Wexford House
2421 John B Dennis Highway, Kingsport, TN 37660 · Sullivan County · (423) 288-3988
174 certified beds, about 123 residents a day · For profit - Corporation · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445207 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2025, inspectors cited 7 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 15 health citations since February 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.04 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
65.0% 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.
102/20
603/24
706/25
111/25
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 15 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
5E
1F
Potential for minimal harm
0A
0B
0C
November 17, 2025Complaint inspection · 1 citation
- 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, review of facility investigation and interview, the facility failed to report an allegation of abuse to the State Survey Agency for 1 resident (Resident #1) of 5 residents reviewed for abuse.
June 18, 2025Standard inspection · 7 citations
- E Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on review of facility documentation, observation, and interview, the facility failed to employ staff with the appropriate competencies to maintain and ensure manufacturers guidelines were followed for testing of chemical sanitation for dishwasher use.
- E 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 kitchen cooking equipment was maintained in a clean and sanitary condition and food was stored, prepared, and served under sanitary conditions which had the potential to affect 80 of 81 residents.
- E Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure resident personal refrigerator logs were kept up to date and temperatures were within facility policy recommendations, and failed to ensure expired foods were not available for resident use for 5 residents (Resident #17, #39, #51, #58, and #64) of 11 resident refrigerators observe.
- 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, observations, and interviews, the facility failed to provide a homelike environment for 1 resident (Resident #19) of 81 residents reviewed for a homelike environment.
- 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, observations, and interviews, the facility failed to develop a person-centered care plan related to tobacco use for 1 resident (Resident #14) of 21 residents reviewed for care plans.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of the facility policy, review of the facility's Narcotic (a category of perception-altering or sensory-dulling drugs that are regulated in schedules according to their abuse risk with schedule 1 being the highest abuse risk and 5 being the lowest abuse risk) Destruction Logs (form containing the name of a resident and the name of a controlled medication with the number of tablets remaining), and interview, the facility failed to follow the facility policy regarding the disposition and destruction of narcotics.
- 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 ensure proper infection control practices related to hand hygiene were followed during meal service when the staff failed to offer hand hygiene assistance to 3 residents (Resident #178, Resident #34, and Resident #16) of 10 residents observed during meal tray distribution on 1 of 4 hallways.
March 20, 2024Standard inspection, Complaint inspection · 6 citations
- 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 cooking equipment was maintained in a sanitary condition which had the potential to affect 82 of 86 residents.
- E 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, observations, and interviews, the facility failed to ensure staff maintained residents' dignity when residents were served milk products in disposable cartons for 9 residents (Residents #20, #84, #6, #18, #19, #23, #33, #43, and #85) on 3 of 5 hallways observed for meal tray distribution and failed to maintain resident's dignity during feeding for 1 resident (Resident #29) of 3 residents observed for feeding.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on facility policy review, review of the Resident Assessment Instrument (RAI) Manual 3.0, medical record review, observations, and interviews, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 2 residents (Residents #78 and #56) of 20 residents reviewed for MDS assessments.
- 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 interviews, the facility failed to include 1 resident (Resident #31) in the care planning process of 20 residents reviewed for care planning.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure expired supplies were not available for resident use in 1 medication cart (300 long hall cart) of 3 medication carts observed.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure garbage and refuse were properly contained in 2 of 2 dumpsters (dumpster #1 and #2).
February 20, 2020Standard inspection · 1 citation
- E Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on facility policy review, record review, observation, and interview, the facility failed to identify and assess restraint use for 3 of 6 residents (Resident #5, #77, and #115) reviewed for restraints.
Fire safety inspections
2 fire safety citations on file: 2 on March 20, 2024.
Every fire safety citation2 citations
- E Have restrictions on the use of portable space heaters.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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) | 3.04 | 3.80 | 3.86 |
| Registered nurses | 0.60 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.72 | 3.31 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 65.0% | 48.9% | 45.8% |
| Registered nurse turnover | 70.0% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.93 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 3.17 on weekdays and 2.72 on weekends, 14% 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 4.27 in April to June 2025 to 3.04 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 | 3.04 | 0.60 | 3.17 | 2.72 | 0.0% | 0 of 90 | 123 |
| Oct to Dec 2025 | 3.13 | 0.54 | 3.28 | 2.77 | 3.7% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.80 | 0.52 | 3.99 | 3.31 | 10.8% | 0 of 92 | 92 |
| Apr to Jun 2025 | 4.27 | 0.51 | 4.63 | 3.36 | 4.2% | 0 of 91 | 76 |
| 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 | 16.0 | 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 | 1.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.2 | 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 | 6.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 36.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: WEXFORD 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 |
|---|---|---|---|---|
| Wexford Operations Group Holdco LLC | Direct ownership interest | Organization | 05/01/2025 | |
| Ballad Health | Indirect ownership interest | Organization | 05/01/2025 | |
| Bho Operating Group LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| Blue Ridge Medical Management Corporation | Indirect ownership interest | Organization | 05/01/2025 | |
| Mountain States Health Alliance | Indirect ownership interest | Organization | 05/01/2025 | |
| Labin, Shiya | Indirect ownership interest | Individual | 05/01/2025 | |
| Neuman, Benjamin | Indirect ownership interest | Individual | 05/01/2025 | |
| Niederman, Anshel | Indirect ownership interest | Individual | 05/01/2025 | |
| Wexford 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 | |
| Niederman, Anshel | Operational/managerial control | Individual | 05/01/2025 | |
| Rusek, Michele | Operational/managerial control | Individual | 05/01/2025 | |
| Wayt, Marta | Operational/managerial control | Individual | 05/01/2025 | |
| 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 | |
| Mountain States Health Alliance | Adp of the SNF | Organization | 05/01/2025 | |
| Wexford Realty Group LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Labin, Shiya | Adp of the SNF | Individual | 05/01/2025 | |
| Neuman, Benjamin | Adp of the SNF | Individual | 05/01/2025 | |
| Niederman, Anshel | Adp of the SNF | Individual | 05/01/2025 | |
| Rusek, Michele | Adp of the SNF | Individual | 05/01/2025 | |
| Wayt, Marta | 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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on June 18, 2025: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 18, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on November 17, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- 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 June 18, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.72 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
- NHC Healthcare, Kingsport Kingsport, 0.4 mi · 5 of 5 stars · 3 citations
- Holston Rehabilitation and Care Center Kingsport, 1.5 mi · 1 of 5 stars · 23 citations
- Orchardview Post-Acute and Rehabilitation Center Kingsport, 2 mi · 2 of 5 stars · 22 citations
- Nova Health and Rehab Weber City, 5.3 mi · 5 of 5 stars · 13 citations
- Asbury Place Kingsport Kingsport, 6.1 mi · 5 of 5 stars · 10 citations
- Greystone Health Care Center Blountville, 7.3 mi · 1 of 5 stars · 31 citations
- Life Care Center of Gray Gray, 11 mi · 1 of 5 stars · 16 citations
- Waters of Bristol a Rehabilitation and Nursing Blountville, 12.2 mi · 4 of 5 stars · 3 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 Wexford House's Medicare star rating?
- CMS rates Wexford House 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wexford House get at its last inspection?
- 7 health deficiencies at the standard inspection on June 18, 2025. The Tennessee average is 4.4.
- Has Wexford House been fined?
- CMS lists no fines in the last three years.
- Does Wexford House 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 Wexford House?
- CMS lists 24 owners and managers, and links the home to Ahava Healthcare. Legal business name: WEXFORD 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.