Erwin Health Care Center
100 Stalling Lane, Erwin, TN 37650 · Unicoi County · 125 certified beds · avg 72 residents/day · certified since Jul 1, 1992
Part of chain: GREEN TREE HEALTH MANAGEMENT (8 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · May 17, 2024 · F-0604 · triggered by a complaint
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 18, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · May 17, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Mar 19, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 19, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 19, 2025 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Mar 19, 2025 | 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. |
| May 17, 2024 | ▲ K · Immediate jeopardy, repeated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| May 17, 2024 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jan 20, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 20, 2022 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jan 20, 2022 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jan 20, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 20, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 20, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 30, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 30, 2019 | E · Potential for harm, repeated | 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. |
| May 30, 2019 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 30, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 0 | F |
| 2022 | 6 | 0 | F |
| 2024 | 2 | 2 | K ▲ |
| 2025 | 4 | 0 | 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)
2 fines totaling $10,024.
| Date | Type | Amount / length |
|---|---|---|
| May 17, 2024 | Fine | $5,012 |
| May 17, 2024 | Fine | $5,012 |
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) | 3.42 | 3.62 | 3.95 | bottom 45% in Tennessee; bottom 33% in the U.S. |
| Registered Nurse hours | 0.80 | 0.57 | 0.69 | top 14% in Tennessee; top 27% in the U.S. |
| Weekend total nurse staffing | 2.96 | 3.15 | 3.50 | bottom 46% in Tennessee; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.39 | 0.48 | top 9% in Tennessee; top 20% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 48.9 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.2 | 42.9 | — |
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 3.40, RN 0.80, weekend 2.94. Staffing rating: 2/5.
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: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 10-26 Nationwide Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| BCJ Enterprises, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Capital Holdings Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Erwin Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2025 |
| Horizon Healthcare Group LLC | Organization | 5% or Greater Indirect Ownership Interest | 10% | 09/01/2025 |
| Jeremias, Baruch | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Jeremias, Samuel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Starlight Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | 45% | 09/01/2025 |
| 10-26 Nationwide Tr | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| 1026 Enterprises II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Bennett, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Bennett, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Capital Holdings Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| CCH Healthcare NC, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| CCH Healthcare NC, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/05/2025 |
| Colinger, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Colinger, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Erwin Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Erwin Propco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Erwin Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "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 | Flags |
|---|---|---|---|---|---|
| Center on Aging and Health | 0.9 mi | Erwin, TN | ★★★☆☆ | 3/5 | |
| Christian Care Center of Unicoi County | 1.0 mi | Erwin, TN | ★★★★☆ | 4/5 | |
| Four Oaks Health Care Center | 11.9 mi | Jonesborough, TN | ★★★★☆ | 4/5 | |
| Lakebridge, a Waters Community, LLC | 12.7 mi | Johnson City, TN | ★★★☆☆ | 4/5 | |
| The Waters of Johnson City, LLC | 14.6 mi | Johnson City, TN | ★★☆☆☆ | 3/5 | |
| Agape Rehabilitation & Nursing Center, a Waters CM | 15.2 mi | Johnson City, TN | ★★★★☆ | 4/5 | |
| Abundant Christian Living Community Rehabilitation | 15.2 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Durham-Hensley Health and Rehabilitation | 15.5 mi | Chuckey, TN | ★★★★☆ | 4/5 | |
| Princeton Transitional Care & Assisted Living | 15.9 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Smoky Ridge Health and Rehabilitation | 16.7 mi | Burnsville, NC | ★★☆☆☆ | 2/5 | |
| NHC Healthcare, Johnson City | 16.8 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Hillview Health Center | 17.7 mi | Elizabethton, TN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445291.