100 Stalling Lane, Erwin, TN 37650 (opens Google Maps) · Unicoi County · (423) 743-4131· 125 certified beds · avg 72 residents/day · certified since Jul 1, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GREEN TREE HEALTH MANAGEMENT (8 facilities, chain avg rating 2.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 18, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 18, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
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. F-0550
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. F-0656
The facility did not dispose of garbage and refuse properly. F-0814
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 17, 2024 | ▲ K · Immediate jeopardy, pattern | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604 |
| May 17, 2024 | ▲ K · Immediate jeopardy, pattern | 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 · F-0835 |
| Jan 20, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jan 20, 2022 | F · Potential for more than minimal harm, widespread | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Jan 20, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Jan 20, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jan 20, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jan 20, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| May 30, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| May 30, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| May 30, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
2 fines totaling $10,024.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| May 17, 2024 | Fine | $5,012 |
| May 17, 2024 | Fine | $5,012 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 48.9 | 45.8 | — |
| RN turnover (%) | — | 43.2 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Erwin Health Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Green Tree Health Management — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 445291.
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