Home / Tennessee / Elizabethton
Life Care Center of Elizabethton
1641 Highway 19e, Elizabethton, TN 37643 · Carter County · (423) 542-4133
158 certified beds, about 122 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445302 · 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 7 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 11 health citations since November 2018, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 1 fine totaling $10,036 in the last three years; the largest was $10,036, and the latest is dated February 29, 2024.
Nurses and nurse aides worked 3.44 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
53.3% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Life Care Centers of America, an affiliated group of 194 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.
111/18
012/19
711/23
302/24
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
February 29, 2024Complaint inspection · 3 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility contracts, facility policy, medical record review, facility documentation and interviews, the facility failed to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy, received anticoagulation therapy for the diagnoses of Atrial Fibrillation (A-Fib) and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to ensure the physician reviewed the total program of care, including medications, which resulted in Resident #5 not receiving anticoagulation therapy from 10/31/2023-12/5/2023. The Executive Director (ED) was notified of the Immediate Jeopardy (IJ) on 2/28/2024 at 4:20 PM, in the conference room. [...]
- J Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on review of the facility contract, facility policy, medical record review, facility documentation and interviews, the facility failed to provide physician services to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy received anticoagulation therapy for the diagnosis of Atrial Fibrillation and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to ensure the physician reviewed the total program of care, including medications, which resulted in Resident #5 not receiving anticoagulation therapy from 10/31/2023-12/5/2023. [...]
- J Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on review of facility contract, facility policy, medical record review, facility documentation and interviews, the facility failed to complete a thorough medication regimen review to ensure 1 of 6 residents (Resident #5) reviewed for anticoagulation therapy received anticoagulation therapy for the diagnosis of Atrial Fibrillation and prevention of blood clot formation. Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified related to the facility's failure to provide anticoagulation therapy resulting in Resident #5 not receiving anticoagulation therapy from 10/31/2023 - 12/5/2023. The Executive Director (ED) was notified of the Immediate Jeopardy (IJ) on 2/28/2024 at 4:20 PM, in the conference room. [...]
November 14, 2023Standard inspection · 7 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to honor the right to self-determination related to resident's choices for bathing for 1 resident (Resident #31) of 24 residents reviewed for choices.
- 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 facility policy review, medical record review, observation and interview, the facility failed to maintain a safe, clean, homelike environment in 2 resident (Resident #20 and Resident #24) rooms of 69 resident rooms observed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, facility documentation review and interview, the facility failed to report an allegation of abuse to the state agency timely for 1 resident (Resident #25) of 24 residents reviewed for abuse.
- 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, observation and interview, the facility failed to ensure the comprehensive care plan was accurate for 1 resident (Resident #64) and failed to implement the comprehensive care plan related to fall interventions for 1 resident (Resident #12) of 24 residents reviewed for comprehensive care plans.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, manufacturer guidelines, medical record review, observation and interview, the facility failed to follow manufacturer guidelines to clean nebulizer equipment for 1 residents (Resident #20) of 25 residents reviewed with nebulizer equipment.
- D Post nurse staffing information every day.
Inspectors wroteBased on facility policy review, observation and interview, the facility failed to post daily staffing timely for 1 of 3 days observed.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review and interviews, the facility failed to maintain an accurate medical record for 1 resident (Resident #64) of 24 residents reviewed for medical records.
December 10, 2019Standard inspection · 0 citations
November 15, 2018Standard inspection · 1 citation
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to complete a change in assessment Pre-admission Screening and Resident Review (PASARR) after a diagnosis of a mental disorder for 1 resident (#49) of 3 residents reviewed for PASARR assessments of 28 residents sampled.
Fire safety inspections
2 fire safety citations on file: 1 on December 10, 2019, 1 on November 15, 2018.
