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Ivy Hall Nursing Home

301 Watauga Ave, Elizabethton, TN 37643 · Carter County · (423) 542-6512

101 certified beds, about 84 residents a day · For profit - Individual · Medicare and Medicaid since 2002

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445469 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 17, 2025, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 2 health citations since May 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 4.37 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

43.4% 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
0F
Potential for minimal harm
0A
0B
0C
September 17, 2025Standard inspection · 0 citations
February 16, 2022Standard inspection · 2 citations
  1. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure a splint was in place to prevent worsening of contractures for 1 resident (Resident #42) of 4 residents reviewed for splints.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to prevent a fall for 1 resident (Resident #20) of 3 residents reviewed for falls.
May 15, 2019Standard inspection · 0 citations

Fire safety inspections

5 fire safety citations on file: 5 on September 17, 2025.

Every fire safety citation5 citations
  1. E
    Install corridor and hallway doors that block smoke.
    K 363 · September 17, 2025 · Corrected (the home has a date of correction)
  2. D
    Address subsistence needs for staff and patients.
    E 15 · September 17, 2025 · Corrected (the home has a date of correction)
  3. D
    Implement emergency and standby power systems.
    E 41 · September 17, 2025 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · September 17, 2025 · Corrected (the home has a date of correction)
  5. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · September 17, 2025 · Corrected (the home has a date of correction)

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.373.803.86
Registered nurses0.720.600.69
All nursing staff on weekends3.783.313.42
Nurse aides2.78
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)43.4%48.9%45.8%
Registered nurse turnover38.5%43.2%42.9%
Administrators who left0

CMS expects 4.22 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 4.61 on weekdays and 3.78 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 4.37 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.370.724.613.78 1.1%0 of 9084
Oct to Dec 20254.590.714.804.06 1.6%0 of 9280
Jul to Sep 20254.440.624.633.96 3.9%0 of 9282
Apr to Jun 20254.520.684.753.94 7.5%0 of 9179
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.114.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.23.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.617.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.15.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.116.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.222.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.711.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.61.8

Owners and operators

Legal business name: IVY HALL INC.

NameRoleTypeShareSince
Deloach, Judy5% or greater direct ownership interestIndividual100%06/08/1971
Fields, SummerW-2 managing employeeIndividual04/19/2017
Carter, JanelleCorporate officerIndividual05/30/1986
Deloach, JudyCorporate officerIndividual06/08/1971
Care Centers Management Consulting, Inc.Operational/managerial controlOrganization12/18/2006
Carter, JanelleOperational/managerial controlIndividual06/08/1971
Deloach, JudyOperational/managerial controlIndividual06/08/1971
Fields, SummerOperational/managerial controlIndividual04/19/2017
Deloach, JudyAdp of the SNFIndividual06/08/1971

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 16, 2022: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Ivy Hall Nursing Home's Medicare star rating?
CMS rates Ivy Hall Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ivy Hall Nursing Home get at its last inspection?
0 health deficiencies at the standard inspection on September 17, 2025. The Tennessee average is 4.4.
Has Ivy Hall Nursing Home been fined?
CMS lists no fines in the last three years.
Does Ivy Hall Nursing Home 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 Ivy Hall Nursing Home?
CMS lists 9 owners and managers. Legal business name: IVY HALL INC.

Sources

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