Home / Tennessee / Elizabethton
Hermitage Health Center
1633 Hillview Drive, Elizabethton, TN 37643 · Carter County · (423) 543-2571
70 certified beds, about 54 residents a day · Non profit - Other · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445474 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 20, 2025, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 5 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 3.63 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
53.4% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Twin Rivers Health & Rehabilitation, an affiliated group of 11 nursing homes.
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 5 health citations on file.
May 20, 2025Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #23) of 5 residents reviewed for unnecessary medications.
- 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 ensure the medical record was accurate for 1 resident (Resident #33) of 18 residents reviewed for medical records.
August 10, 2022Standard 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 resubmit a Pre-admission Screening and Resident Review (PASRR) timely after a new mental health diagnosis for 1 resident (Resident #32) of 7 residents reviewed for PASRR.
- 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 an accurate medical record for insulin administration for 1 resident (#34) of 4 residents reviewed for insulin administration.
November 6, 2019Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to maintain infection control practices for 1 resident (#63) of 17 residents sampled.
Fire safety inspections
6 fire safety citations on file: 2 on May 20, 2025, 1 on January 10, 2024, 2 on August 10, 2022, 1 on November 6, 2019.
Every fire safety citation6 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of portable space heaters.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
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) | 3.63 | 3.80 | 3.86 |
| Registered nurses | 0.61 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.31 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 53.4% | 48.9% | 45.8% |
| Registered nurse turnover | 22.2% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.14 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 3.76 on weekdays and 3.31 on weekends, 12% 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 3.89 in April to June 2025 to 3.63 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 | 3.63 | 0.61 | 3.76 | 3.31 | 0.0% | 0 of 90 | 54 |
| Oct to Dec 2025 | 3.88 | 0.75 | 4.04 | 3.47 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 4.18 | 0.92 | 4.35 | 3.75 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.89 | 0.77 | 4.04 | 3.51 | 0.0% | 0 of 91 | 54 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 19.2 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.8 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.8 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: OCOEE HERMITAGE HEALTH CENTER LLC. CMS links this home to Twin Rivers Health & Rehabilitation, a group of 11 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ocoee Foundation Inc | Direct ownership interest | Organization | 06/19/2008 | |
| Bradley, Don | Managing control - governing body | Individual | 02/07/2024 | |
| Burton, William | Managing control - governing body | Individual | 02/07/2024 | |
| Kupchynsky, Kathleen | Managing control - governing body | Individual | 02/07/2024 | |
| Phillips, Dorothy | Managing control - governing body | Individual | 02/07/2024 | |
| Sheehan, John | Managing control - governing body | Individual | 02/07/2024 | |
| Sheehan, Margaret | Managing control - governing body | Individual | 06/19/2008 | |
| Smith, Frank | Managing control - governing body | Individual | 02/07/2024 | |
| Sheehan, John | Corporate officer | Individual | 06/19/2008 | |
| Ocoee Foundation Inc | Operational/managerial control | Organization | 06/19/2008 | |
| Pioneer Consulting LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Twin Rivers Health & Rehabilitation LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Bradley, Don | Operational/managerial control | Individual | 02/07/2024 | |
| Burton, William | Operational/managerial control | Individual | 02/07/2024 | |
| Call, Andrew | Operational/managerial control | Individual | 03/01/2025 | |
| Davis, Clinton | Operational/managerial control | Individual | 01/01/2019 | |
| Holcombe, Michelle | Operational/managerial control | Individual | 01/01/2019 | |
| Kupchynsky, Kathleen | Operational/managerial control | Individual | 02/07/2024 | |
| Lawrence, Amy | Operational/managerial control | Individual | 08/04/2021 | |
| Phillips, Dorothy | Operational/managerial control | Individual | 02/07/2024 | |
| Sheehan, John | Operational/managerial control | Individual | 02/07/2024 | |
| Sheehan, Margaret | Operational/managerial control | Individual | 06/19/2008 | |
| Smith, Frank | Operational/managerial control | Individual | 02/07/2024 | |
| Ocoee Hermitage Property LLC | Adp of the SNF | Organization | 09/01/2008 | |
| Pioneer Consulting LLC | Adp of the SNF | Organization | 03/26/2025 | |
| Twin Rivers Health & Rehabilitation LLC | Adp of the SNF | Organization | 03/26/2025 | |
| Call, Andrew | Adp of the SNF | Individual | 03/26/2025 | |
| Davis, Clinton | Adp of the SNF | Individual | 01/01/2019 | |
| Holcombe, Michelle | Adp of the SNF | Individual | 01/01/2019 | |
| Lawrence, Amy | Adp of the SNF | Individual | 01/01/2019 | |
| Sheehan, John | Adp of the SNF | Individual | 06/19/2008 |
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 May 20, 2025: "Ensure each resident receives an accurate assessment."
- 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 November 6, 2019: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Hillview Health Center Elizabethton, 0.1 mi · 4 of 5 stars · 7 citations
- Life Care Center of Elizabethton Elizabethton, 1 mi · 3 of 5 stars · 11 citations
- Ivy Hall Nursing Home Elizabethton, 1.3 mi · 5 of 5 stars · 2 citations
- Signature Healthcare of Elizabethton Rehab & Welln Elizabethton, 1.7 mi · 5 of 5 stars · 2 citations
- Abundant Christian Living Community Rehabilitation Johnson City, 7.3 mi · 5 of 5 stars · 6 citations
- Princeton Transitional Care & Assisted Living Johnson City, 7.3 mi · 5 of 5 stars · 3 citations
- Agape Rehabilitation & Nursing Center, a Waters Cm Johnson City, 7.5 mi · 4 of 5 stars · 7 citations
- NHC Healthcare, Johnson City Johnson City, 8.1 mi · 5 of 5 stars · 1 citation
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 Hermitage Health Center's Medicare star rating?
- CMS rates Hermitage Health Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hermitage Health Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 20, 2025. The Tennessee average is 4.4.
- Has Hermitage Health Center been fined?
- CMS lists no fines in the last three years.
- Does Hermitage Health Center 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 Hermitage Health Center?
- CMS lists 31 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: OCOEE HERMITAGE HEALTH CENTER 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.