NHC Healthcare, Knoxville
809 East Emerald Ave, Knoxville, TN 37917 · Knox County · (865) 524-7366
127 certified beds, about 96 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1972
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445098 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 29, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
Of 11 health citations since December 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.84 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
57.7% 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 11 health citations on file.
April 29, 2026Standard inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure expired food items were not available for resident use in 1 of 2 nourishment room refrigerators observed.
November 5, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policy, medical record review, review of facility investigations, observations and interviews, the facility failed to ensure 4 residents (Residents #1, #7, #9, and #3) were free from physical abuse during 4 separate resident versus resident altercations of 23 sampled residents.
March 15, 2023Standard inspection · 7 citations
- G 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, interview, and observations, the facility failed to ensure 4 residents (Resident #30, Resident #75, Resident #31, and Resident #57) were free from abuse of 65 potential residents. Resident #30 grabbed Resident #75 and Resident #57 and pushed and choked Resident #31. Resident #57 struck Resident #30 in response to Resident #30's aggressiveness. Resident #75 and Resident #57 expressed being fearful of Resident #30, resulting in psychosocial harm for Residents #75 and #57.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interview, the facility failed to ensure kitchen staff wore protective beard coverings while preparing food observed for 2 of 2 staff members. The facility failed to maintain a sanitary kitchen environment as evidenced by undated food and food open to air observed in 1 of 1 dry storage rooms and failed to maintain sanitary kitchen equipment which had the potential to affect 100 of 102 residents.
- E 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, observations, and interviews, the facility failed to provide a clean and homelike environment for 13 of 38 resident rooms. The facility failed to repair wallpaper in 8 of 38 resident rooms and in 5 out of 5 hallways. The facility failed to clean air vents on 5 of 5 hallways. The facility failed to replace ceiling tiles in 5 of 38 resident rooms. The facility failed to repair window seals which resulted in uncomfortable temperature levels in 5 of 38 resident rooms.
- D 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, observation, and interview, the facility failed to ensure 1 of 10 residents (Resident #80) was treated in a dignified manner during incontinence care.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility policy, medical record review, and interviews, the facility staff failed to report allegations of abuse to the Administrator for 2 residents (Resident #57 and Resident #30) of 5 residents reviewed for abuse.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on medical record review, interview, and observations, the facility failed to ensure care and interventions for 1 resident (Resident #30) with Dementia of 13 residents with Dementia reviewed. Resident #30 exhibited behaviors of grabbing other residents, wandering, and agitation with no effective person-centered interventions in place.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation, and interview, facility staff failed to follow handwashing procedures for 1 resident (#299) of 1 resident in contact isolation precautions.
December 18, 2019Standard inspection · 2 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 medical record review, observation, and interview, the facility failed to follow the care plan for falls for 1 resident (#86) of 23 sampled residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, facility documentation review, observation and interview the facility failed to add a new intervention after a fall for 1 resident (#69) and failed to implement a care plan intervention to prevent accidents for 1 resident (#86) of 5 residents reviewed for accidents.
Fire safety inspections
3 fire safety citations on file: 3 on April 29, 2026.
Every fire safety citation3 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
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) | 3.84 | 3.80 | 3.86 |
| Registered nurses | 1.00 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.29 | 3.31 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 57.7% | 48.9% | 45.8% |
| Registered nurse turnover | 29.4% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.76 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 4.06 on weekdays and 3.29 on weekends, 19% 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 3.83 in April to June 2025 to 3.84 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 | 3.84 | 1.00 | 4.06 | 3.29 | 0.0% | 0 of 90 | 96 |
| Oct to Dec 2025 | 3.96 | 0.97 | 4.23 | 3.27 | 0.0% | 0 of 92 | 95 |
| Jul to Sep 2025 | 3.68 | 0.91 | 3.87 | 3.22 | 0.0% | 0 of 92 | 98 |
| Apr to Jun 2025 | 3.83 | 0.87 | 4.09 | 3.17 | 3.2% | 0 of 91 | 97 |
| 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 | 21.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.7 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.1 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 11.2 | 12.0 |
Owners and operators
Legal business name: NHC HEALTHCARE-KNOXVILLE 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 | 07/01/2000 | |
| NHC-Op LP | Operational/managerial control | Organization | 07/01/2000 | |
| Barton, Rebecca | Operational/managerial control | Individual | 12/18/2018 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Nason Jr., Howard | Operational/managerial control | Individual | 04/18/2016 | |
| Shuford, Thomas | Operational/managerial control | Individual | 04/01/2013 | |
| Smith, Bert | Operational/managerial control | Individual | 07/01/2017 | |
| 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 | 07/01/2000 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 07/01/2000 | |
| NHC-Op LP | Adp of the SNF | Organization | 07/01/2000 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 03/27/2017 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| Shuford, Thomas | Adp of the SNF | Individual | 03/13/2025 | |
| Smith, Bert | 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 November 5, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 29, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 March 15, 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 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 March 15, 2023: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.29 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Creekview Health and Rehabilitation Knoxville, 0.7 mi · 2 of 5 stars · 23 citations
- Fort Sanders Tcu Knoxville, 2.4 mi · 4 of 5 stars · 1 citation
- NHC Healthcare, Ft Sanders Knoxville, 2.4 mi · 3 of 5 stars · 21 citations
- Island Home Park Health and Rehab Knoxville, 3.1 mi · 4 of 5 stars · 8 citations
- Holston Health & Rehabilitation Center Knoxville, 3.8 mi · 5 of 5 stars · 6 citations
- Beverly Park Place Health and Rehab Knoxville, 4.1 mi · 3 of 5 stars · 13 citations
- Lyonsview Health and Rehabilitation Center Knoxville, 5.7 mi · 1 of 5 stars · 19 citations
- West Hills Health and Rehab Knoxville, 6.4 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 NHC Healthcare, Knoxville's Medicare star rating?
- CMS rates NHC Healthcare, Knoxville 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Knoxville get at its last inspection?
- 1 health deficiency at the standard inspection on April 29, 2026. The Tennessee average is 4.4.
- Has NHC Healthcare, Knoxville been fined?
- CMS lists no fines in the last three years.
- Does NHC Healthcare, Knoxville 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 NHC Healthcare, Knoxville?
- CMS lists 23 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-KNOXVILLE 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.