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Signature Healthcare of Elizabethton Rehab & Welln
1200 Spruce Lane, Elizabethton, TN 37643 (opens Google Maps) · Carter County · (423) 543-3202· 94 certified beds · avg 68 residents/day · certified since Feb 17, 1989 · 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: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
5/5
Health inspection rating (on-site)
inspected May 7, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.58
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · 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.
Inspection findings in the public record
2 inspection findings in the public record
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 |
|---|---|---|
| May 7, 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 |
| Oct 2, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
Inspection trend by year
All citationsSerious citations (G–L)
2019
All citations: 1
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2025 | 1 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.58
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.45
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.14
Tennessee average: 3.15
U.S. average: 3.50
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) | 3.58 | 3.62 | 3.95 | top 41% in Tennessee; bottom 41% in the U.S. |
| Registered Nurse hours | 0.45 | 0.57 | 0.69 | bottom 36% in Tennessee; bottom 29% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.15 | 3.50 | top 40% in Tennessee; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.39 | 0.48 | bottom 45% in Tennessee; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 36.8 | 48.9 | 45.8 | top 17% in Tennessee; top 28% in the U.S. |
| RN turnover (%) | 60.0 | 43.2 | 42.9 | bottom 22% in Tennessee; bottom 22% in the U.S. |
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 3.89, RN 0.48, weekend 3.42.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Signature Healthcare of Elizabethton Rehab & Welln. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Agemo Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2016 |
| Jjla LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| LP CR Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2007 |
| LPSNF II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2016 |
| Steier III, Elmer | Individual | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Wheaten LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Signature Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2007 |
| Street, Debbie | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/01/2007 |
| Street, Debbie | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2007 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Signature Healthcare — 67 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.
- Signature Healthcare of Erin — Erin, TN · overall 1/5
- Signature Healthcare of Fentress County — Jamestown, TN · overall 2/5
- Signature Healthcare of Greeneville — Greeneville, TN · overall 4/5
- Signature Healthcare of Memphis — Memphis, TN · overall 5/5
- Signature Healthcare of Monteagle Rehab & Wellness — Monteagle, TN · overall 3/5
- Signature Healthcare of Primacy — Memphis, TN · overall 5/5
- Signature Healthcare of Putnam County — Cookeville, TN · overall 1/5
- Signature Healthcare of Ridgely Rehab&wellness Ctr — Ridgely, TN · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 19 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ivy Hall Nursing Home | 0.9 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Life Care Center of Elizabethton | 0.9 mi | Elizabethton, TN | ★★★☆☆ | 3/5 | |
| Hermitage Health Center | 1.7 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Hillview Health Center | 1.7 mi | Elizabethton, TN | ★★★★☆ | 4/5 | |
| Princeton Transitional Care & Assisted Living | 9.0 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Abundant Christian Living Community Rehabilitation | 9.0 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Agape Rehabilitation & Nursing Center, a Waters CM | 9.1 mi | Johnson City, TN | ★★★★☆ | 4/5 | |
| NHC Healthcare, Johnson City | 9.7 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| The Waters of Johnson City, LLC | 10.4 mi | Johnson City, TN | ★★☆☆☆ | 3/5 | |
| Lakebridge, a Waters Community, LLC | 10.6 mi | Johnson City, TN | ★★★☆☆ | 4/5 | |
| Waters of Bristol a Rehabilitation and Nursing | 13.5 mi | Blountville, TN | ★★★★☆ | 5/5 | |
| Life Care Center of Gray | 13.6 mi | Gray, TN | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Carter, TN — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- The Waters of Roan Highlands,llc — Roan Mountain, TN · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 445217.