Starr Regional Health & Rehabilitation
886 Hwy 411 North, Etowah, TN 37331 · Mc Minn County · (423) 263-3646
88 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445277 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 14, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
None of its 11 health citations since June 2021 was rated as actual harm or immediate jeopardy.
CMS lists 2 fines totaling $8,697 in the last three years; the largest was $4,680, and the latest is dated February 6, 2024.
Nurses and nurse aides worked 3.98 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
CMS links it to Lifepoint Health, an affiliated group of 8 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.
406/21
602/24
101/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
1F
Potential for minimal harm
0A
0B
0C
January 14, 2026Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to maintain infection control by storing oral hygiene equipment in an unsanitary manner for 2 residents (Residents #52 and #31), failed to use proper Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) for 1 resident (Resident #51), and failed to administer medications in a sanitary manner for 1 resident (Resident #6) of 54 residents reviewed in the facility.
February 6, 2024Standard inspection · 6 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on review of facility policy, Quarterly Payroll Based Journal (PBJ) and interview, the facility failed to report PBJ for Quarter 4 2023 (July 1- September 30).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on Resident Assessment Instrument (RAI) Manual, medical record review, observation, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (#46) of 27 residents reviewed.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to ensure a level I PASSAR [Preadmission screening and resident review]was submitted for 1 resident (#25) of 5 residents reviewed for PASSAR.
- D Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to update a Pre-admission Screening and Resident Review (PASARR) after a new mental health diagnosis (Anxiety) was added for 1 resident (Resident #40) of 5 residents reviewed for PASARR.
- D Post nurse staffing information every day.
Inspectors wroteBased on facility policy review, observation and interview, the facility failed to post daily staffing information.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation and interview, the facility failed to ensure proper infection control practices during the medication administration for 1 resident (#50) of 3 residents reviewed for medication administration.
June 23, 2021Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of manufacture instructions, and interview the facility failed to maintain the dishwasher in the manufacture parameters for low temperature machine parameters affecting 61 of 65 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #20) of 24 sampled residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to accurately update a care plan for 1 resident (Resident #20) of 24 sampled residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on facility policy review, observation and interview, the facility failed to ensure expired medications were not available for resident use for 4 residents (Resident #6, Resident #56, Resident #48, Resident #20) of 65 residents reviewed.
Fire safety inspections
3 fire safety citations on file: 2 on January 14, 2026, 1 on February 6, 2024.
Every fire safety citation3 citations
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Ensure that testing and maintenance of electrical equipment is performed.
- D Conduct testing and exercise requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2024 | Fine | $4,017 |
| February 6, 2024 | Fine | $4,680 |
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) | 3.98 | 3.80 | 3.86 |
| Registered nurses | 0.83 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.31 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 1.18 | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.45 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 4.26 on weekdays and 3.27 on weekends, 23% 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 3.94 in April to June 2025 to 3.98 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 | 3.98 | 0.83 | 4.26 | 3.27 | 0.0% | 1 of 90 | 55 |
| Oct to Dec 2025 | 3.85 | 0.95 | 4.17 | 3.06 | 0.0% | 1 of 92 | 58 |
| Jul to Sep 2025 | 3.58 | 0.82 | 3.78 | 3.06 | 2.1% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.94 | 0.90 | 4.17 | 3.34 | 2.3% | 0 of 91 | 58 |
| 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 | 18.1 | 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 | 3.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.6 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 2.2 | 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 | 1.1 | 1.6 | 1.8 |
Owners and operators
