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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hermitage Health Center is a 70-bed skilled nursing and rehabilitation facility in Elizabethton, Tennessee, operated by Ocoee Hermitage Health Center, LLC, under the administration of Andrew Call. Licensed since 1992, the nonprofit community accepts Medicare, Medicaid, and private pay and provides physical, occupational, and speech therapy alongside memory care services.
CMS rates the facility 5 stars overall, 63.4% above the Tennessee average, driven by an exceptionally clean inspection record. Across three inspections since 2019, the facility recorded 5 citations, compared with a Tennessee average of 15.4; its rate of 1.67 citations per inspection ranks 8th out of 176 Tennessee SNFs. None of the five citations were critical or serious; all were moderate care planning citations that were later corrected. No fines or enforcement actions appear in the record.
Staffing is mixed. Total nurse staffing averages 3 hours and 11 minutes per resident per day, 13% below the Tennessee average, with LPN staffing also below state norms. The offsetting signal is RN staffing, which averages 55 minutes per resident per day, 49% above the state average. Weekend RN staffing is 50% above average, which suggests strong weekly clinical oversight.
The facility’s 94-day average length of stay and rehabilitation service lineup, including PT, OT, and speech therapy, reflect a post-acute orientation. Occupancy rate is 68%, modestly below the state average of 71.6%, indicating current availability.
Hermitage Health Center fits residents seeking short- to mid-term skilled rehabilitation in Carter County, as well as those requiring memory care in a facility with a standout compliance record.
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.
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.
This home is ranked 115th out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 45m per day | ▲ 21% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 50m per day | ▼ 23% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 18m per day | ▲ 7% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 28m per day | ▲ 4% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 73% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 30m per day | ▲ 24% State avg: 24m per day · National avg: 28m per day |
Lower than the Tennessee average: 71.6%Hermitage Health Center is administrated by Andrew Call.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
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.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 4 | This facility has 50% fewer total citations than a typical Tennessee nursing home (2 vs. TN avg 4).↓ 50% better |
|
Citations per year
Average citations per year since 2018.
| 0.3 | 0.5 | This facility has 40% fewer citations per year than a typical Tennessee nursing home (0.3 vs. TN avg 0.5).↓ 40% better |
Tennessee average 3.5
Last Health inspection on May 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 5 citations resulted from standard inspections.
100% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% more staff per resident than Tennessee average
0% compared with Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursAssists with medical care and medications.
All 16 LPN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,559 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 11,543 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 16 | 0 | 16 | 3,257 | 92 | 100% | 10.1 |
| Registered Nurse | 16 | 0 | 16 | 2,773 | 92 | 100% | 9 |
| RN Director of Nursing | 4 | 0 | 4 | 937 | 62 | 67% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 721 | 74 | 80% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 512 | 61 | 66% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 484 | 60 | 65% | 8.1 |
| Dietitian | 1 | 0 | 1 | 460 | 58 | 63% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 427 | 64 | 70% | 6.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 421 | 58 | 63% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 412 | 57 | 62% | 7.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 404 | 66 | 72% | 6 |
| Administrator | 2 | 0 | 2 | 376 | 47 | 51% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 111 | 50 | 54% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 83 | 12 | 13% | 6.9 |
| Qualified Social Worker | 0 | 3 | 3 | 74 | 48 | 52% | 1.5 |
| Medical Director | 1 | 1 | 2 | 70 | 18 | 20% | 3.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.2
22% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
In line with Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.9%
12% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
16.5%
24% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
12% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
21% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
1.5%
73% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
4.0%
94% worse than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
0.7%
89% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
93.8%
752% worse than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
11.8%
28% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.39
12% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.35
78% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
26% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
19% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
25% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.6%
43% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
11% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
31.4%
41% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
38.6%
24% worse than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
27% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Hermitage Health Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #137 / 176Payroll — State benchmarkedThis home is ranked 137th out of 176 homes in Tennessee for payroll. 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Elizabethton's city center to Hermitage Health Center's address, calculated via Google Maps.
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Hermitage Health Center is located in Elizabethton, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The legal owner and operator of Hermitage Health Center is Ocoee Hermitage Health Center, LLC.
Hermitage Health Center has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TN state health department records, Hermitage Health Center's license number is 00000314.
Hermitage Health Center's occupancy is 68%.
Andrew Call is the administrator of Hermitage Health Center.
Hermitage Health Center has 70 beds.
Yes — there are 7 photos of Hermitage Health Center in the photo gallery on this page.
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