Etowah Health and Rehabilitation
409 Grady Road Po Box 957, Etowah, TN 37331 · Mc Minn County · (423) 263-1138
120 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445422 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 25, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 16 health citations since June 2019, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $12,377 in the last three years; the largest was $7,443, and the latest is dated October 25, 2023.
Nurses and nurse aides worked 3.22 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
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 16 health citations on file.
February 25, 2026Standard inspection · 2 citations
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to maintain a safe, clean, homelike environment for 9 resident rooms (room [ROOM NUMBER], #201, #214, #209, #106, #212, #205, #111, and #206) of 28 resident rooms observed on 2 of 2 hallways observed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, facility document review, and interviews, the facility staff failed to provide hand hygiene prior to meal services for 5 residents (Resident #10, Resident #2, Resident #21, Resident #25, Resident #53) of 5 residents observed for dining on 2 of 2 hallways and 1 dining room observed.
October 25, 2023Complaint inspection · 2 citations
- G 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 medical record review, facility documentation review, and interviews the facility failed to implement safe transfer interventions in accordance with the care plan for 1 resident (Resident #1) of 3 residents reviewed for falls. The facility failure to utilize two persons assistance and a mechanical lift for transfers as prescribed in the care plan for Resident #1 on the evening of 9/16/2023, which resulted in a Distal Right Femur Fracture (thigh bone) for Resident #1 and required hospitalization for surgical intervention.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, facility documentation review and interviews, the facility failed to prevent a fall for 1 resident (Resident #1) of 3 residents reviewed for falls. The facility's failure to prevent the fall resulted in actual harm to Resident #1, when a Certified Nurse Aide (CNA) attempted to transfer Resident #1 without assistance of another staff member or a mechanical lift, which resulted in a Distal Right Femur Fracture for Resident #1 and required hospitalization for surgical intervention
September 8, 2023Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, review of facility policy, review of the facility self-reported intake report (FRI), investigation and witness statements, staffing data, review of video surveillance footage, National Weather Service (NWS) data, satellite imaging of the facility from Google Earth, observations and interviews, the facility failed to respond timely to delayed egress door alarms (doors equipped with magnetic lock/keypad system which can be opened with 15 seconds direct pressure to the door handle mechanism without use of the keypad system) on the main lobby door, which resulted in the elopement of 1 resident, (Resident #1, a cognitively impaired female, with limited mobility and endurance) of 6 residents reviewed for elopement risks. [...]
June 23, 2022Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, temperature log reviews, observations, and interviews, the facility failed to obtain and record temperatures of the refrigerators and freezers in 2 of 2 nourishment rooms which had the potential to affect 55 of 56 residents.
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on facility policy review, facility investigation review, record review, and interview, the facility failed to prevent the misappropriation of narcotic medications for 11 Residents (#1, #5, #7, #16, #23, #35, #36, #46, #48, #58, and #163) of 22 residents reviewed for narcotic medications use.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, facility reporting review, medical record review, and interview the facility failed to submit investigative findings of allegations of abuse to the State Survey Agency timely for 11 residents (#1, #5, #7, #16, #23, #35, #36, #46, #48, #58, and #163) of 16 residents reviewed for abuse.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on facility policy review, medical record review, interview, and observation, the facility failed to assess 1 resident (#46) for self-administration of medications of 5 residents reviewed for medication administration.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, reportable event form review, medical record review, and interview the facility failed to ensure 1 resident (#23) was free from physical abuse of 21 residents reviewed for abuse.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on facility policy review, medical record review, observations, and interview the facility failed to provide an ongoing re-evaluation of the need for a physical restraint for 1 resident (#49) of 1 resident reviewed for restraints.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and interview the facility failed to resubmit a timely Level I (one) Preadmission Screening and Resident Review (PASARR) after 180 days for 1 resident (#10) of 8 residents reviewed for PASARR.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interview, the facility failed to ensure a Certified Nursing Assistant (CNA) performed job duties within her scope of practice for 1 resident (Resident #46) of 5 residents reviewed for medication administration.
- D Perform COVID19 testing on residents and staff.
Inspectors wroteBased on review of the Centers for Disease Control (CDC) Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 (the virus that causes COVID-19 -a respiratory infection) Spread in Nursing Homes, review of the CDC COVID Data Tracker Levels of Community Transmission, review of the facility testing logs, and interview, the facility failed to ensure exempt unvaccinated employees were tested for the COVID-19 virus per CDC guidelines for 4 of 7 unvaccinated employees reviewed for COVID-19 testing potentially affecting 56 residents.
June 26, 2019Standard inspection · 2 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and interview the facility failed to resubmit a timely Level I (one) Preadmission Screening and Resident Review (PASRR) for 1 resident (#19) of 4 residents reviewed for PASRR of 22 sampled residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, review of a facility incident report, and interview, the facility failed to develop and implement interventions after a fall for 1 Resident (#56) of 8 residents reviewed for falls of 22 sampled residents.
Fire safety inspections
14 fire safety citations on file: 5 on February 25, 2026, 3 on August 19, 2025, 4 on June 23, 2022, 2 on June 26, 2019.
Every fire safety citation14 citations
- D Install corridor and hallway doors that block smoke.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have simulated fire drills held at unexpected times.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 25, 2023 | Fine | $4,934 |
| October 25, 2023 | Fine | $7,443 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.22 | 3.80 | 3.86 |
| Registered nurses | 0.57 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.96 | 3.31 | 3.42 |
| Nurse aides | 1.62 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.67 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 3.33 on weekdays and 2.96 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.23 in April to June 2025 to 3.22 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 | 3.22 | 0.57 | 3.33 | 2.96 | 0.0% | 0 of 90 | 46 |
| Oct to Dec 2025 | 3.45 | 0.67 | 3.65 | 2.95 | 7.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 3.53 | 0.68 | 3.71 | 3.09 | 11.8% | 0 of 92 | 44 |
| Apr to Jun 2025 | 4.23 | 0.72 | 4.40 | 3.80 | 19.3% | 0 of 91 | 44 |
| 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 | 24.1 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.7 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.0 | 16.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.6 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 October 25, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on June 23, 2022: "Protect each resident from the wrongful use of the resident's belongings or money."
- 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 October 25, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 25, 2026: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Starr Regional Health & Rehabilitation Etowah, 2.6 mi · 5 of 5 stars · 11 citations
- Life Care Center of Athens Athens, 8.8 mi · 2 of 5 stars · 16 citations
- NHC Healthcare, Athens Athens, 9.1 mi · 5 of 5 stars · 8 citations
- Monroe Health and Rehabilitation Center Madisonville, 15 mi · 3 of 5 stars · 16 citations
- Waters of Sweetwater a Rehabilitation & Nursing Sweetwater, 17.6 mi · 2 of 5 stars · 19 citations
- Wood Village Sweetwater, 19.3 mi · 4 of 5 stars · 4 citations
- Decatur Wellness and Rehabilitation Center Decatur, 19.9 mi · 3 of 5 stars · 9 citations
- Bradley Health Care & Rehab Cleveland, 21.6 mi · 1 of 5 stars · 13 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 Etowah Health and Rehabilitation's Medicare star rating?
- CMS rates Etowah Health and Rehabilitation 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Etowah Health and Rehabilitation get at its last inspection?
- 2 health deficiencies at the standard inspection on February 25, 2026. The Tennessee average is 4.4.
- Has Etowah Health and Rehabilitation been fined?
- Yes. CMS lists 2 fines totaling $12,377 in the last three years.
- Does Etowah Health and Rehabilitation 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 Etowah Health and Rehabilitation?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.