% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 19.2% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.2% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts better | 95.0% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.4 pts worse | 18.7% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 3.0% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.2 pts better | 95.4% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts better | 22.5% | 22.6% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lp Cr Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 21 facilities |
| Agemo Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 27 facilities |
| Harrison, John | Corporate Officer · Individual | 0% | 67 facilities |
| Jjla LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 66 facilities |
| Lpsnf Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 27 facilities |
| Signature Healthcare LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Steier Iii, Elmer | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 66 facilities |
| Street, Debbie | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Street, Debbie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wheaten LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 64 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
Construction1D
- D
Use approved construction type or materials.
·
Other homes nearby
-
Ivy Hall Nursing Home
Elizabethton, TN
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 47 min
- Fines
- $0
-
Life Care Center Of Elizabethton
Elizabethton, TN · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 8 min
- Fines
- $10,036
-
Hermitage Health Center
Elizabethton, TN · Twin Rivers Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0