Total health inspections
2
Tennessee average 3.5
Last Health inspection on Feb 2024
Starr Regional Health & Rehabilitation
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Starr Regional Health & Rehabilitation
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Overview of Starr Regional Health & Rehabilitation
Starr Regional Health & Rehabilitation is a church-affiliated, voluntary non-profit nursing home in Etowah, TN, that provides skilled nursing care and rehabilitation services. Serving McMinn County and the surrounding East Tennessee area since July 1, 1992, this 88-bed community brings over 33 years of dedicated operational experience under the ownership of Athens Regional Medical Center, LLC.
A commitment to high-quality care is evident in the community’s 4-star overall CMS rating, which highlights above-average composite performance across health inspections, staffing metrics, and quality measures. A review of recent inspections also reveals 10 total citations across two standard evaluations over the past five years. All cited areas were of moderate severity, with absolutely zero critical or serious infractions, and every item under infection control, administration, and pharmacy services has been fully resolved. The most recent inspection was successfully completed in February 2024.
Clinical oversight is a particular area of strength, specifically regarding registered nurse presence. Older adults benefit from 49 minutes of RN coverage per resident each day, which stands 32% above the Tennessee state average of 37 minutes. This strong clinical presence extends into the weekend, where RN hours average 27 minutes, which is 13% higher than the state benchmark. Overall daily nursing coverage also reaches a robust 4 hours and 11 minutes. While LPN/LVN and nurse aide hours sit modestly below state means by 15% each, and physical therapist hours are slightly under the state average, weekend nursing totals remain completely in line with regional benchmarks. As of Q2 2025, operations are supported by 71 total staff members, with 69 employees and 2 contractors, maintaining an average shift length of 9 hours and a staff-to-resident ratio of 1.11:1.
Comprehensive rehabilitation therapies are provided, alongside fully licensed nursing and CNA assistance. Due to its direct relationship with Athens Regional Medical Center, the community also features a hospital-affiliated care model boasting an exceptionally broad roster of medical specialties. Available programs include behavioral health, telehealth services, cardiology, vascular support, diabetes care, cancer care, infusion services, digestive health, urology, orthopedics, and sleep diagnostics. Administrative offices are open to assist families Monday through Friday, from 8:30 AM to 5 PM. Located in an area with a Walk Score of 40, most daily errands will necessitate transportation, though a handful of neighborhood services remain within walking distance.
For older adults in East Tennessee seeking a hospital-aligned skilled nursing environment with superior RN supervision and expansive specialty programs, Starr Regional Health & Rehabilitation stands out as an excellent choice in McMinn County. The community’s long-standing history in the Etowah neighborhood, paired with its church-affiliated non-profit foundation, establishes a deeply rooted and stable identity.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 21st out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 21st out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 11m per day
Rank #21 / 172Nurse hours — State benchmarkedThis home is ranked 21st out of 172 homes in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 172 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Tennessee avg
+14%
Standout metric
Registered Nurse (RN) is +32% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 49m per day | ▲ 32% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▼ 15% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 50m per day | ▼ 15% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 20m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▲ 13% State avg: 24m per day · National avg: 28m per day |
88-bed community Rank #186 / 427Bed count — State benchmarkedThis home is ranked 186th out of 427 homes in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation Rank #67 / 385Years in operation — State benchmarkedThis home is ranked 67th out of 385 homes in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 40 / 100 Rank #231 / 554Walk Score — State benchmarkedThis home is ranked 231st out of 554 homes in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
ExpirationAugust 1, 2026
License Number00000165
Starr Regional Health & Rehabilitation is administrated by Wallace William Stutts.
Owner NameAthens Regional Medical Center, LLC
Rehabilitation Services
Specific ProgramsBehavioral Health, Breast Health, Cancer Care, Cardiology, Diabetes Care, Digestive Health, Emergency Room, Infusion Services, Labor & Delivery, Medical Imaging, Orthopedics, Sleep Diagnostics Center, Special Delivery Program, Surgery, Telehealth Services, Urology, Vascular Care
Touring HoursMonday - Friday: 8:30 AM - 5 PM
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.
Inspection oversight
- Latest inspection: February 6, 2024
Health Inspection History
Inspections
Total health citations
10
Rank #57 / 176Health citations — State benchmarkedThis home is ranked 57th out of 176 homes in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 176 TN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 15.4
Citations per inspection
5
Rank #109 / 176Citations per inspection — State benchmarkedThis home is ranked 109th out of 176 homes in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 176 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
Citations history (last 5 years)
Administration moderate citation
Feb 06, 2024
Corrected
Infection Control moderate citation
Feb 06, 2024
Corrected
Nursing Services moderate citation
Feb 06, 2024
Corrected
Care Planning moderate citation
Feb 06, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
70
Employees
70
Contractors
0
Staff to resident ratio
1.09 : 1
37% fewer staff per resident than Tennessee average
Avg staff/day
30
Average shift
8.7 hours
5% better than Tennessee average
Total staff hours (quarter)
24,061
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 11 RN Staff are full-time employees. No contractors work on this role.
