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Center on Aging and Health, LLC
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Erwin, TN
CMS overall rating Info 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.
Center on Aging and Health, LLC

Center on Aging and Health, LLC

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Erwin, TN
CMS overall rating Info 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.
880 South Mohawk Dr, Erwin, TN 37650 View map Calculator: See prices in your area
Center on Aging and Health, LLC accepts Medicare, Medicaid, and private pay.
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Center on Aging and Health, LLC accepts Medicare, Medicaid, and private pay.

Overview of Center on Aging and Health

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Operating for 25 years, Center on Aging and Health is a 120-bed SNF on South Mohawk Drive in Erwin, Tennessee. Owned by Christopher Gaddy, the facility provides residential care to residents requiring ongoing nursing support and medical services. It welcomes Medicare, Medicaid, and private pay, making it attainable to families with different coverage options.

The community operates with full-time nursing staff 24/7. Total nursing care averages 3 hours 25 minutes per resident day, including registered nurses, nurse aides, and LPN/LVN support. This staffing structure supports occupants needing consistent hands-on assistance with daily care and medical oversight. Clinical services are spotlighted. The facility offers rehabilitation services and specialized programs, including orthopedic rehabilitation, a secured memory unit for residents with cognitive decline, and on-site dialysis for occupants needing it. Respite care exists for short-term stays, and the community maintains hospice rooms for end-of-life care. A doctor is on staff, and in-home services are available to residents who may transition to care at home. Currently at about 52 percent occupancy, the community averages a stay duration of roughly 178 days, reflecting a mix of residents in short-term rehabilitation and longer-term care. The surrounding area scores 45 for walkability, meaning some neighborhood services are reachable on foot, but most trips need transportation.

To verify compliance with state and federal regulations, Tennessee’s Department of Health, Division of Health Care Facilities oversees the Center on Aging and Health and conducts regular inspections.

Facility Direct Line (423) 743-7669
Facility Direct Line (423) 743-7669 admissions@coah.net
Instagram

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 5.9% Above TN avg. ▲ 5.9% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 7.7% Above TN avg. ▲ 7.7% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 65.6% Above TN avg. ▲ 65.6% Above TN avg.TN average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 12.8% Below TN avg. ▼ 12.8% Below TN avg.TN average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Tennessee averages

Rank #41 / 179Nurse hours — State benchmarkedThis home is ranked 41st out of 179 homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 179 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 41st out of 179 homes we track 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.

3h 54m

8% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
38m
+10% State avg: 34m per day · National avg: 42m per day
LPN / LVN Info 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.
1h 5m
+5% State avg: 1h 2m per day · National avg: 52m per day
Nurse Aide Info 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.
2h 11m
+9% State avg: 2h 1m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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 17m
+4% State avg: 3h 9m per day · National avg: 3h 30m per day
Physical Therapist Info 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.
1m
−69% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
21m
−12% State avg: 23m per day · National avg: 29m per day

2 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +10% above Tennessee average

Capacity and availability

Residents per day (avg)
68
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
178 days
Bed community size
120-bed community Rank #81 / 425Bed count — State benchmarkedThis home is ranked 81st out of 425 homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.
Years in operation
25 years in operation Rank #249 / 386Years in operation — State benchmarkedThis home is ranked 249th out of 386 homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
Walk Score: 45 / 100 Rank #184 / 520Walk Score — State benchmarkedThis home is ranked 184th out of 520 homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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

Occupancy

Occupancy rate
57%
Rank #216 / 268Occupancy rate — State benchmarkedThis home is ranked 216th out of 268 homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 268. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Tennessee average: 71.6%
Occupied beds
68 / 120
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeAssisted Care Living Facility
IssuanceApril 16, 2001
ExpirationFebruary 26, 2027
License Number00000378
CMS Certification Number445424

Ownership & Operating Entity

Center on Aging and Health, LLC is administered by Christopher (Alex) Gaddy.

Owner NameCenter On Aging & Health, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

5 services
Secured Memory Unit
Orthopedic Rehabilitation
Hospice Rooms
In-Home Services
Onsite Dialysis

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Operating HoursBusiness hours: 8AM - 5PM, 7 days a week; admissions accepted 24 hours a day.

Contact Center on Aging and Health, LLC

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.

