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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.
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 53rd 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.
| 46m per day | ▲ 23% 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.
| 53m per day | ▼ 18% 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 13m per day | ▲ 3% 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 3m per day | ▼ 9% 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.
| 4m per day | ▼ 11% 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.
| 17m per day | ▼ 28% State avg: 24m per day · National avg: 28m per day |
Higher than the Tennessee average: 71.6%Hillview Health Center is administrated by Joshua Lee Cannon.
Tennessee average 3.5
Last Health inspection on Nov 2023
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 7 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.
27% more staff per resident than Tennessee average
6% worse than 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 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 61 CNA Staff are full-time employees. No contractors work on this role.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,894 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 12,826 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 25 | 0 | 25 | 5,220 | 92 | 100% | 9.4 |
| Registered Nurse | 12 | 0 | 12 | 2,591 | 92 | 100% | 8.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,421 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,167 | 79 | 86% | 6.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,134 | 69 | 75% | 5.8 |
| Nurse Practitioner | 2 | 1 | 3 | 536 | 62 | 67% | 8 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 6 | 6 | 508 | 80 | 87% | 6.1 |
| Feeding Assistant | 0 | 6 | 6 | 489 | 82 | 89% | 4.2 |
| Nurse Aide in Training | 0 | 1 | 1 | 485 | 61 | 66% | 7.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 467 | 65 | 71% | 7.2 |
| Dietitian | 1 | 0 | 1 | 462 | 63 | 68% | 7.3 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 443 | 75 | 82% | 5.7 |
| Qualified Social Worker | 0 | 5 | 5 | 397 | 63 | 68% | 6.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 260 | 32 | 35% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 119 | 13 | 14% | 9.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 96 | 12 | 13% | 8 |
| Other Physician | 0 | 3 | 3 | 67 | 16 | 17% | 3 |
| Medical Director | 0 | 1 | 1 | 60 | 15 | 16% | 4 |
| 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.
6.7
36% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.0
33% better than 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
4.9%
69% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
7.3%
66% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
30% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
9.3%
154% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
3.2%
40% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.0%
In line with Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
8.9%
41% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
19.2%
74% worse than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
17.7%
7% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
10% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
In line with Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.20
39% worse than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.82
16% worse 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
98.1%
23% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
44% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
23% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.9%
10% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.7%
58% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.9%
149% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
64.9%
21% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.5%
In line with Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Hillview 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 #73 / 176Payroll — State benchmarkedThis home is ranked 73rd 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.
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 Hillview Health Center's address, calculated via Google Maps.
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Hillview Health Center is located in Elizabethton, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The legal owner and operator of Hillview Health Center is Ocoee Hillview Health Center, LLC.
Hillview 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, Hillview Health Center's license number is 00000313.
Hillview Health Center's occupancy is 90%.
Joshua Lee Cannon is the administrator of Hillview Health Center.
Hillview Health Center has 76 beds.
Hillview Health Center is located at 1666 Hillview Drive.
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