Holston Health & Rehabilitation Center
3916 Boyds Bridge Pike, Knoxville, TN 37914 · Knox County · (865) 524-1500
94 certified beds, about 84 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445344 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2024, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
None of its 6 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 3.76 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
41.7% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to National Healthcare Corporation, an affiliated group of 71 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 6 health citations on file.
April 25, 2026Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, and facility document and policy review, the facility failed to report an allegation of abuse to the state survey agency within the required timeframe for 1 of 3 allegations of abuse, including misappropriation of resident property, reviewed. Specifically, an allegation of staff-to-resident physical and verbal abuse for Resident #89 was not reported to the state survey agency within two hours.
December 11, 2024Standard inspection, Complaint inspection · 3 citations
- 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 facility policy review, medical record review, observations, and interviews the facility failed to implement a comprehensive care plan for fall interventions for 1 resident (Resident #60) of 5 residents reviewed for falls and failed to develop a comprehensive care plan for anticoagulant medication for 1 resident (Resident #23) of 18 residents reviewed for care plans.
- 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, medical record review, facility investigation review, and interviews, the facility failed to ensure 1 resident (Residents #51) was free from physical abuse when 1 resident (Resident #84) hit Resident #51 on the left arm of 81 residents sampled for abuse.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on facility policy review, medical record review, facility documentation review, and interviews, the facility failed to protect the resident's right to be free from misappropriation and/or exploitation when a staff member deliberately used a resident's personal monetary funds without consent for personal gain for 1 resident (Resident #287) of 81 sampled residents reviewed for misappropriation of personal funds.
March 23, 2022Standard inspection · 2 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medical information was not visible for 10 residents (#2, #17, #18, #25, #33, #52, #63, #67, #183, and #185) of 77 residents reviewed for dignity.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on facility policy review, facility documentation review, and interview, the facility failed to ensure the Infection Preventionist attended the 11 scheduled Quality Assurance and Performance Improvement (QAPI) meetings from 2/16/2021-2/15/2022.
November 6, 2019Standard inspection · 0 citations
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) | 3.76 | 3.80 | 3.86 |
| Registered nurses | 0.75 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.31 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 41.7% | 48.9% | 45.8% |
| Registered nurse turnover | 31.3% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.11 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 3.92 on weekdays and 3.35 on weekends, 15% 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 3.67 in April to June 2025 to 3.76 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 | 3.76 | 0.75 | 3.92 | 3.35 | 0.0% | 0 of 90 | 84 |
| Oct to Dec 2025 | 3.85 | 0.74 | 4.06 | 3.31 | 0.0% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.61 | 0.70 | 3.83 | 3.07 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 3.67 | 0.72 | 3.88 | 3.14 | 0.0% | 0 of 91 | 81 |
| 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 | 5.4 | 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 | 2.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.6 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.8 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.6 | 1.8 |
Owners and operators
Legal business name: NHC HEALTHCARE-HOLSTON HILLS LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Indirect ownership interest | Organization | 11/08/2024 | |
| Nason Jr., Howard | Managing control - governing body | Individual | 04/18/2016 | |
| Nason Jr., Howard | Corporate officer | Individual | 04/18/2016 | |
| National Healthcare Corporation | Operational/managerial control | Organization | 01/05/2008 | |
| NHC-Op LP | Operational/managerial control | Organization | 01/05/2008 | |
| Baldwin, Brittany | Operational/managerial control | Individual | 11/01/2023 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Jones, Melissa | Operational/managerial control | Individual | 05/26/2025 | |
| Kidd, Brian | Operational/managerial control | Individual | 05/31/2023 | |
| McKenzie, Daniel | Operational/managerial control | Individual | 09/15/2018 | |
| Nason Jr., Howard | Operational/managerial control | Individual | 04/18/2016 | |
| Ussery, Robert | Operational/managerial control | Individual | 01/01/2009 | |
| Blackrock Inc | Adp of the SNF | Organization | 03/20/2019 | |
| Dimensional Fund Advisors LP | Adp of the SNF | Organization | 03/07/2023 | |
| Morgan Stanley | Adp of the SNF | Organization | 11/08/2024 | |
| National Health Corporation | Adp of the SNF | Organization | 01/05/2008 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 01/05/2008 | |
| NHC-Op LP | Adp of the SNF | Organization | 01/05/2008 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 03/27/2017 | |
| Baldwin, Brittany | Adp of the SNF | Individual | 03/13/2025 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| McKenzie, Daniel | Adp of the SNF | Individual | 03/13/2025 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on April 25, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 11, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 March 23, 2022: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 23, 2022: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
Other nursing homes nearby
- Island Home Park Health and Rehab Knoxville, 2.5 mi · 4 of 5 stars · 8 citations
- NHC Healthcare, Knoxville Knoxville, 3.8 mi · 3 of 5 stars · 11 citations
- Creekview Health and Rehabilitation Knoxville, 3.9 mi · 2 of 5 stars · 23 citations
- Fort Sanders Tcu Knoxville, 4.7 mi · 4 of 5 stars · 1 citation
- NHC Healthcare, Ft Sanders Knoxville, 4.8 mi · 3 of 5 stars · 21 citations
- Beverly Park Place Health and Rehab Knoxville, 5.5 mi · 3 of 5 stars · 13 citations
- Lyonsview Health and Rehabilitation Center Knoxville, 8.4 mi · 1 of 5 stars · 19 citations
- West Hills Health and Rehab Knoxville, 9.8 mi · 3 of 5 stars · 10 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 Holston Health & Rehabilitation Center's Medicare star rating?
- CMS rates Holston Health & Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Holston Health & Rehabilitation Center get at its last inspection?
- 1 health deficiency at the standard inspection on December 11, 2024. The Tennessee average is 4.4.
- Has Holston Health & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Holston Health & Rehabilitation 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 Holston Health & Rehabilitation Center?
- CMS lists 23 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-HOLSTON HILLS 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.