Since 2024 · 2 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 2 citations

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2024 vs. Tennessee state average
Overall vs. TN average 0 Worse No metrics in this bucket. 1 Better Metrics better than Tennessee average:
• Total citations (60% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTN Averagevs. TN Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 25 This facility has 60% fewer total citations than a typical Tennessee nursing home (2 vs. TN avg 5).↓ 60% better
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2018 · 8 years of data
Total health inspections 4

State average 3.5

Last Health inspection on Jun 2025

Total health citations
6 Rank #25 / 180Health citations — State benchmarkedThis home is ranked 25th out of 180 homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 180 TN facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 15.4

Citations per inspection
1.5 Rank #5 / 180Citations per inspection — State benchmarkedThis home is ranked 5th out of 180 homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 180 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.39

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 8 years)
Critical health citations
0
100% better than State average

State average: 1.1

Serious health citations
0
100% better than State average

State average: 0.6

0 critical citations State average: 1.1
0 serious citations State average: 0.6
6 moderate citations State average: 13.7
0 minor citations State average: 0.1
Citations history (last 8 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, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 141
Employees 69
Contractors 72
Staff to resident ratio 2.43 : 1
39% more staff per resident than Tennessee average
Tennessee average ratio: 1.75 : 1 Tennessee average ratio: 1.75 : 1See full Tennessee ranking
Avg staff/day 40
Average shift 8.4 hours
0% compared with Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 30,920

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 37 total: 14 full-time employees and 23 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 73 total: 36 full-time employees and 37 contractors. 73
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

13.8%

4,280 contractor hours this quarter

Certified Nursing Assistant: 37 Licensed Practical Nurse: 23 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Qualified Social Worker: 2 Physical Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant36377314,95592100%9.1
Licensed Practical Nurse1423376,96792100%9.2
Clinical Nurse Specialist5052,4808087%8
Registered Nurse6061,97392100%8.6
Dietitian3031,4768592%7.5
Dental Services Staff3031,0656773%6.8
Administrator1014966267%8
Speech Language Pathologist0223815964%5.7
Physical Therapy Assistant0442605863%3.6
Respiratory Therapy Technician0332574751%4.7
Physical Therapy Aide0112514043%6.3
Qualified Social Worker0222195257%3.4
Nurse Aide in Training1011401314%10.8
73 Certified Nursing Assistant
% of Days 100%
37 Licensed Practical Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 87%
6 Registered Nurse
% of Days 100%
View All Staffing Data

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.0
18% worse than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Average Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 16.0%
In line with Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.5%
41% worse than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.5%
9% worse than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
64% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.8%
7% worse than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.1%
49% worse than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 12.8%
103% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.4%
13% worse than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 40.0%
142% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
23% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
41% worse than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
18% better than Tennessee average

Tennessee average: 79.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 58
Medicare
5
8.6% of residents
Medicaid
35
60.3% of residents
Private pay or other
18
31% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.2M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.8M Rank #139 / 174Net patient revenue — State benchmarkedThis home is ranked 139th out of 174 homes we track in Tennessee. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.2M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.5M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #126 / 174Payroll costs — State benchmarkedThis home is ranked 126th out of 174 homes we track in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.8M 55.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #61 / 174Payroll % of net patient revenue — State benchmarkedThis home is ranked 61st out of 174 homes we track in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.0M
How we calculate these figures

This home is administered by Christopher (Alex) Gaddy.

This home is owned by Christopher Gaddy

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445424

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 9 - 10 months.

Admissions
128 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 36%
Medicaid 41%
Discharges
128 total

Coverage residents most often leave under.

Medicare 23%
Private pay 36%
Medicaid 41%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Center on Aging and Health, LLC

Address 0.0 miles from city center Info Estimated distance in miles from Erwin's city center to Center on Aging and Health, LLC's address, calculated via Google Maps.

