Christian Care Center of Unicoi County
100 Greenway Circle, Erwin, TN 37650 · Unicoi County · (423) 743-3141
50 certified beds, about 46 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1969
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445077 · 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 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 7 health citations since August 2021 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 4.37 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
29.2% 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 7 health citations on file.
April 15, 2026Standard inspection · 2 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on facility policies, medical record review, observations, and interviews, the facility failed to provide a clean and homelike environment for 1 resident (Resident #53) of 46 residents reviewed for a homelike environment.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure 1 of 2 nurses administered medications with a medication error rate of less than 5% (percent). A total of 2 errors were observed out of 27 opportunities, resulting in a medication error rate of 7.41%.
August 30, 2023Standard inspection · 4 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on facility policy review, record review and interview, the facility failed to document evidence the resident had received information to formulate an advance directive for 1 resident (Resident #42) of 17 residents reviewed for advance directives.
- 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 refer 2 residents (Residents #20 and #31), of 4 residents reviewed for Pre-admission Screening and Resident Review (PASARR), to the state-designated authority for a Level II PASARR after the residents were identified with possible serious mental disorders.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and interview, the facility failed to maintain a complete and accurate medical record for 1 resident (Resident #199) of 17 residents reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, facility policy review, observation, and interviews, the facility failed to ensure signage was posted which indicated what personal protective equipment (PPE) was required for 1 resident (Resident #20) of 7 residents observed for Enhanced Barrier Precautions and Transmission Based Precautions.
August 31, 2021Standard inspection · 1 citation
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure a dialysis contract was in place for 1 resident (#46) of 27 residents reviewed.
Fire safety inspections
3 fire safety citations on file: 2 on April 15, 2026, 1 on August 30, 2023.
Every fire safety citation3 citations
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Provide a written emergency evacuation plan.
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) | 4.37 | 3.80 | 3.86 |
| Registered nurses | 0.61 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.31 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.54 | ||
| Nursing staff turnover (share who left in a year) | 29.2% | 48.9% | 45.8% |
| Registered nurse turnover | 16.7% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.82 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 4.58 on weekdays and 3.86 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.22 in April to June 2025 to 4.37 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 | 4.37 | 0.61 | 4.58 | 3.86 | 1.4% | 0 of 90 | 46 |
| Oct to Dec 2025 | 4.30 | 0.56 | 4.51 | 3.77 | 0.7% | 0 of 92 | 48 |
| Jul to Sep 2025 | 3.98 | 0.54 | 4.16 | 3.52 | 0.8% | 0 of 92 | 48 |
| Apr to Jun 2025 | 4.22 | 0.63 | 4.43 | 3.70 | 0.5% | 0 of 91 | 47 |
| 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 | 21.4 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 9.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.5 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.0 | 11.2 | 12.0 |
Owners and operators
Legal business name: CHRISTIAN CARE CENTER OF UNICOI COUNTY LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lewis, Jimmy | 5% or greater direct ownership interest | Individual | 100% | 10/01/2004 |
| Lewis, Jimmy | Corporate director | Individual | 10/01/2004 | |
| Cawood-Gray, Lisa | Corporate officer | Individual | 01/01/2019 | |
| Lewis, Jimmy | Corporate officer | Individual | 10/01/2004 | |
| West, Anita | Corporate officer | Individual | 01/01/2019 | |
| Care Centers Management Consulting, Inc. | Operational/managerial control | Organization | 01/01/2019 | |
| Arnold, Roy | Operational/managerial control | Individual | 07/01/2021 | |
| Baumgardner, Melissa | Operational/managerial control | Individual | 12/18/2023 | |
| Byrd, Jennifer | Operational/managerial control | Individual | 03/25/2020 | |
| Cawood-Gray, Lisa | Operational/managerial control | Individual | 01/01/2019 | |
| Edwards, Daniel | Operational/managerial control | Individual | 02/07/2022 | |
| Greer, Lori | Operational/managerial control | Individual | 08/23/2021 | |
| Lyons, Peggy | Operational/managerial control | Individual | 01/13/2019 | |
| Noe, Stacey | Operational/managerial control | Individual | 01/09/2025 | |
| West, Anita | Operational/managerial control | Individual | 01/01/2019 | |
| Woodby, Scott | Operational/managerial control | Individual | 09/09/2021 | |
| Claxton Dietetic Solutions, LLC | Adp of the SNF | Organization | 01/01/2019 | |
| Encore Healthcare, LLC | Adp of the SNF | Organization | 08/01/2023 | |
| Inpatient Consultants of Tennessee PC | Adp of the SNF | Organization | 01/01/2019 | |
| Arnold, Roy | Adp of the SNF | Individual | 07/01/2021 | |
| Lyons, Susan | Adp of the SNF | Individual | 07/08/2021 | |
| Tumkur, Deepika | Adp of the SNF | Individual | 01/01/2019 |
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.
- 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: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 30, 2023: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- 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 medication error rates are not 5 percent or greater."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 30, 2023: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Center on Aging and Health Erwin, 0.1 mi · 3 of 5 stars · 10 citations
- Erwin Health Care Center Erwin, 1 mi · 2 of 5 stars · 22 citations
- Four Oaks Health Care Center Jonesborough, 11.7 mi · 4 of 5 stars · 10 citations
- Lakebridge, a Waters Community, LLC Johnson City, 12.1 mi · 3 of 5 stars · 7 citations
- The Waters of Johnson City, LLC Johnson City, 14 mi · 2 of 5 stars · 12 citations
- Abundant Christian Living Community Rehabilitation Johnson City, 14.5 mi · 5 of 5 stars · 6 citations
- Agape Rehabilitation & Nursing Center, a Waters Cm Johnson City, 14.5 mi · 4 of 5 stars · 7 citations
- Princeton Transitional Care & Assisted Living Johnson City, 15.3 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 Christian Care Center of Unicoi County's Medicare star rating?
- CMS rates Christian Care Center of Unicoi County 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Christian Care Center of Unicoi County get at its last inspection?
- 2 health deficiencies at the standard inspection on April 15, 2026. The Tennessee average is 4.4.
- Has Christian Care Center of Unicoi County been fined?
- CMS lists no fines in the last three years.
- Does Christian Care Center of Unicoi County 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 Christian Care Center of Unicoi County?
- CMS lists 22 owners and managers. Legal business name: CHRISTIAN CARE CENTER OF UNICOI COUNTY 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.