What is Laughlin Health Care Center's Medicare star rating?

CMS rates Laughlin Health Care Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Laughlin Health Care Center get at its last inspection?

14 health deficiencies at the standard inspection on October 5, 2023. The Tennessee average is 4.4.

Does Laughlin Health Care 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 Laughlin Health Care Center?

CMS lists 16 owners and managers, and links the home to Ahava Healthcare. Legal business name: LAUGHLIN OPERATING GROUP LLC.

Laughlin Health Care Center: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on October 5, 2023, inspectors cited 14 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 16 health citations since December 2018, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $9,770 in the last three years; the largest was $4,885, and the latest is dated October 5, 2023.

Nurses and nurse aides worked 3.46 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.78 of those hours.

63.3% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Ahava Healthcare, an affiliated group of 16 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.

112/18

101/20

1410/23

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 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10D

Potential for minimal harm

October 5, 2023Standard inspection, Complaint inspection · 14 citations

G

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2023

Inspectors wroteBased on facility policy review, medical record review, facility post fall investigation review, and interviews, the facility failed to revise the comprehensive care plan related to falls for 3 residents (Resident #14, #15, and #17) of 3 residents reviewed for falls which resulted in actual harm to Resident #14 when the resident fell and sustained a laceration to the left eye and required the area to have steri strips (wound closure tape) placed to close the wound, failed to revise the comprehensive care plan related to a wound for Resident #14 of 2 residents reviewed for wounds, failed to revise the comprehensive care plan related to a wander guard (a safety device used for high elopement risk) for 2 residents (Resident #15 and #17), failed to revise the comprehensive care plan for new diagnoses for 1 resident (Resident #15), and failed to revise the comprehensive care plan for a [...]
G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023

Inspectors wroteBased on facility policy review, medical record review, facility post fall review, and interviews, the facility failed to prevent accidents related to falls for 1 resident (Resident #14) of 3 residents reviewed for falls when a new fall intervention was not implemented which resulted in actual harm to Resident #14 when the resident fell and sustained a laceration to the left eye and required steri strips (wound closure tape) to close the wound, and failed to complete thorough fall investigations for 1 resident (Resident #17) of 3 residents reviewed for falls.
F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 25, 2023

Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to maintain sanitary kitchen equipment and failed to replace damaged kitchen equipment that had not been maintained in a good working condition, which had the potential to affect 27 of 27 residents.
F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 26, 2023

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure staff performed proper hand hygiene while delivering meal trays and during meal assistance in dining room.
E

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 29, 2023

Inspectors wroteBased on review of the Resident Assessment Instrument Manual 3.0 (RAI), medical record review, and interview, the facility failed to accurately complete Minimum Data Set (MDS) assessments for 4 residents (Residents #5, #7, #15, and #17) of 12 residents reviewed for MDS assessments.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 3, 2023

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to maintain or enhance resident dignity and respect during dining observation when 2 Certified Nursing Assistants (CNAs) assisted 4 residents (Residents #1, #7, #14, and #22) simultaneously (at the same time) of 7 residents observed for assistance with dining.
D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 17, 2023

Inspectors wroteBased on review of the facility's Resident Fund Statement, medical record review, and interview, the facility failed to ensure the trust fund accounts for 2 residents (Residents #14 and #24) of 7 residents with trust fund accounts reviewed did not exceed the $2000.00 Supplemental Security Income (SSI) resource limit.
D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 3, 2023

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to follow the policy for restraints for 2 residents (Resident #7 and #17) of 5 residents reviewed for restraints.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023

Inspectors wroteBased on facility policy review, record review, observation, and interviews, the facility failed to develop a comprehensive care plan to address restraint usage for 1 resident (Resident #7) out of 12 residents reviewed for comprehensive care plans.
D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 3, 2023

Inspectors wroteBased on medical record review, observation, and interview, the facility failed to provide services to prevent further decline in functional status for 1 resident (Resident #17) of 17 residents reviewed for Activities of Daily Living (ADL).
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 3, 2023

Inspectors wroteBased on medical record review and interview, the facility failed to provide an evaluation and rationale for the continued use of a PRN (as needed) antianxiety medication beyond 14 days for 1 resident (Resident #17) of 5 residents reviewed for unnecessary medications.
D

Provide timely, quality laboratory services/tests to meet the needs of residents.

F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023

Inspectors wroteBased on medical record review and interview, the facility failed to ensure laboratory (lab) tests were obtained for 1 resident (Resident #20) of 5 residents reviewed for laboratory services.
D

Dispose of garbage and refuse properly.

F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 3, 2023

Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure garbage and refuse were properly contained in 2 of 3 dumpsters (dumpster #1 and #2) and in the grease trap receptacle.
D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2023

Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to ensure pneumococcal vaccinations were administered to 2 residents (Resident #11 and #14) of 5 residents reviewed for vaccinations.

January 8, 2020Standard inspection · 1 citation

D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2020

Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure infection control practices were followed to prevent the potential spread of infection for 1 resident ( #11) of 4 residents observed during medication administration.

