Christian Care Center of Unicoi County

Name: Christian Care Center of Unicoi County
Address: 100 GREENWAY CIRCLE, Erwin, TN, 37650, US
Telephone: 4237433141

100 Greenway Circle, Erwin, TN 37650 · Unicoi County · 50 certified beds · avg 46 residents/day · certified since Sep 15, 1969

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.39

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (7)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 15, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 15, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 30, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 30, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Aug 30, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Aug 30, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 31, 2021	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2021	1	D
2023	4	D
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.39	3.62	3.95	top 13% in Tennessee; top 26% in the U.S.
Registered Nurse hours	0.61	0.57	0.69	top 33% in Tennessee; top 47% in the U.S.
Weekend total nurse staffing	3.87	3.15	3.50	top 13% in Tennessee; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.39	0.48	bottom 21% in Tennessee; bottom 19% in the U.S.
Total nursing staff turnover (%)	29.2	48.9	45.8	top 7% in Tennessee; top 13% in the U.S.
RN turnover (%)	16.7	43.2	42.9	top 6% in Tennessee; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.37, RN 0.61, weekend 3.86. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Lewis, Jimmy	Individual	5% or Greater Direct Ownership Interest	100%	10/01/2004
Arnold, Roy	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Arnold, Roy	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2021
Baumgardner, Melissa	Individual	Operational/Managerial Control	NOT APPLICABLE	12/18/2023
Byrd, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	03/25/2020
Care Centers Management Consulting, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Cawood-Gray, Lisa	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Cawood-Gray, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Claxton Dietetic Solutions, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2019
Edwards, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2022
Encore Healthcare, LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2023
Greer, Lori	Individual	Operational/Managerial Control	NOT APPLICABLE	08/23/2021
Inpatient Consultants of Tennessee PC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2019
Lewis, Jimmy	Individual	Corporate Director	NOT APPLICABLE	10/01/2004
Lewis, Jimmy	Individual	Corporate Officer	NOT APPLICABLE	10/01/2004
Lyons, Peggy	Individual	Operational/Managerial Control	NOT APPLICABLE	01/13/2019
Lyons, Susan	Individual	ADP of the SNF	NOT APPLICABLE	07/08/2021
Noe, Stacey	Individual	Operational/Managerial Control	NOT APPLICABLE	01/09/2025
Tumkur, Deepika	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
West, Anita	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Center on Aging and Health	0.1 mi	Erwin, TN	★★★☆☆	3/5
Erwin Health Care Center	1.0 mi	Erwin, TN	★★☆☆☆	2/5
Four Oaks Health Care Center	11.7 mi	Jonesborough, TN	★★★★☆	4/5
Lakebridge, a Waters Community, LLC	12.1 mi	Johnson City, TN	★★★☆☆	4/5
The Waters of Johnson City, LLC	14.0 mi	Johnson City, TN	★★☆☆☆	3/5
Agape Rehabilitation & Nursing Center, a Waters CM	14.5 mi	Johnson City, TN	★★★★☆	4/5
Abundant Christian Living Community Rehabilitation	14.5 mi	Johnson City, TN	★★★★★	5/5
Princeton Transitional Care & Assisted Living	15.3 mi	Johnson City, TN	★★★★★	5/5
Durham-Hensley Health and Rehabilitation	16.1 mi	Chuckey, TN	★★★★☆	4/5
NHC Healthcare, Johnson City	16.1 mi	Johnson City, TN	★★★★★	5/5
Hillview Health Center	16.8 mi	Elizabethton, TN	★★★★☆	4/5
Smoky Ridge Health and Rehabilitation	16.8 mi	Burnsville, NC	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Erwin →

Facility data as of CMS processing date 2026-08-01. CCN 445077.

The Care File

Visit checklist — Christian Care Center of Unicoi County

100 Greenway Circle, Erwin, TN 37650 · 4237433141

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445077 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)