Calculate Travel Distance to Center on Aging and Health, LLC

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
NHC HealthCare Johnson City ★ ★ ★ ★ ★
NH
HC
HOS
SNF
Johnson City
10
Facility 10
TN AVG 88
Rank #425 / 425
100.0%
Facility 100.0%
TN AVG 73.1
Rank #1 / 268
+37%
3.58
Facility 3.58
TN AVG 3.63
Rank #73 / 179
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -8%-1%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
3
Facility 3
TN AVG 15.4
Rank #10 / 180
1.5
Facility 1.5
TN AVG 4.4
Rank #5 / 180
-10-
2
Facility 2
TN AVG 36
Rank #507 / 520
Howard Nason Jr.
$19.1MFiscal year ending 12/2023
Facility $19.1MFiscal year ending 12/2023
TN AVG $11.1M
Rank #13 / 174
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #15 / 174
55.7%Fiscal year ending 12/2023
Facility 55.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #60 / 174
445024
Abundant Christian Living Community Assisted Living Center ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Johnson City
24
Facility 24
TN AVG 88
Rank #415 / 425
75.0%
Facility 75.0%
TN AVG 73.1
Rank #143 / 268
+3%
3.01
Facility 3.01
TN AVG 3.63
Rank #151 / 179
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -23%-17%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
6
Facility 6
TN AVG 15.4
Rank #25 / 180
2.0
Facility 2.0
TN AVG 4.4
Rank #12 / 180
-18-
2
Facility 2
TN AVG 36
Rank #507 / 520
Tyler Colbaugh
$10.8MFiscal year ending 12/2023
Facility $10.8MFiscal year ending 12/2023
TN AVG $11.1M
Rank #71 / 174
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
TN AVG $5.9M
Rank #90 / 174
48.3%Fiscal year ending 12/2023
Facility 48.3%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #101 / 174
445483
Smith County Health and Rehabilitation ★ ★ ★ ★ ★
NH
MC
SNF
Carthage
34
Facility 34
TN AVG 88
Rank #402 / 425
61.8%
Facility 61.8%
TN AVG 73.1
Rank #201 / 268
-16%
3.50
Facility 3.50
TN AVG 3.63
Rank #82 / 179
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -1%-3%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
7
Facility 7
TN AVG 15.4
Rank #32 / 180
2.3
Facility 2.3
TN AVG 4.4
Rank #25 / 180
221-
45
Facility 45
TN AVG 36
Rank #184 / 520
Tn M53 Spe Opco Holdco LLC
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
TN AVG $11.1M
Rank #104 / 174
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
TN AVG $5.9M
Rank #128 / 174
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #156 / 174
445172
Harbert Hills Academy Nursing Home ★ ★ ★ ★ ★
NH
SNF
Savannah
24
Facility 24
TN AVG 88
Rank #415 / 425
66.7%
Facility 66.7%
TN AVG 73.1
Rank #178 / 268
-9%
5.46
Facility 5.46
TN AVG 3.63
Rank #8 / 179
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ -55%+51%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
17
Facility 17
TN AVG 15.4
Rank #110 / 180
5.7
Facility 5.7
TN AVG 4.4
Rank #141 / 180
-16-
60
Facility 60
TN AVG 36
Rank #67 / 520
Alton Cantarutti---445527
Center on Aging and Health, LLC ★ ★ ★ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Erwin
120
Facility 120
TN AVG 88
Rank #81 / 425
56.5%
Facility 56.5%
TN AVG 73.1
Rank #216 / 268
-23%
3.90
Facility 3.90
TN AVG 3.63
Rank #41 / 179
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -51%+8%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
6
Facility 6
TN AVG 15.4
Rank #25 / 180
1.5
Facility 1.5
TN AVG 4.4
Rank #5 / 180
-68-
45
Facility 45
TN AVG 36
Rank #184 / 520
Christopher Gaddy
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
TN AVG $11.1M
Rank #139 / 174
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
TN AVG $5.9M
Rank #126 / 174
55.6%Fiscal year ending 12/2023
Facility 55.6%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #61 / 174
445424
Nursing Home Explorer

Frequently Asked Questions about Center on Aging and Health, LLC

Who is the owner of Center on Aging and Health, LLC?

Center on Aging and Health, LLC is legally operated by Center on Aging & Health, LLC, and administered by Christopher (Alex) Gaddy.

Is Center on Aging and Health, LLC in a walkable area?

Center on Aging and Health, LLC has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Center on Aging and Health, LLC?

According to TN state health department records, Center on Aging and Health, LLC's license number is 00000378.

When does Center on Aging and Health, LLC's license expire?

According to TN state health department records, Center on Aging and Health, LLC's license expires on February 26, 2027.

What is the occupancy rate at Center on Aging and Health, LLC?

Center on Aging and Health, LLC's occupancy is 57%.

How long has Center on Aging and Health, LLC been in business?

Center on Aging and Health, LLC has been operating for approximately 25 years, based on available licensing and registration records.

Are pets allowed at Center on Aging and Health, LLC?

No, Center on Aging and Health, LLC has a no-pet policy.

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