Federal inspection record · CMS data as of October 1, 2026
Starr Regional Health & Rehabilitation
886 Hwy 411 North, Etowah, TN · (423) 263-3646
- CMS high-performer trophy
- Certified beds
- 88
- Residents per day
- 50
- Ownership
- For-Profit
- Chain
- Lifepoint Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 5, 1992
1
How this home got 5 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Starr Regional Health & Rehabilitation carries 12 inspection points. That is fewer than 79% 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
11 health citations on record since 2021. 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
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-01-14
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-02-06
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2021-06-23
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 28 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 28 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,697 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-06 | Fine | $4,017 |
| 2024-02-06 | Fine | $4,680 |
6
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 days1 pts better | 0.6 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.7 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better | 100.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 86.5% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.9 pts better | 0.0% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 7.1% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts worse | 34.4% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts better | 15.7% | 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 worsened6.5 pts worse | 21.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts worse | 15.0% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 3.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts better | 13.3% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.9% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts better | 100.0% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5 pts better | 6.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.4% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11 pts better | 90.2% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.6 pts better | 11.0% | 22.6% | 23.4% |
·
Who owns and runs it
37 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 |
|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 7 facilities |
| Coe, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Coe, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cook, Brittany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Davis, Daniel | Corporate Officer · Individual | 0% | 5 facilities |
| Dsb Acquisition LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Grooms, John | Corporate Officer · Individual | 0% | 7 facilities |
| Haugh, William | Corporate Officer · Individual | 0% | 5 facilities |
| Historic Lifepoint Hospitals, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Hudgins, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hudgins, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lapinski, Evan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lapinski, Evan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lawrence, Charlotte | Corporate Officer · Individual | 0% | 9 facilities |
| Legacy Lifepoint Health LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Lifepoint Corporate Services General Partnership | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Lifepoint Corporate Services General Partnership | Adp Of The SNF · Organization | 0% | 5 facilities |
| Lifepoint Health Inc | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Lifepoint Health Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Lifepoint Hospitals Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Masengil, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Masengil, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mclain, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mclain, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mills, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mills, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Monte, Christopher | Corporate Officer · Individual | 0% | 9 facilities |
| Olsen, Samuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Poppell, Marcus | Corporate Officer · Individual | 0% | 8 facilities |
| Roberts, Patricia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Roberts, Patricia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stutts, Wallace | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stutts, Wallace | Adp Of The SNF · Individual | 0% | 1 facilities |
| Watson, Georgette | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Watson, Georgette | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wilson, Shelby | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wilson, Shelby | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2D
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure that testing and maintenance of electrical equipment is performed.
·
Other homes nearby
-
Etowah Health And Rehabilitation
Etowah, TN
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 2 min
- Fines
- $12,377
-
Life Care Center Of Athens
Athens, TN · Life Care Centers Of America · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 40 min
- Fines
- $12,444
-
Nhc Healthcare, Athens
Athens, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0