Center on Aging and Health
880 South Mohawk Drive, Erwin, TN 37650 · Unicoi County · (423) 743-7669
120 certified beds, about 68 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445424 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 10 health citations since November 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.29 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
43.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
April 15, 2026Standard inspection · 5 citations
- F Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on medical record review and interviews, the facility failed to obtain consent for administration of psychotropic medications for 5 of 5 residents (Resident #21, #33, #8, #42 and #3) reviewed for unnecessary medications.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on facility policy review and observations the facility failed to ensure Protected Health Information (PHI) was safeguarded from access and public view for 19 of 19 residents visible on the screen (Residents #15, #2, #69, #9, #13, #68, #30, #29, #14, #49, #24, #7, #41, #60, #23, #1, #11, #31, and #32) on 2 of 3 medication carts observed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure nail care had been provided to 1 resident (resident #42) of 3 residents reviewed for nail care.
- D Provide appropriate foot care.
Inspectors wroteBased on facility policy review, medical record review, observations and interviews, the facility failed to ensure foot and nail care had been provided for 1 resident (Resident #25) of 3 residents reviewed.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure 1 of 1 wound treatment carts, which contained topical medications and supplies, was locked and secured allowing unauthorized persons including residents, staff, and visitors access to the cart and the contents.
June 4, 2025Complaint inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to develop a care plan for falls for 1 resident (Resident #3) of 4 residents reviewed for fall care plans.
August 2, 2023Standard inspection · 2 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and interview, the facility failed to make a referral to the State-designated authority for a Level ll Pre-admission Screening and Resident Review (PASARR) after newly identified serious mental disorders were diagnosed for 1 resident (#6) of 10 residents reviewed for PASARR.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to develop a care plan addressing Hospice for 1 Resident (#4) of 25 residents reviewed for care plans.
November 6, 2019Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policy, medical record review, review of fall investigation documentation, observation, and interview, the facility failed to implement the comprehensive care plan for falls for 1 resident (#48) of 3 residents reviewed for falls of 27 residents reviewed.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, medical record review, review of fall investigation documentation, observation, and interview, the facility failed to ensure fall interventions were in place to prevent future falls for 1 resident (#48) of 3 residents reviewed for falls.
Fire safety inspections
8 fire safety citations on file: 5 on April 15, 2026, 2 on August 2, 2023, 1 on November 6, 2019.
Every fire safety citation8 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.29 | 3.80 | 3.86 |
| Registered nurses | 0.69 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.61 | 3.31 | 3.42 |
| Nurse aides | 2.41 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 43.1% | 48.9% | 45.8% |
| Registered nurse turnover | 0.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.56 on weekdays and 3.61 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 4.29 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.29 | 0.69 | 4.56 | 3.61 | 10.1% | 0 of 90 | 68 |
| Oct to Dec 2025 | 4.12 | 0.69 | 4.38 | 3.45 | 11.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 4.41 | 0.70 | 4.69 | 3.69 | 14.0% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.80 | 0.59 | 4.13 | 2.95 | 7.7% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.9 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.5 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.8 |
Owners and operators
Legal business name: CENTER ON AGING AND HEALTH LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Einhorn, Neal | 5% or greater direct ownership interest | Individual | 95% | 09/14/2017 |
| Weiss, Martin | 5% or greater direct ownership interest | Individual | 5% | 09/14/2017 |
| Einhorn, Neal | Managing control - governing body | Individual | 09/10/2017 | |
| Einhorn, Neal | Corporate director | Individual | 09/10/2017 | |
| Einhorn, Neal | Corporate officer | Individual | 09/10/2017 | |
| Broad River Rehabilitation | Operational/managerial control | Organization | 08/01/2018 | |
| Burlison, Robert | Operational/managerial control | Individual | 03/23/2020 | |
| Chandler, Jason | Operational/managerial control | Individual | 09/14/2021 | |
| Collins, Stoney | Operational/managerial control | Individual | 07/17/2017 | |