December 19, 2018Standard inspection · 1 citation

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 18, 2019

Inspectors wroteBased on facility policy review, observation, and interview the facility failed to properly label and date foods available for resident consumption, and failed to ensure employee and resident foods were stored separately in 2 of 2 nourishment refrigerators.

Fire safety inspections

9 fire safety citations on file: 2 on October 5, 2023, 5 on January 8, 2020, 2 on December 19, 2018.

Every fire safety citation9 citations

D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · October 5, 2023 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · October 5, 2023 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · January 8, 2020 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · January 8, 2020 · Corrected (the home has a date of correction)
D
Use approved construction type or materials.

K 161 · January 8, 2020 · Corrected (the home has a date of correction)
C
Provide properly protected cooking facilities.

K 324 · January 8, 2020 · Corrected (the home has a date of correction)
C
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 8, 2020 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 19, 2018 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 19, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
October 5, 2023	Fine	$4,885
October 5, 2023	Fine	$4,885
October 5, 2023	Payment Denial	21 days from November 8, 2023

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)	3.46	3.80	3.86
Registered nurses	0.78	0.60	0.69
All nursing staff on weekends	2.98	3.31	3.42
Nurse aides	1.65
Licensed practical nurses	1.03
Nursing staff turnover (share who left in a year)	63.3%	48.9%	45.8%
Registered nurse turnover	63.6%	43.2%	42.9%
Administrators who left	1

CMS expects 3.68 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 3.65 on weekdays and 2.98 on weekends, 18% 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 4.43 in April to June 2025 to 3.46 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	3.46	0.78	3.65	2.98	0.0%	0 of 90	49
Oct to Dec 2025	3.59	0.71	3.78	3.11	0.0%	0 of 92	45
Jul to Sep 2025	4.75	1.06	5.05	3.97	6.1%	0 of 92	41
Apr to Jun 2025	4.43	0.94	4.65	3.87	4.0%	0 of 91	34
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	15.9	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.2	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.0	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 with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.0	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.3	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	25.3	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	15.7	11.2	12.0

Owners and operators

Legal business name: LAUGHLIN OPERATING GROUP LLC. CMS links this home to Ahava Healthcare, a group of 16 nursing homes averaging 2.4 stars overall.

Name	Role	Type	Share	Since
Laughlin Operations Group Holdco LLC	5% or greater direct ownership interest	Organization	100%	05/01/2025
Laughlin Realty Group LLC	5% or greater mortgage interest	Organization		05/01/2025
Niederman, Anshel	Managing control - governing body	Individual		05/01/2025
Ahava Hc LLC	Operational/managerial control	Organization		05/01/2025
Laidlaw, Lisa	Operational/managerial control	Individual		05/01/2025
Niederman, Anshel	Operational/managerial control	Individual		05/01/2025
Tumkur, Deepika	Operational/managerial control	Individual		05/01/2025
Niederman, Anshel	Individual is an owner, partner or trustee of any ADP of the SNF	Individual		12/01/2025
Ahava Hc LLC	Adp of the SNF	Organization		05/12/2025
Ballad Health	Adp of the SNF	Organization		05/01/2025
Blue Ridge Medical Management Corporation	Adp of the SNF	Organization		05/01/2025
Laughlin Realty Group LLC	Adp of the SNF	Organization		05/01/2025
Mountain States Health Alliance	Adp of the SNF	Organization		05/01/2025
Laidlaw, Lisa	Adp of the SNF	Individual		05/01/2025
Niederman, Anshel	Adp of the SNF	Individual		05/01/2025
Tumkur, Deepika	Adp of the SNF	Individual		05/01/2025

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.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 5, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 5, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on October 5, 2023: "Provide and implement an infection prevention and control program."
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 October 5, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the Tennessee average of 3.31.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Life Care Center of Greeneville
Greeneville, 0.8 mi · 3 of 5 stars · 18 citations
Signature Healthcare of Greeneville
Greeneville, 2.1 mi · 4 of 5 stars · 10 citations
Durham-Hensley Health and Rehabilitation
Chuckey, 9 mi · 4 of 5 stars · 9 citations
Signature Healthcare of Rogersville
Rogersville, 17.9 mi · 5 of 5 stars · 3 citations
Four Oaks Health Care Center
Jonesborough, 20.9 mi · 4 of 5 stars · 10 citations
Erwin Health Care Center
Erwin, 22 mi · 2 of 5 stars · 22 citations
Center on Aging and Health
Erwin, 22.8 mi · 3 of 5 stars · 10 citations
Christian Care Center of Unicoi County
Erwin, 22.8 mi · 4 of 5 stars · 7 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 Laughlin Health Care Center's Medicare star rating?: CMS rates Laughlin Health Care Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Laughlin Health Care Center get at its last inspection?: 14 health deficiencies at the standard inspection on October 5, 2023. The Tennessee average is 4.4.
Has Laughlin Health Care Center been fined?: Yes. CMS lists 2 fines totaling $9,770 in the last three years.
Does Laughlin Health Care 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 Laughlin Health Care Center?: CMS lists 16 owners and managers, and links the home to Ahava Healthcare. Legal business name: LAUGHLIN OPERATING GROUP 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.