Tennessee › Unicoi County › Erwin
Erwin Health Care Center
100 Stalling Lane, Erwin, TN 37650
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Erwin Health Care Center is a For-profit, individual nursing home in Erwin, Tennessee, certified for 125 beds and caring for about 72 residents a day.
CMS gives it 2 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (4, 6, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 17.6 per 100 beds, more than the state median of 12.2.
CMS lists 2 penalties in the period covered: fines totalling $10K.
Reported nurse staffing is 3.4 hours per resident per day (0.8 RN), close to the Tennessee median of 3.6.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Unicoi Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 10 | 13 | 28.7 |
| Citations per 100 beds | 17.6 | 14.0 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.3 | 3.6 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | — | 43.1% | 50.0% | 45.8% |
| Fines listed | $10,024 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2025, 20 Jan 2022.
Severity mix: K ×2 D ×16 E ×1 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Mar 2025 |
| 19 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Mar 2025 |
| 19 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 3 Apr 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Mar 2025 |
| 17 May 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | K | Complaint investigation | 18 May 2024 |
| 17 May 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint investigation | 18 May 2024 |
| 20 Jan 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Mar 2022 |
| 20 Jan 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 4 Mar 2022 |
| 20 Jan 2022 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 4 Mar 2022 |
| 20 Jan 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Mar 2022 |
| 20 Jan 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 4 Mar 2022 |
| 20 Jan 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 4 Mar 2022 |
| 30 May 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Jul 2019 |
| 30 May 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Jul 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 May 2024 | Fine | $5,012 | |
| 17 May 2024 | Fine | $5,012 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.7% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.3% | 3.1% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.5% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.9% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Green Tree Health Management (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Erwin Holdco LLC | 5% or greater direct ownership interest | 100% | 09/01/2025 |
| Horizon Healthcare Group LLC | 5% or greater indirect ownership interest | 10% | 09/01/2025 |
| Starlight Healthcare LLC | 5% or greater indirect ownership interest | 45% | 09/01/2025 |
| 10-26 Nationwide Tr | Indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| Bcj Enterprises, LLC | Indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| Cch Healthcare Nc, LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| Erwin Propco LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| 10-26 Nationwide Tr | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Cch Healthcare Nc, LLC | Adp of the snf | NOT APPLICABLE | 11/05/2025 |
| Erwin Holdco LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Erwin Propco LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Horizon Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Starlight Healthcare LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Unicoi County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Christian Care Center of Unicoi County | Erwin | 50 | 4 | 4 | 4 | 7 | 14.0 | — | 15 Apr 2026 |
| Center On Aging and Health | Erwin | 120 | 3 | 3 | 4 | 10 | 8.3 | — | 15 Apr 2026 |
All 3 facilities in Unicoi County
Questions and answers
How many deficiencies has Erwin Health Care Center been cited for?
22 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Erwin Health Care Center been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Erwin Health Care Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Erwin Health Care Center?
It is part of the Green Tree Health Management chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Erwin Holdco LLC, Horizon Healthcare Group LLC and Starlight Healthcare LLC. Individual owners and managers are not listed on this site.
When was Erwin Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2025; the most recent standard health survey was 19 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.