Signature Healthcare of Elizabethton Rehab & Welln
1200 Spruce Lane, Elizabethton, TN 37643 · Carter County · 94 certified beds · avg 68 residents/day · certified since Feb 17, 1989
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (2)
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 |
|---|---|---|
| May 7, 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. |
| Oct 2, 2019 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| 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)
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) | 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, 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. Staffing rating: 3/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
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 |
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?"
- "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 | 0.9 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 | |
| Abundant Christian Living Community Rehabilitation | 9.0 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Princeton Transitional Care & Assisted Living | 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 |
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Facility data as of CMS processing date 2026-08-01. CCN 445217.