Total health inspections
4
State average N/A
Last Health inspection on Jun 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Center on Aging and Health, LLC
Assisted Living Home
Center on Aging and Health, LLC
Assisted Living Home
Center on Aging and Health, LLC is a skilled nursing and long-term care facility located in Erwin, Tennessee. It offers a wide range of medical and rehabilitative care, including long-term care, short-term care, rehabilitation, and secured memory units. The facility is dedicated to providing compassionate care and individualized medical plans to support residents' health and recovery.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
52%
Residents per day (avg)
68
Occupancy rate
52%
Residents per day (avg)
68
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
36% of new residents, often for short stays.
Typical stay
4 months
Medicaid
41% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Proprietary home
Other
Home revenue
$9.1M
Profit
$324.2K
Proprietary home
Other
Home revenue
$9,091,564.00
Profit
$324,185.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
24 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
April 16, 2001
Additional licensing details
License number:
00000378
CMS Certification Number:
445424
Ownership & operating entity
Center on Aging and Health, LLC is administrated by Christopher (Alex) Gaddy.
Owner name:
Center on Aging & Health, LLC
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Programs & Activities
Specific Programs
About Us, Services, Amenities, Careers, News
Operating Hours
Business hours: 8AM - 5PM, 7 days a week, we accept admissions 24 hours a day.
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Latest inspection
Date:August 2, 2023
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Center on Aging and Health, LLC
-72%
-6%
-29%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 37650
120
No
-
GADDY, CHRISTOPHER
52.0%
$7,609,609.00
$3,476,242.00
45.7%
67.90
3.4087
6
-72%-6%-29%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
Center on Aging and Health, LLC
Type of care:
SNF
AL
Community:
TN 37650
Bed Count:
120
Pets Allowed:
No
Operator:
GADDY, CHRISTOPHER
CCN:
445424
Occupancy:
52.0%
Home Revenue:
$7,609,609.00
Payroll Costs:
$3,476,242.00
Payroll %:
45.7%
Avg Residents/Day:
67.90
Overall Rating:
Adj Nurse Hours:
3.4087
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
6
RN share vs State Avg:
-72%
-72%
Staffing vs State Avg:
-6%
-6%
Occupancy vs State Avg:
-29%
-29%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Center on Aging and Health, LLC
0.0 miles from city center
Erwin, TN 37650
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
124
Total Staff
67
Employees
57
Contractors
28,201
Total Hours (Quarter)
37
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 3 | 10.8 | No |
| Licensed Practical Nurse | 34 | 9.4 | Yes |
| Certified Nursing Assistant | 64 | 9.2 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
104 staff
9.3hs shift avg
Physicians & Practitioners ⓘ
5 staff
8.3hs shift avg
Therapy Services ⓘ
7 staff
4.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
5.7hs shift avg
Dietary Services ⓘ
3 staff
7.6hs shift avg
Other Services ⓘ
3 staff
6.6hs shift avg
Contractor Analysis
12.5%
of total hours from contractors
3,521 contractor hours this quarter
Certified Nursing Assistant: 30
Licensed Practical Nurse: 19
Physical Therapy Assistant: 3
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 34 | 30 | 64 | 12,534 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 15 | 19 | 34 | 6,618 | 91 | 100% | 9.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,643 | 83 | 91% | 8.3 |
| Dietitian | 3 | 0 | 3 | 1,501 | 85 | 93% | 7.6 |
| Dental Services Staff | 3 | 0 | 3 | 1,045 | 68 | 75% | 6.6 |
| Registered Nurse | 3 | 0 | 3 | 987 | 77 | 85% | 10.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 733 | 65 | 71% | 6.3 |
| Nurse Aide in Training | 3 | 0 | 3 | 698 | 66 | 73% | 8.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 503 | 76 | 84% | 3.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 344 | 60 | 66% | 5.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 124 | 40 | 44% | 3.1 |
Health Inspection History
Inspections
Total health citations
6
Citations per inspection
1.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 6 citations resulted from standard inspections; and 1 of 6 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
6 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Jun 04, 2025
Corrected
Care Planning moderate citation
Aug 02, 2023
Corrected
Care Planning moderate citation
Aug 02, 2023
Corrected
Quality of Care moderate citation
Nov 06, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
58
Total Residents
Medicare
5
(8.6%)
ⓘ
Medicaid
35
(60.3%)
ⓘ
Private Pay/Other
18
(31%)
ⓘ
Specialized Care Beds
18
Total Specialty Beds
15%
of Bed Capacity
18
Alzheimer's / Dementia Beds ⓘ
15%
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
27% worse than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
18% worse than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
In line with State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.5%
Percent of long-stay residents whose ability to move independently worsened
30.5%
41% worse than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
9% worse than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
64% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.8%
Percent of long-stay high risk residents with pressure ulcers
5.8%
7% worse than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
49% worse than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.8%
Percent of long-stay residents who lose too much weight
12.8%
103% worse than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.4%
Percent of long-stay residents who have depressive symptoms
12.4%
13% worse than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
40.0%
Percent of long-stay residents who received an antipsychotic medication
40.0%
142% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
23% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
41% worse than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
18% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Center on Aging and Health, LLC based on CMS SNF Cost Reports.
Occupancy Rate
52.0%
↑ 2.5pp vs 2022
Net Income
$324,185
↑ ~$879K vs 2022
Total Payroll
$4,771,523
↑ ~$47K vs 2022
Profit Margin
4.3%
↑ 12.8pp vs 2022
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