The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Nursing home report
HERMITAGE HEALTH CENTER
ELIZABETHTON, TN · Medicare-certified · 70 beds
In good standing
Non-profitChain member
5 of 5 overall
Hermitage Health Center in Elizabethton, TN has an overall 5-star rating, with 5 stars for health inspections, 4 stars for staffing, and 3 stars for quality measures. It had no fines in the last 24 months, but reported nurse staffing is 3.88 hours per resident per day, below the 4.1-hour federal benchmark, and recent inspection areas cited assessment, medical records/privacy, and care coordination issues.
Facility ratings
Health inspections
Staffing
3.877 hrs/resident/day
Quality measures
Last inspection: May 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.877.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.29
- Weekend nursing
- 3.47
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%17.2%Worsening
Residents with a fall causing major injury
6.4%2%Improving
Residents with pressure ulcers (bedsores)
4%5.1%Worsening
Residents with a urinary tract infection
7%8.3%Worsening
Residents who lost too much weight
0%2.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.9%26.3%Worsening
Residents whose ability to walk got worse
—16.8%—
Long-stay residents on antianxiety or sleep medication
34.2%48.8%Worsening
Short-stay residents newly given an antipsychotic
2.6%4%Worsening
Residents with a long-term catheter
0%2.3%Worsening
Residents with new or worsening incontinence
27.5%38.6%Worsening
Residents with depressive symptoms
97.9%60%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited August 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2019 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of TWIN RIVERS HEALTH & REHABILITATION · 12 homes · 4 stars avg
- Occupancy
- 54.7 residents on an average day (78% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.