Home / Tennessee / Elizabethton
Hillview Health Center
1666 Hillview Drive, Elizabethton, TN 37643 · Carter County · (423) 542-5061
76 certified beds, about 68 residents a day · Government - Federal · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445464 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 14, 2023, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 7 health citations since March 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 3.65 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
41.2% 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 7 health citations on file.
November 14, 2023Standard inspection · 3 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 observation and interview, the facility failed to maintain resident room doorways and hallways in good repair and a homelike environment for 4 resident rooms (#205, #207, #209, #210) of 24 rooms observed for homelike environment on 2 of 5 hallways observed.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on policy review, record review, observations, and interviews the facility failed to develop a baseline care plan to include an indwelling urinary catheter (a tube inserted into the bladder to drain urine) for 1 resident (Resident #214) of 18 new admissions reviewed for baseline care plans.
- 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 expired supplies were not available for resident use in 1 of 2 medications storage rooms observed.
March 18, 2020Standard inspection · 0 citations
March 6, 2019Standard inspection · 4 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 observation and interview, the facility failed to properly label and date foods available for resident consumption in 2 of 2 nourishment refrigerators, potentially affecting 65 of 65 residents in the facility.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Manual Version 3.0, review of the Minimum Data Set (MDS), review of Physician Orders, review of Medication Administration Record (MAR), and interview the facility failed to accurately assess 1 resident (#11) for antipsychotic use and 3 residents (#22, #36 and #61) for anticoagulant (medication used to prevent strokes and blood clots) use of 8 residents reviewed for unnecessary medications of 17 sampled residents.
- 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, and interview the facility failed to develop a comprehensive care plan to address anticoagulant (medication used to prevent strokes and blood clots) for 2 residents (#36 and #61) of 6 residents reviewed for unnecessary medications of 17 residents sampled.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy, medical record review, and interview the facility failed to ensure Physician Orders Life Sustaining Treatment (POLST) forms were completed for 2 residents (#18 and #324) of 17 residents reviewed.
Fire safety inspections
3 fire safety citations on file: 2 on November 14, 2023, 1 on March 18, 2020.
Every fire safety citation3 citations
- E Meet Health Care Facilities Code mechanical requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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) | 3.65 | 3.80 | 3.86 |
| Registered nurses | 0.75 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.31 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 41.2% | 48.9% | 45.8% |
| Registered nurse turnover | 20.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 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 3.95 on weekdays and 2.92 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 3.65 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 | 3.65 | 0.75 | 3.95 | 2.92 | 2.3% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.87 | 0.76 | 4.19 | 3.04 | 2.3% | 0 of 92 | 65 |
| Jul to Sep 2025 | 4.00 | 0.79 | 4.32 | 3.19 | 2.4% | 0 of 92 | 64 |
| Apr to Jun 2025 | 3.88 | 0.71 | 4.17 | 3.12 | 2.1% | 0 of 91 | 67 |
| 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 | 4.6 | 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 | 4.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.7 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.4 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.5 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: OCOEE HILLVIEW 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 | |
| Kupchynsky, Kathleen | Managing control - governing body | Individual | 02/04/2024 | |
| 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 | |
| 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 | 02/07/2019 | |
| Burton, William | Operational/managerial control | Individual | 02/07/2024 | |
| Cannon, Joshua | Operational/managerial control | Individual | 12/27/2004 | |
| Davis, Clinton | Operational/managerial control | Individual | 01/01/2019 | |
| Holcombe, Michelle | Operational/managerial control | Individual | 01/01/2019 | |
| Kupchynsky, Kathleen | Operational/managerial control | Individual | 02/04/2024 | |
| 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 Foundation Inc | Adp of the SNF | Organization | 06/19/2008 | |
| Ocoee Hillview 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 | |
| Cannon, Joshua | Adp of the SNF | Individual | 12/27/2004 | |
| Davis, Clinton | Adp of the SNF | Individual | 01/01/2019 | |
| Holcombe, Michelle | Adp of the SNF | Individual | 01/01/2019 | |
| Shankle, Victoria | Adp of the SNF | Individual | 01/01/2021 | |
| 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 November 14, 2023: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 14, 2023: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 14, 2023: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 6, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Hermitage Health Center Elizabethton, 0.1 mi · 5 of 5 stars · 5 citations
- Life Care Center of Elizabethton Elizabethton, 1.1 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, 7.4 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 Hillview Health Center's Medicare star rating?
- CMS rates Hillview Health Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hillview Health Center get at its last inspection?
- 3 health deficiencies at the standard inspection on November 14, 2023. The Tennessee average is 4.4.
- Has Hillview Health Center been fined?
- CMS lists no fines in the last three years.
- Does Hillview 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 Hillview Health Center?
- CMS lists 28 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: OCOEE HILLVIEW 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.