Total health inspections
4
Tennessee average 3.5
Last Health inspection on Jun 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Center on Aging and Health, LLC
Nursing Home · Tennessee, TN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Center on Aging and Health, LLC
Nursing Home · Tennessee, TN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Center on Aging and Health, LLC accepts Medicare, Medicaid, and private pay.
Center on Aging and Health, LLC is a skilled nursing and long-term care facility located in Erwin, Tennessee. It offers a wide range of medical and rehabilitative care, including long-term care, short-term care, rehabilitation, and secured memory units. The facility is dedicated to providing compassionate care and individualized medical plans to support residents' health and recovery.
Quality ratings
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 83rd out of 172 homes in Tennessee. 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 83rd out of 172 homes in Tennessee. 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 #83 / 172Nurse hours — State benchmarkedThis home is ranked 83rd out of 172 homes in Tennessee. 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
-7%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 57m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
52%
Rank #256 / 302Occupancy rate — State benchmarkedThis home is ranked 256th out of 302 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 302. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
178 days
Occupancy rate
52%
Rank #256 / 302Occupancy rate — State benchmarkedThis home is ranked 256th out of 302 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 302. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
178 days
120-bed community Rank #82 / 429Bed count — State benchmarkedThis home is ranked 82nd out of 429 homes in Tennessee. 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.
25 years in operation Rank #246 / 383Years in operation — State benchmarkedThis home is ranked 246th out of 383 homes in Tennessee. 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: 45 / 100 Rank #185 / 555Walk Score — State benchmarkedThis home is ranked 185th out of 555 homes in Tennessee. 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
IssuanceApril 16, 2001
License Number00000378
CMS Certification Number445424
Center on Aging and Health, LLC is administrated by Christopher (Alex) Gaddy.
Owner NameCenter On Aging & Health, LLC
Rehabilitation Services
Respite Care
Doctor on Staff
24-Hour Staffing
Secured Memory Unit
Orthopedic Rehabilitation
Hospice Rooms
In-Home Services
Onsite Dialysis
Specific ProgramsNews
Operating HoursBusiness hours: 8AM - 5PM, 7 days a week, we accept admissions 24 hours a day.
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Inspection oversight
- Latest inspection: August 2, 2023
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
6
Rank #24 / 176Health citations — State benchmarkedThis home is ranked 24th out of 176 homes in Tennessee. 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
1.5
Rank #5 / 176Citations per inspection — State benchmarkedThis home is ranked 5th out of 176 homes in Tennessee. 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.
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 Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
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
39% better than Tennessee average
Avg staff/day
40
Average shift
8.4 hours
0% compared with Tennessee average
Total staff hours (quarter)
30,920
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
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
73
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Contractor 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
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
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 37 | 73 | 14,955 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 14 | 23 | 37 | 6,967 | 92 | 100% | 9.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,480 | 80 | 87% | 8 |
| Registered Nurse | 6 | 0 | 6 | 1,973 | 92 | 100% | 8.6 |
| Dietitian | 3 | 0 | 3 | 1,476 | 85 | 92% | 7.5 |
| Dental Services Staff | 3 | 0 | 3 | 1,065 | 67 | 73% | 6.8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 381 | 59 | 64% | 5.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 260 | 58 | 63% | 3.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 257 | 47 | 51% | 4.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 251 | 40 | 43% | 6.3 |
| Qualified Social Worker | 0 | 2 | 2 | 219 | 52 | 57% | 3.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 140 | 13 | 14% | 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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
27% worse than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
18% worse than Tennessee averageTennessee average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
In line with Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.5%
Percent of long-stay residents whose ability to move independently worsened
30.5%
41% worse than 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
22.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
9% worse than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
64% better than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.8%
Percent of long-stay high risk residents with pressure ulcers
5.8%
7% worse than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
49% worse than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.8%
Percent of long-stay residents who lose too much weight
12.8%
103% worse than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.4%
Percent of long-stay residents who have depressive symptoms
12.4%
13% worse than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
40.0%
Percent of long-stay residents who received an antipsychotic medication
40.0%
142% worse than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
23% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
41% worse than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
18% better than Tennessee averageTennessee 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.
Financial Trends
Historical financial and operational data for Center on Aging and Health, LLC based on CMS SNF Cost Reports.
Occupancy Rate
52.0%
↑ 2.5pp vs 2022
Net Income
$324.2K
↑ ~$879.1K vs 2022
Total Payroll
$4.8M
↑ ~$46.8K vs 2022
Profit Margin
4.3%
↑ 12.8pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$9.1M
Profit
$324.2K
Privately-owned community
Home revenue
$9.1M Rank #138 / 176Revenue — State benchmarkedThis home is ranked 138th out of 176 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$324.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #104 / 176Payroll — State benchmarkedThis home is ranked 104th out of 176 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #104 / 176Payroll — State benchmarkedThis home is ranked 104th out of 176 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Center on Aging and Health, LLC
0.0 miles from city center
Estimated distance in miles from Erwin's city center to Center on Aging and Health, LLC's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Tennessee
Center on Aging and Health, LLC is located in Erwin, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about Center on Aging and Health, LLC
Who is the owner of Center on Aging and Health, LLC?
The legal owner and operator of Center on Aging and Health, LLC is Center on Aging & Health, LLC.
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.
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.
Are there photos of Center on Aging and Health, LLC?
Yes — there are 2 photos of Center on Aging and Health, LLC in the photo gallery on this page.
What is the address of Center on Aging and Health, LLC?
Center on Aging and Health, LLC is located at 880 South Mohawk Dr.
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