| Cox, Carol | Operational/managerial control | Individual | 02/25/2020 | |
| Daniel, Anton | Operational/managerial control | Individual | 08/10/2020 | |
| Einhorn, Neal | Operational/managerial control | Individual | 09/10/2017 | |
| Gaddy, Christopher | Operational/managerial control | Individual | 06/03/2013 | |
| Griffin, Cynthia | Operational/managerial control | Individual | 03/06/2015 | |
| Hirt, Annette | Operational/managerial control | Individual | 06/27/2022 | |
| Holtsclaw, Jamie | Operational/managerial control | Individual | 01/06/2020 | |
| Hopson, Bethany | Operational/managerial control | Individual | 03/16/2011 | |
| Horton, Brandie | Operational/managerial control | Individual | 03/07/2007 | |
| Hubbard, Eva | Operational/managerial control | Individual | 10/09/2009 | |
| Hunt, Jana | Operational/managerial control | Individual | 06/17/2021 | |
| Jackson, Melissa | Operational/managerial control | Individual | 10/11/2017 | |
| Lawrence, Rebecca | Operational/managerial control | Individual | 03/15/2021 | |
| Miller, Janice | Operational/managerial control | Individual | 12/14/2001 | |
| Penley, Valarie | Operational/managerial control | Individual | 01/05/2018 | |
| Powers, Candy | Operational/managerial control | Individual | 07/23/2013 | |
| Shadrick, Sharon | Operational/managerial control | Individual | 10/05/2021 | |
| Stancil, Tanya | Operational/managerial control | Individual | 12/01/2023 | |
| Weiss, Martin | Limited partnership interest | Individual | 09/10/2017 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 09/01/2017 | |
| Broad River Rehabilitation | Adp of the SNF | Organization | 04/09/2025 | |
| Jamma Consulting Inc | Adp of the SNF | Organization | 08/12/2018 | |
| LTC Consulting Services LLC | Adp of the SNF | Organization | 07/17/2018 | |
| Med-Net Concepts, Inc. | Adp of the SNF | Organization | 10/01/2019 | |
| The First Bank and Trust Company | Adp of the SNF | Organization | 04/01/2001 | |
| Burlison, Robert | Adp of the SNF | Individual | 03/23/2020 | |
| Collins, Stoney | Adp of the SNF | Individual | 07/17/2017 | |
| Cox, Carol | Adp of the SNF | Individual | 02/25/2020 | |
| Daniel, Anton | Adp of the SNF | Individual | 08/10/2020 | |
| Einhorn, Neal | Adp of the SNF | Individual | 09/10/2017 | |
| Gaddy, Christopher | Adp of the SNF | Individual | 04/10/2025 | |
| Griffin, Cynthia | Adp of the SNF | Individual | 03/06/2015 | |
| Hirt, Annette | Adp of the SNF | Individual | 06/27/2022 | |
| Holtsclaw, Jamie | Adp of the SNF | Individual | 01/06/2020 | |
| Hopson, Bethany | Adp of the SNF | Individual | 03/16/2011 | |
| Horton, Brandie | Adp of the SNF | Individual | 03/07/2007 | |
| Hubbard, Eva | Adp of the SNF | Individual | 10/09/2009 | |
| Hunt, Jana | Adp of the SNF | Individual | 06/17/2021 | |
| Jackson, Melissa | Adp of the SNF | Individual | 10/11/2017 | |
| Lawrence, Rebecca | Adp of the SNF | Individual | 03/15/2021 | |
| McNabb, Rhonda | Adp of the SNF | Individual | 04/10/2009 | |
| Miller, Janice | Adp of the SNF | Individual | 12/14/2001 | |
| Penley, Valarie | Adp of the SNF | Individual | 01/05/2018 | |
| Powers, Candy | Adp of the SNF | Individual | 07/23/2013 | |
| Shadrick, Sharon | Adp of the SNF | Individual | 10/05/2021 | |
| Stancil, Tanya | Adp of the SNF | Individual | 12/01/2023 | |
| Weiss, Martin | Adp of the SNF | Individual | 04/09/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 4, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 15, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 15, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 15, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
Other nursing homes nearby
- Christian Care Center of Unicoi County Erwin, 0.1 mi · 4 of 5 stars · 7 citations
- Erwin Health Care Center Erwin, 0.9 mi · 2 of 5 stars · 22 citations
- Four Oaks Health Care Center Jonesborough, 11.8 mi · 4 of 5 stars · 10 citations
- Lakebridge, a Waters Community, LLC Johnson City, 12.2 mi · 3 of 5 stars · 7 citations
- The Waters of Johnson City, LLC Johnson City, 14.1 mi · 2 of 5 stars · 12 citations
- Abundant Christian Living Community Rehabilitation Johnson City, 14.6 mi · 5 of 5 stars · 6 citations
- Agape Rehabilitation & Nursing Center, a Waters Cm Johnson City, 14.6 mi · 4 of 5 stars · 7 citations
- Princeton Transitional Care & Assisted Living Johnson City, 15.4 mi · 5 of 5 stars · 3 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Center on Aging and Health's Medicare star rating?
- CMS rates Center on Aging and Health 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Center on Aging and Health get at its last inspection?
- 5 health deficiencies at the standard inspection on April 15, 2026. The Tennessee average is 4.4.
- Has Center on Aging and Health been fined?
- CMS lists no fines in the last three years.
- Does Center on Aging and Health accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Center on Aging and Health?
- CMS lists 56 owners and managers. Legal business name: CENTER ON AGING AND HEALTH LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.