11
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 26 CNA Staff are full-time employees. No contractors work on this role.
26
All 26 CNA Staff are full-time employees. No contractors work on this role.
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0% — all staff are direct employees this quarter
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 0 | 26 | 9,934 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 11 | 0 | 11 | 5,456 | 92 | 100% | 9 |
| Registered Nurse | 11 | 0 | 11 | 3,997 | 91 | 99% | 8.8 |
| Dietitian | 5 | 0 | 5 | 1,015 | 70 | 76% | 7.4 |
| Nurse Practitioner | 3 | 0 | 3 | 975 | 66 | 72% | 7.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 733 | 70 | 76% | 6.3 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 468 | 62 | 67% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 444 | 52 | 57% | 8.5 |
| Speech Language Pathologist | 3 | 0 | 3 | 431 | 56 | 61% | 6.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 380 | 47 | 51% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 100 | 13 | 14% | 7.7 |
| Administrator | 1 | 0 | 1 | 60 | 8 | 9% | 7.5 |
| Qualified Social Worker | 1 | 0 | 1 | 52 | 11 | 12% | 4.7 |
| Nurse Aide in Training | 1 | 0 | 1 | 18 | 3 | 3% | 6 |
26 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
99%
5 Dietitian
% of Days
76%
3 Nurse Practitioner
% of Days
72%
2 Physical Therapy Aide
% of Days
76%
1 Respiratory Therapy Technician
% of Days
67%
1 Mental Health Service Worker
% of Days
57%
3 Speech Language Pathologist
% of Days
61%
3 Physical Therapy Assistant
% of Days
51%
1 Clinical Nurse Specialist
% of Days
14%
1 Administrator
% of Days
9%
1 Qualified Social Worker
% of Days
12%
1 Nurse Aide in Training
% of Days
3%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$9K Rank #122 / 177Federal fines — State benchmarkedThis home is ranked 122nd out of 177 homes in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 177 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
90% lower than Tennessee averageTennessee average: $86K
Number of fines
2
15% more fines than Tennessee averageTennessee average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Tennessee averageTennessee average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$9K
Tennessee average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
$4K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
$5K
Last updated: Jan 2026
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.
13.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.5
29% worse than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
12% worse than Tennessee averageTennessee average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
16% worse than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.5%
Percent of long-stay residents whose ability to move independently worsened
24.5%
13% worse than Tennessee averageTennessee 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
22.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.3%
8% worse than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
11.4%
Percent of long-stay residents experiencing one or more falls with major injury
11.4%
211% worse than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
48% better than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.5%
Percent of long-stay residents with a urinary tract infection
5.5%
168% worse than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.3%
Percent of long-stay residents who lose too much weight
10.3%
64% worse than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
86% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.0%
Percent of long-stay residents who received an antipsychotic medication
21.0%
27% worse than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
11% better than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
In line with Tennessee averageTennessee average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.77
Number of hospitalizations per 1,000 long-stay resident days.
0.77
51% better than Tennessee averageTennessee average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.60
In line with Tennessee averageTennessee average: 1.57
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
22% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
6% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
24% better than Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
9% worse than Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
46% better than Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
51.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.3%
In line with Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
59.8%
Rate of successful return to home or community from a skilled nursing facility.
59.8%
18% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64
Medicare
13
20.3% of residents
Medicaid
51
79.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Places of interest near Starr Regional Health & Rehabilitation
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Estimated distance in miles from Etowah's city center to Starr Regional Health & Rehabilitation's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Tennessee
Starr Regional Health & Rehabilitation is located in Etowah, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about Starr Regional Health & Rehabilitation
Who is the owner of Starr Regional Health & Rehabilitation?
The legal owner and operator of Starr Regional Health & Rehabilitation is Athens Regional Medical Center, LLC.
Is Starr Regional Health & Rehabilitation in a walkable area?
Starr Regional Health & Rehabilitation has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Starr Regional Health & Rehabilitation?
According to TN state health department records, Starr Regional Health & Rehabilitation's license number is 00000165.
When does Starr Regional Health & Rehabilitation's license expire?
According to TN state health department records, Starr Regional Health & Rehabilitation's license expires on August 1, 2026.
Who is the administrator of Starr Regional Health & Rehabilitation?
Wallace William Stutts is the administrator of Starr Regional Health & Rehabilitation.
How many beds does Starr Regional Health & Rehabilitation have?
Starr Regional Health & Rehabilitation has 88 beds.
Are there photos of Starr Regional Health & Rehabilitation?
Yes — there are 2 photos of Starr Regional Health & Rehabilitation in the photo gallery on this page.
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