Life Care Center of Elizabethton
1641 Highway 19e, Elizabethton, TN 37643 · Carter County · 158 certified beds · avg 122 residents/day · certified since Jan 15, 1993
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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, one-off · Feb 29, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 5, 2023 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Feb 29, 2024 · F-0711 · triggered by a complaint
The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Why it matters: Without regular documented doctor reviews, changes in a resident's condition and treatment can slip through the cracks.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 5, 2023 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Feb 29, 2024 · F-0756 · triggered by a complaint
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.
Why it matters: Skipped pharmacist reviews allow unnecessary drugs, wrong doses, and harmful interactions to go undetected.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 5, 2023 (Past Non-Compliance)
All citations in the current public record (11)
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 |
|---|---|---|
| Feb 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Nov 14, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 14, 2023 | 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. |
| Nov 14, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Nov 14, 2023 | 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. |
| Nov 14, 2023 | 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. |
| Nov 14, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 14, 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. |
| Nov 15, 2018 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2023 | 7 | 0 | D |
| 2024 | 3 | 3 | J ▲ |
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)
1 fine totaling $10,036.
| Date | Type | Amount / length |
|---|---|---|
| Feb 29, 2024 | Fine | $10,036 |
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) | 3.68 | 3.62 | 3.95 | top 35% in Tennessee; bottom 46% in the U.S. |
| Registered Nurse hours | 0.43 | 0.57 | 0.69 | bottom 34% in Tennessee; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.02 | 3.15 | 3.50 | bottom 50% in Tennessee; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.39 | 0.48 | bottom 25% in Tennessee; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 53.3 | 48.9 | 45.8 | bottom 37% in Tennessee; bottom 29% in the U.S. |
| RN turnover (%) | 47.1 | 43.2 | 42.9 | bottom 40% in Tennessee; bottom 40% 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 3.44, RN 0.40, weekend 2.82. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fund I Investments Limited Partnership | Organization | 5% or Greater Indirect Ownership Interest | 96% | 08/23/1995 |
| HCF INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/23/1995 |
| Archer, Melissa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/10/2024 |
| Archer, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/10/2024 |
| Consolidated Resources Health Care Fund I LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/23/1983 |
| Consolidated Resources Health Care Fund I LP | Organization | General Partnership Interest | NOT APPLICABLE | 08/23/1995 |
| Consolidated Resources Health Care Fund I LP | Organization | ADP of the SNF | NOT APPLICABLE | 10/05/2000 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 08/23/1995 |
| Elizabethton Medical Investors LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/1990 |
| Elizabethton Medical Investors LP | Organization | ADP of the SNF | NOT APPLICABLE | 10/05/2000 |
| Fletcher, Todd | Individual | Corporate Officer | NOT APPLICABLE | 11/02/2020 |
| Fund I Investments Limited Partnership | Organization | ADP of the SNF | NOT APPLICABLE | 10/05/2000 |
| Grindstaff, Brandy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/16/2020 |
| Grindstaff, Brandy | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/16/2020 |
| Grindstaff, Brandy | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
| HCF INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/23/1995 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 08/16/1999 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/05/1990 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often does each resident's doctor visit and review their care in person?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Ivy Hall Nursing Home | 0.2 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Signature Healthcare of Elizabethton Rehab & Welln | 0.9 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Hermitage Health Center | 1.0 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Hillview Health Center | 1.1 mi | Elizabethton, TN | ★★★★☆ | 4/5 | |
| Princeton Transitional Care & Assisted Living | 8.1 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Abundant Christian Living Community Rehabilitation | 8.1 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Agape Rehabilitation & Nursing Center, a Waters CM | 8.3 mi | Johnson City, TN | ★★★★☆ | 4/5 | |
| NHC Healthcare, Johnson City | 8.8 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| The Waters of Johnson City, LLC | 9.6 mi | Johnson City, TN | ★★☆☆☆ | 3/5 | |
| Lakebridge, a Waters Community, LLC | 9.9 mi | Johnson City, TN | ★★★☆☆ | 4/5 | |
| Life Care Center of Gray | 12.7 mi | Gray, TN | ★☆☆☆☆ | 1/5 | |
| Waters of Bristol a Rehabilitation and Nursing | 12.8 mi | Blountville, TN | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445302.