Find a nursing home

Home / Tennessee / Erwin

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

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
1F
Potential for minimal harm
0A
0B
0C
April 15, 2026Standard inspection · 5 citations
  1. F
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 8, 2026
    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.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    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.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    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.
  4. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    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.
  5. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    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
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2025
    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
  1. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    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.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    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
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2019
    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.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2019
    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
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 15, 2026 · Corrected (the home has a date of correction)
  2. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 15, 2026 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 15, 2026 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · April 15, 2026 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 15, 2026 · Corrected (the home has a date of correction)
  6. D
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · August 2, 2023 · Corrected (the home has a date of correction)
  7. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 2, 2023 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 6, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.293.803.86
Registered nurses0.690.600.69
All nursing staff on weekends3.613.313.42
Nurse aides2.41
Licensed practical nurses1.19
Nursing staff turnover (share who left in a year)43.1%48.9%45.8%
Registered nurse turnover0.0%43.2%42.9%
Administrators who left0

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.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.290.694.563.61 10.1%0 of 9068
Oct to Dec 20254.120.694.383.45 11.0%0 of 9270
Jul to Sep 20254.410.704.693.69 14.0%0 of 9267
Apr to Jun 20253.800.594.132.95 7.7%0 of 9168
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.914.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.91.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.117.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.35.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
31.516.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.922.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.61.8

Owners and operators

Legal business name: CENTER ON AGING AND HEALTH LLC.

NameRoleTypeShareSince
Einhorn, Neal5% or greater direct ownership interestIndividual95%09/14/2017
Weiss, Martin5% or greater direct ownership interestIndividual5%09/14/2017
Einhorn, NealManaging control - governing bodyIndividual09/10/2017
Einhorn, NealCorporate directorIndividual09/10/2017
Einhorn, NealCorporate officerIndividual09/10/2017
Broad River RehabilitationOperational/managerial controlOrganization08/01/2018
Burlison, RobertOperational/managerial controlIndividual03/23/2020
Chandler, JasonOperational/managerial controlIndividual09/14/2021
Collins, StoneyOperational/managerial controlIndividual07/17/2017
Cox, CarolOperational/managerial controlIndividual02/25/2020
Daniel, AntonOperational/managerial controlIndividual08/10/2020
Einhorn, NealOperational/managerial controlIndividual09/10/2017
Gaddy, ChristopherOperational/managerial controlIndividual06/03/2013
Griffin, CynthiaOperational/managerial controlIndividual03/06/2015
Hirt, AnnetteOperational/managerial controlIndividual06/27/2022
Holtsclaw, JamieOperational/managerial controlIndividual01/06/2020
Hopson, BethanyOperational/managerial controlIndividual03/16/2011
Horton, BrandieOperational/managerial controlIndividual03/07/2007
Hubbard, EvaOperational/managerial controlIndividual10/09/2009
Hunt, JanaOperational/managerial controlIndividual06/17/2021
Jackson, MelissaOperational/managerial controlIndividual10/11/2017
Lawrence, RebeccaOperational/managerial controlIndividual03/15/2021
Miller, JaniceOperational/managerial controlIndividual12/14/2001
Penley, ValarieOperational/managerial controlIndividual01/05/2018
Powers, CandyOperational/managerial controlIndividual07/23/2013
Shadrick, SharonOperational/managerial controlIndividual10/05/2021
Stancil, TanyaOperational/managerial controlIndividual12/01/2023
Weiss, MartinLimited partnership interestIndividual09/10/2017
Brand Sonnenschine LLPAdp of the SNFOrganization09/01/2017
Broad River RehabilitationAdp of the SNFOrganization04/09/2025
Jamma Consulting IncAdp of the SNFOrganization08/12/2018
LTC Consulting Services LLCAdp of the SNFOrganization07/17/2018
Med-Net Concepts, Inc.Adp of the SNFOrganization10/01/2019
The First Bank and Trust CompanyAdp of the SNFOrganization04/01/2001
Burlison, RobertAdp of the SNFIndividual03/23/2020
Collins, StoneyAdp of the SNFIndividual07/17/2017
Cox, CarolAdp of the SNFIndividual02/25/2020
Daniel, AntonAdp of the SNFIndividual08/10/2020
Einhorn, NealAdp of the SNFIndividual09/10/2017
Gaddy, ChristopherAdp of the SNFIndividual04/10/2025
Griffin, CynthiaAdp of the SNFIndividual03/06/2015
Hirt, AnnetteAdp of the SNFIndividual06/27/2022
Holtsclaw, JamieAdp of the SNFIndividual01/06/2020
Hopson, BethanyAdp of the SNFIndividual03/16/2011
Horton, BrandieAdp of the SNFIndividual03/07/2007
Hubbard, EvaAdp of the SNFIndividual10/09/2009
Hunt, JanaAdp of the SNFIndividual06/17/2021
Jackson, MelissaAdp of the SNFIndividual10/11/2017
Lawrence, RebeccaAdp of the SNFIndividual03/15/2021
McNabb, RhondaAdp of the SNFIndividual04/10/2009
Miller, JaniceAdp of the SNFIndividual12/14/2001
Penley, ValarieAdp of the SNFIndividual01/05/2018
Powers, CandyAdp of the SNFIndividual07/23/2013
Shadrick, SharonAdp of the SNFIndividual10/05/2021
Stancil, TanyaAdp of the SNFIndividual12/01/2023
Weiss, MartinAdp of the SNFIndividual04/09/2025

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.

  1. 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."
  2. 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."
  3. 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."
  4. 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

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

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

Find a nursing home Read an inspection