Legal business name: ATHENS REGIONAL MEDICAL CENTER LLC. CMS links this home to Lifepoint Health, a group of 8 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% or greater direct ownership interest | Organization | 100% | 12/01/2013 |
| Historic Lifepoint Hospitals, LLC | 5% or greater indirect ownership interest | Organization | 12/01/2013 | |
| Legacy Lifepoint Health LLC | 5% or greater indirect ownership interest | Organization | 12/01/2013 | |
| Lifepoint Hospitals Holdings LLC | 5% or greater indirect ownership interest | Organization | 12/01/2013 | |
| Dsb Acquisition LLC | Indirect ownership interest | Organization | 11/16/2018 | |
| Lifepoint Health Inc | Indirect ownership interest | Organization | 11/16/2018 | |
| Davis, Daniel | Corporate officer | Individual | 06/24/2019 | |
| Grooms, John | Corporate officer | Individual | 11/01/2016 | |
| Haugh, William | Corporate officer | Individual | 01/25/2022 | |
| Lawrence, Charlotte | Corporate officer | Individual | 01/21/2022 | |
| Monte, Christopher | Corporate officer | Individual | 06/26/2006 | |
| Poppell, Marcus | Corporate officer | Individual | 11/02/2009 | |
| Lifepoint Corporate Services General Partnership | Operational/managerial control | Organization | 01/01/2015 | |
| Coe, Sharon | Operational/managerial control | Individual | 12/09/1995 | |
| Hudgins, Crystal | Operational/managerial control | Individual | 05/15/2008 | |
| Lapinski, Evan | Operational/managerial control | Individual | 05/20/2024 | |
| Masengil, Elizabeth | Operational/managerial control | Individual | 10/10/2022 | |
| McLain, John | Operational/managerial control | Individual | 08/01/2019 | |
| Mills, Emily | Operational/managerial control | Individual | 08/08/2016 | |
| Roberts, Patricia | Operational/managerial control | Individual | 01/18/2017 | |
| Stutts, Wallace | Operational/managerial control | Individual | 09/04/2018 | |
| Watson, Georgette | Operational/managerial control | Individual | 02/14/2022 | |
| Wilson, Shelby | Operational/managerial control | Individual | 09/14/2020 | |
| Lifepoint Corporate Services General Partnership | Adp of the SNF | Organization | 06/17/2025 | |
| Lifepoint Health Inc | Adp of the SNF | Organization | 06/17/2025 | |
| Coe, Sharon | Adp of the SNF | Individual | 12/09/1995 | |
| Cook, Brittany | Adp of the SNF | Individual | 06/24/2024 | |
| Hudgins, Crystal | Adp of the SNF | Individual | 05/15/2008 | |
| Lapinski, Evan | Adp of the SNF | Individual | 05/20/2024 | |
| Masengil, Elizabeth | Adp of the SNF | Individual | 10/10/2022 | |
| McLain, John | Adp of the SNF | Individual | 09/15/2025 | |
| Mills, Emily | Adp of the SNF | Individual | 08/08/2016 | |
| Olsen, Samuel | Adp of the SNF | Individual | 07/14/2025 | |
| Roberts, Patricia | Adp of the SNF | Individual | 01/18/2017 | |
| Stutts, Wallace | Adp of the SNF | Individual | 09/04/2018 | |
| Watson, Georgette | Adp of the SNF | Individual | 02/14/2022 | |
| Wilson, Shelby | Adp of the SNF | Individual | 09/14/2020 |
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 5 problems in this area, most recently on February 6, 2024: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 14, 2026: "Provide and implement an infection prevention and control program."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on February 6, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on February 6, 2024: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Etowah Health and Rehabilitation Etowah, 2.6 mi · 1 of 5 stars · 16 citations
- Life Care Center of Athens Athens, 7.2 mi · 2 of 5 stars · 16 citations
- NHC Healthcare, Athens Athens, 7.6 mi · 5 of 5 stars · 8 citations
- Monroe Health and Rehabilitation Center Madisonville, 12.6 mi · 3 of 5 stars · 16 citations
- Waters of Sweetwater a Rehabilitation & Nursing Sweetwater, 15.1 mi · 2 of 5 stars · 19 citations
- Wood Village Sweetwater, 16.7 mi · 4 of 5 stars · 4 citations
- Decatur Wellness and Rehabilitation Center Decatur, 19.1 mi · 3 of 5 stars · 9 citations
- Bradley Health Care & Rehab Cleveland, 23.5 mi · 1 of 5 stars · 13 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 Starr Regional Health & Rehabilitation's Medicare star rating?
- CMS rates Starr Regional Health & Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Starr Regional Health & Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on January 14, 2026. The Tennessee average is 4.4.
- Has Starr Regional Health & Rehabilitation been fined?
- Yes. CMS lists 2 fines totaling $8,697 in the last three years.
- Does Starr Regional Health & Rehabilitation 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 Starr Regional Health & Rehabilitation?
- CMS lists 37 owners and managers, and links the home to Lifepoint Health. Legal business name: ATHENS REGIONAL MEDICAL CENTER 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.