Show Inspection Reports
Total health inspections
4
State average N/A
Last Health inspection on Jun 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Center on Aging and Health, LLC
Assisted Living in USA
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
Assisted Living in USA
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
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.
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 #70 / 134Nurse hours — state benchmarkedThis home is ranked 70th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 #124 / 139Occupancy rate — state benchmarkedThis home is ranked 124th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
178 days
Occupancy rate
52%
Rank #124 / 139Occupancy rate — state benchmarkedThis home is ranked 124th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
178 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
36% of new residents, often for short stays.
Typical stay
4 months
Medicaid
41% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Home revenue
$9.1M
Profit
$324.2K
Privately-owned community
Home revenue
$9.1M Rank #111 / 139Revenue — state benchmarkedThis home is ranked 111th out of 139 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 %.
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 #95 / 139Payroll — state benchmarkedThis home is ranked 95th out of 139 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.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #95 / 139Payroll — state benchmarkedThis home is ranked 95th out of 139 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
25 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
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
Licensed Nurses/CNAs
24-Hour Staffing
Secured Memory Unit
Orthopedic Rehabilitation
Hospice Rooms
In-Home Services
Onsite Dialysis
Specific ProgramsAbout Us, Services, Amenities, Careers, News
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.
Tennessee average: 9 complaint visits
Latest inspection
Date
August 2, 2023
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health citations
6
Rank #15 / 138Health citations — state benchmarkedThis home is ranked 15th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
State average N/A
Citations per inspection
1.5
Rank #3 / 138Citations per inspection — state benchmarkedThis home is ranked 3rd out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
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 3 years)
Critical Health citations
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
6 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 04, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 04, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 02, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 02, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 02, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 02, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 06, 2019
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 06, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
Calculate Travel Distance to Center on Aging and Health, LLC
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
124
Employees
67
Contractors
57
Staff to resident ratio
2.14:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
37
Average shift
8.4 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
28,201
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
64
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.
Contractor staffing
Total hours from contractors
12.5%
3,521 contractor hours this quarter
Certified Nursing Assistant: 30
Licensed Practical Nurse: 19
Physical Therapy Assistant: 3
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 34 | 30 | 64 | 12,534 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 15 | 19 | 34 | 6,618 | 91 | 100% | 9.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,643 | 83 | 91% | 8.3 |
| Dietitian | 3 | 0 | 3 | 1,501 | 85 | 93% | 7.6 |
| Dental Services Staff | 3 | 0 | 3 | 1,045 | 68 | 75% | 6.6 |
| Registered Nurse | 3 | 0 | 3 | 987 | 77 | 85% | 10.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 733 | 65 | 71% | 6.3 |
| Nurse Aide in Training | 3 | 0 | 3 | 698 | 66 | 73% | 8.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 503 | 76 | 84% | 3.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 344 | 60 | 66% | 5.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 124 | 40 | 44% | 3.1 |
64 Certified Nursing Assistant
% of Days
100%
34 Licensed Practical Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
91%
3 Dietitian
% of Days
93%
3 Dental Services Staff
% of Days
75%
3 Registered Nurse
% of Days
85%
2 Speech Language Pathologist
% of Days
71%
3 Nurse Aide in Training
% of Days
73%
3 Physical Therapy Assistant
% of Days
84%
1 Administrator
% of Days
65%
1 Qualified Social Worker
% of Days
66%
2 Respiratory Therapy Technician
% of Days
44%
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
27% worse than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
18% worse than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
In line with State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.5%
Percent of long-stay residents whose ability to move independently worsened
30.5%
41% worse than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.5%
9% worse than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
64% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.8%
Percent of long-stay high risk residents with pressure ulcers
5.8%
7% worse than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
49% worse than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.8%
Percent of long-stay residents who lose too much weight
12.8%
103% worse than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.4%
Percent of long-stay residents who have depressive symptoms
12.4%
13% worse than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
40.0%
Percent of long-stay residents who received an antipsychotic medication
40.0%
142% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
23% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
41% worse than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
18% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
| Center on Aging and Health, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Erwin | 120 | No | - | - |
| Job Haines Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | No | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 16 | No | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 12 | No | 8 | - |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | - | - |
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
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Published on
Updated on
Feedback
Write a review for Center on Aging and Health, LLC
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
