278 Rocky Hollow Road, Erin, TN 37061 · Houston County · (931) 289-4141
164 certified beds, about 101 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445377 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 18, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 9 health citations since April 2019, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 1 fine totaling $147,898 in the last three years; the largest was $147,898, and the latest is dated April 3, 2024.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
47.7% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.
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.
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 9 health citations on file.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure medications were properly stored when 3 of 7 (Reflections Hall Med Cart 1, Brandywood Hall Treatment Cart, and the Reflections Hall Treatment Cart) medication storage carts had expired and outdated medications.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was distributed in a manner to prevent the spread of infection when 2 of 26 ( Certified Nursing Assistant (CNA) E and the Housekeeping Director) staff members touched 3 of 17 (Resident #38, #41, and #93) residents' food with bare hands during dining room.
Inspectors wroteBased on policy review, medical record review, facility document review, and interview, the facility failed to ensure residents' rights to be free from misappropriation of controlled narcotics for 7 of 9 (Resident #1, #2, #5, #6, #7, #8, and #9) sampled residents reviewed with orders for controlled narcotics. Resident #1 had a total of 48 tablets of Oxycodone 10 milligram (mg) missing. Resident #2 had a total of 61 tablets of Oxycodone 5 mg missing. Resident #5 had a total of 78 Hydrocodone 7.5 mg tablets missing. Resident #6 had a total of 28 tablets of Oxycodone 5 mg missing. Resident #7 had a total of 94 tablets of Oxycodone 10 mg missing. Resident #8 had a total of 144 tablets of Hydrocodone 5 mg missing. Resident #9 had a total of 56 tablets of Hydrocodone 5 mg missing. [...]
Inspectors wroteBased on facility policy review, Pharmacy Services agreement, facility investigation review, review of facility medication reconciliation documents, and interview, the facility failed to have a system of recording, accurate reconciliation, and accounting for all controlled medications, failed to promptly identify loss or potential diversion of controlled medications, and failed to timely determine the extent of loss or potential diversion of controlled medications for 7 of 9 (Resident #1, #2, #5, #6, #7, #8, and #9) sampled residents reviewed with orders for controlled narcotics. On [DATE] the medication nurse (LPN E) discovered that Resident #2's Fentanyl transdermal patch had been tampered with, no actions were taken at that time on [DATE]. [...]
Inspectors wroteBased on policy review, medical record review, State Medical Doctor Consultant review, and interview, the facility failed to ensure 1 of 9 (Resident #2) sampled residents reviewed for medication administration was free of any significant medication errors. Resident #2's orders for Fentanyl were erroneously changed from being administered every 3 days to being administered daily. Resident #2 was administered Fentanyl patches daily on [DATE], [DATE], and [DATE] when the prescribed order was for the patch to be applied every 72 hours. The failure to apply Resident #2's Fentanyl patches as ordered had the potential to cause serious adverse outcomes, overdose, and/or death, which placed Resident #2 in Immediate Jeopardy. [...]
Inspectors wroteBased on medical record review and interview, the facility failed to provide effective pain management for 1 of 9 (Resident #3) sampled residents reviewed for pain management. Resident #3 received Tylenol per physician standing orders, but the Tylenol was not effective as Resident #3 continued to complained of pain. The facility's failure to effectively manage Resident #3's pain and follow up on imaging with continued complaints of pain post fall, resulted in Actual Harm when Resident #3 had a displaced comminuted fracture involving the distal femur.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, 2 of 2 staff members (Registered Nurse (RN) #1 and Certified Respiratory Therapist (CRT) #1) failed to ensure practices were maintained to prevent cross contamination for 2 of 2 sampled residents (Resident #61 and Resident #115) observed during enteral tube feeding tube care and tracheostomy (trach) care.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to notify the Physician that a Computed Tomography (CT) scan was not completed for 1 of 4 (Resident #23) sampled residents reviewed for accidents.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to provide care and services for the treatment of pressure ulcers for 1 of 2 (Resident #129) sampled residents reviewed with pressure ulcers.
6 fire safety citations on file: 2 on March 18, 2026, 4 on April 18, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| April 3, 2024 | Fine | $147,898 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.70 | 3.80 | 3.86 |
| Registered nurses | 0.52 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.31 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 47.7% | 48.9% | 45.8% |
| Registered nurse turnover | 60.0% | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.91 on weekdays and 3.17 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.70 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 | 3.70 | 0.52 | 3.91 | 3.17 | 1.7% | 0 of 90 | 101 |
| Oct to Dec 2025 | 3.51 | 0.46 | 3.68 | 3.07 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 3.63 | 0.26 | 3.82 | 3.15 | 2.0% | 1 of 92 | 104 |
| Apr to Jun 2025 | 3.56 | 0.32 | 3.79 | 2.99 | 13.2% | 3 of 91 | 100 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 27.9 | 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 | 1.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of Erin's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
48.5% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 78 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 91 eligible stays.
6.7% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 49 eligible stays.
60.6% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
2.3% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 44 residents counted.
7.6% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 44 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: LP ERIN LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| LP Cr Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2007 |
| Agemo Holdings LLC | 5% or greater indirect ownership interest | Organization | 10/01/2016 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Lpsnf II LLC | 5% or greater indirect ownership interest | Organization | 10/01/2016 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 11/01/2007 | |
| Baston, Andrea | W-2 managing employee | Individual | 04/29/2024 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 | |
| Signature Healthcare LLC | Operational/managerial control | Organization | 11/01/2007 |
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.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.