Every fire safety citation2 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 29, 2024 | Fine | $10,036 |
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) | 3.44 | 3.80 | 3.86 |
| Registered nurses | 0.40 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.82 | 3.31 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 53.3% | 48.9% | 45.8% |
| Registered nurse turnover | 47.1% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.58 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 3.69 on weekdays and 2.82 on weekends, 24% 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 3.44 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 | 3.44 | 0.40 | 3.69 | 2.82 | 0.0% | 0 of 90 | 122 |
| Oct to Dec 2025 | 3.37 | 0.39 | 3.58 | 2.83 | 0.0% | 0 of 92 | 118 |
| Jul to Sep 2025 | 3.35 | 0.42 | 3.54 | 2.87 | 0.0% | 0 of 92 | 120 |
| Apr to Jun 2025 | 3.67 | 0.53 | 4.02 | 2.81 | 0.0% | 0 of 91 | 121 |
| 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 | 5.3 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.5 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 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 | 18.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.8 |
Owners and operators
Legal business name: ELIZABETHTON MEDICAL INVESTORS LP. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fund I Investments Limited Partnership | 5% or greater indirect ownership interest | Organization | 96% | 08/23/1995 |
| Hcf Inc | Indirect ownership interest | Organization | 08/23/1995 | |
| Archer, Melissa | Managing control - governing body | Individual | 11/10/2024 | |
| Grindstaff, Brandy | Managing control - governing body | Individual | 11/16/2020 | |
| Solomon, Jennifer | Managing control - governing body | Individual | 05/01/2019 | |
| Cross, Cindy | Corporate officer | Individual | 08/23/1995 | |
| Fletcher, Todd | Corporate officer | Individual | 11/02/2020 | |
| Henry, Terry | Corporate officer | Individual | 08/16/1999 | |
| Lay, Lisa | Corporate officer | Individual | 02/09/2018 | |
| Swanker, Richard | Corporate officer | Individual | 04/01/2011 | |
| Thurmond, Joan | Corporate officer | Individual | 09/22/2000 | |
| Ziegler, James | Corporate officer | Individual | 08/16/1999 | |
| Consolidated Resources Health Care Fund I LP | Operational/managerial control | Organization | 09/23/1983 | |
| Elizabethton Medical Investors LP | Operational/managerial control | Organization | 03/01/1990 | |
| Hcf Inc | Operational/managerial control | Organization | 08/23/1995 | |
| Life Care Centers of America, Inc. | Operational/managerial control | Organization | 02/05/1990 | |
| Archer, Melissa | Operational/managerial control | Individual | 11/10/2024 | |
| Grindstaff, Brandy | Operational/managerial control | Individual | 11/16/2020 | |
| Preston, Aubrey | Operational/managerial control | Individual | 03/06/2025 | |
| Solomon, Jennifer | Operational/managerial control | Individual | 05/01/2019 | |
| Tumkur, Deepika | Operational/managerial control | Individual | 08/28/2018 | |
| Consolidated Resources Health Care Fund I LP | General partnership interest | Organization | 08/23/1995 | |
| Preston, Forrest | Limited partnership interest | Individual | 08/30/2000 | |
| Consolidated Resources Health Care Fund I LP | Adp of the SNF | Organization | 10/05/2000 | |
| Elizabethton Medical Investors LP | Adp of the SNF | Organization | 10/05/2000 | |
| Fund I Investments Limited Partnership | Adp of the SNF | Organization | 10/05/2000 | |
| Life Care Centers of America, Inc. | Adp of the SNF | Organization | 03/20/2025 | |
| Grindstaff, Brandy | Adp of the SNF | Individual | 03/20/2025 | |
| Preston, Forrest | Adp of the SNF | Individual | 10/05/2000 | |
| Tumkur, Deepika | Adp of the SNF | Individual | 03/31/2025 |
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 November 14, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 29, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on February 29, 2024: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on November 14, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Ivy Hall Nursing Home Elizabethton, 0.2 mi · 5 of 5 stars · 2 citations
- Signature Healthcare of Elizabethton Rehab & Welln Elizabethton, 0.9 mi · 5 of 5 stars · 2 citations
- Hermitage Health Center Elizabethton, 1 mi · 5 of 5 stars · 5 citations
- Hillview Health Center Elizabethton, 1.1 mi · 4 of 5 stars · 7 citations
- Princeton Transitional Care & Assisted Living Johnson City, 8.1 mi · 5 of 5 stars · 3 citations
- Abundant Christian Living Community Rehabilitation Johnson City, 8.1 mi · 5 of 5 stars · 6 citations
- Agape Rehabilitation & Nursing Center, a Waters Cm Johnson City, 8.3 mi · 4 of 5 stars · 7 citations
- NHC Healthcare, Johnson City Johnson City, 8.8 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 Life Care Center of Elizabethton's Medicare star rating?
- CMS rates Life Care Center of Elizabethton 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Life Care Center of Elizabethton get at its last inspection?
- 7 health deficiencies at the standard inspection on November 14, 2023. The Tennessee average is 4.4.
- Has Life Care Center of Elizabethton been fined?
- Yes. CMS lists 1 fine totaling $10,036 in the last three years.
- Does Life Care Center of Elizabethton 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 Life Care Center of Elizabethton?
- CMS lists 30 owners and managers, and links the home to Life Care Centers of America. Legal business name: ELIZABETHTON MEDICAL INVESTORS LP.
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.