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

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.
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Center on Aging and Health, LLC accepts Medicare, Medicaid, and private pay.

Overview of Center on Aging and Health, LLC

Operating for 25 years, Center on Aging and Health, LLC 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, LLC and conducts regular inspections.

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.
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.
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.
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.

Staffing hours breakdown

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 — compared to state averages

Total nursing care / resident Info 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 25m per day
Rank #97 / 192Nurse hours — State benchmarkedThis home is ranked 97th out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs 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. 41m 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 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 21m 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 27m 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. 2m 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. 24m per day

Capacity and availability

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 / 426Bed count — State benchmarkedThis home is ranked 81st out of 426 homes in Tennessee. 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.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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 #245 / 385Years in operation — State benchmarkedThis home is ranked 245th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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 / 553Walk Score — State benchmarkedThis home is ranked 184th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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
52%
Rank #272 / 319Occupancy rate — State benchmarkedThis home is ranked 272nd out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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
62 / 120
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceApril 16, 2001
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

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 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. 2 Better Metrics better than Tennessee average:
• Total citations (50% below)
• Citations per year (50% below)
Latest Inspection August 2, 2023

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. 24 This facility has 50% fewer total citations than a typical Tennessee assisted living residence (2 vs. TN avg 4).↓ 50% better
Citations per year Info Average citations per year since 2024. 12 This facility has 50% fewer citations per year than a typical Tennessee assisted living residence (1 vs. TN avg 2).↓ 50% better

Health Inspection History

Inspections since 2018
Total health inspections 4

State average N/A


Last Health inspection on Jun 2025

Total health citations
6 Rank #26 / 196Health citations — State benchmarkedThis home is ranked 26th out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
1.5 Rank #6 / 196Citations per inspection — State benchmarkedThis home is ranked 6th out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

6 moderate citations State average: N/A

0 minor citations State average: N/A
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

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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 40
Average shift 8.4 hours
0% compared with State average

State average: 0 hours

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%
3 Dietitian
% of Days 92%
3 Dental Services Staff
% of Days 73%
1 Administrator
% of Days 67%
2 Speech Language Pathologist
% of Days 64%
4 Physical Therapy Assistant
% of Days 63%
3 Respiratory Therapy Technician
% of Days 51%
1 Physical Therapy Aide
% of Days 43%
2 Qualified Social Worker
% of Days 57%
1 Nurse Aide in Training
% of Days 14%

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 State average

State 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 State average

State average: 19.5

Long-stay resident measures
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 State average

State average: 16.0%

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

State 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 State average

State 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 State average

State 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 State average

State average: 5.4%

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

State average: 2.1%

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

State average: 6.3%

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

State average: 11.0%

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

State average: 16.5%

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

State average: 89.9%

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

State average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
23% better than State average

State average: 79.7%

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

State average: 1.7%

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

State average: 79.8%

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.

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 #156 / 196Revenue — State benchmarkedThis home is ranked 156th out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #117 / 196Payroll — State benchmarkedThis home is ranked 117th out of 196 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$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 #47 / 196Payroll % — State benchmarkedThis home is ranked 47th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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

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%

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

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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.

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

Center on Aging and Health, LLC's occupancy is 52%.

Does Center on Aging and Health, LLC operate as a for-profit or non-profit?

Center on Aging and Health, LLC is registered as a for-profit in TN.

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

Christopher (Alex) Gaddy is the administrator of Center on Aging and Health, LLC.

How many beds does Center on Aging and Health, LLC have?

Center on Aging and Health, LLC has 120 beds.

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