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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.
Experience care and assistance like no other with the extraordinary senior living community of Holston Health and Rehabilitation Center in Boyd’s Bridge Pike, Knoxville, TN, offering a wide range of care options including continuing care, rehabilitation, skilled nursing, respite care, and hospice. The community takes pride in a team of compassionate and highly skilled professionals attending to seniors’ unique needs and aspirations around the clock. Featuring physical, occupational, and speech therapy, Holston Health and Rehabilitation Center works hard to enhance seniors’ well-being day by day.
Alongside specialized programs such as IV therapy, wound care, podiatry care, pain management, diabetes management, and psychological services, the community fosters a lively and inviting environment to ensure seniors are comfortable and well-cared for. Meals are meticulously prepared and approved by dietitians to meet dietary needs and preferences. Holston Health and Rehabilitation Center is a good place to find all the care you need with its exceptional services and extensive amenities.
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 70th out of 134 homes in Tennessee.| Staff type | Hours / day | 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.
| 42m per day | ▲ 14% 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.
| 48m per day | ▼ 27% State avg: 1h 6m 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 7m per day | ■ Avg State avg: 2h 9m per day · National avg: 2h 21m per day |
|
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.
| 3h 8m per day | ▼ 6% 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.
| 7m per day | ▲ 40% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 29m per day | ▲ 16% State avg: 25m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
24% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #63 / 139Payroll — state benchmarkedThis home is ranked 63rd 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Tennessee average: 71.6%Holston Health And Rehabilitation Center is legally operated by NHC HealthCare/Holston Hills, LLC, and administrated by Daniel Graham Mckenzie.
Building Type: Single-story
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 4 | This facility has 50% more total citations than a typical Tennessee nursing home (6 vs. TN avg 4).↑ 50% worse |
|
Citations per year
Average citations per year since 2019.
| 0.9 | 0.6 | This facility has 50% more citations per year than a typical Tennessee nursing home (0.9 vs. TN avg 0.6).↑ 50% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspections on December 11, 2024, identified deficiencies related to resident care planning and protection from abuse and misappropriation. Earlier inspections noted issues with resident confidentiality, infection prevention oversight, and care plan implementation, showing a pattern of challenges in care coordination and resident safety. Inspectors cited failures to develop and implement comprehensive care plans, protect residents from physical abuse by others, and prevent staff misappropriation of resident funds. Complaint investigations included substantiated findings of resident abuse and staff theft, with the involved staff member resigning; enforcement actions were not listed in the available reports. The facility’s inspection history shows recurring issues in care planning and resident protection without a clear trend of improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on Dec 2024
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.
3 of 5 citations resulted from standard inspections; and 2 of 5 resulted from complaint investigations.
100% better than Tennessee averageTennessee average: 1.1
0
100% better than Tennessee averageTennessee average: 0.6
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 11, 2024
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 11, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 11, 2024
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 23, 2022
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.
Holston Health And Rehabilitation Center is located in Knoxville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
5.8 miles from city center
Estimated distance in miles from Knoxville's city center to Holston Health And Rehabilitation Center's address, calculated via Google Maps.
— 4.78 miles to nearest hospital (Select Specialty Hospital - Knoxville)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Tennessee averageTennessee average ratio: 1.79:1
10% worse than Tennessee averageTennessee average: 8.3 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Total hours from contractors
5 contractor hours this quarter
| Certified Nursing Assistant | 56 | 0 | 56 | 14,591 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 23 | 0 | 23 | 6,178 | 91 | 100% | 8.1 |
| Registered Nurse | 12 | 0 | 12 | 3,574 | 91 | 100% | 7.7 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,458 | 73 | 80% | 7.6 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,196 | 65 | 71% | 7.6 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,001 | 78 | 86% | 7.8 |
| Speech Language Pathologist | 7 | 0 | 7 | 991 | 65 | 71% | 7.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 846 | 68 | 75% | 7.8 |
| Physical Therapy Aide | 5 | 0 | 5 | 583 | 66 | 73% | 6 |
| Dietitian | 2 | 0 | 2 | 562 | 67 | 74% | 6.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 526 | 71 | 78% | 6.7 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 469 | 59 | 65% | 7.9 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 455 | 60 | 66% | 7.6 |
| Occupational Therapy Aide | 3 | 0 | 3 | 382 | 52 | 57% | 7.3 |
| Qualified Social Worker | 2 | 0 | 2 | 269 | 65 | 71% | 4.1 |
| RN Director of Nursing | 1 | 0 | 1 | 24 | 6 | 7% | 3.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 3 | 1 | 1% | 3 |
| Medical Director | 0 | 1 | 1 | 2 | 3 | 3% | 0.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
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.
6.0
43% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
38% 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
6.3%
61% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
13.8%
36% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
21% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
30% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
1.7%
69% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.6%
27% worse than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
3.5%
44% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
11.6%
5% worse than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
7.1%
57% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
9% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
6% worse than Tennessee averageTennessee average: 94.5%
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
97.9%
23% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
75% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.1%
15% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.8%
33% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
2.5%
78% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
21% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.5%
28% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
69.1%
37% better 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.
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.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| Ben Atchley Tennessee State Veterans‘ Home |
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. | Knoxville | 140 | 94.7% | +30% | 4.83 | +10% | +33% | 0 | 5 | 1.7 | - | 128 | 7 | State Of Tennessee | $18.4M | $6.8M | 37% | 445484 | ||||
| Holston Health And Rehabilitation Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville | 94 | 85.1% | +17% | 3.36 | -1% | -7% | 0 | 5 | 2.5 | - | 81 | 2 | Daniel Mckenzie | $13.4M | $5.3M | 39.8% | 445344 | ||||
| Beverly Park Place Health And Rehab |
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. | Knoxville (Corinth) | 53 | 90.6% | +24% | 3.40 | +31% | -6% | 0 | 14 | 2.8 | - | 158 | 8 | Hillcrest Healthcare Communities Inc | $20.0M | $5.5M | 27.4% | 445131 |
Historical financial and operational data for Holston Health And Rehabilitation Center based on CMS SNF Cost Reports.
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The legal owner and operator of Holston Health And Rehabilitation Center is NHC HealthCare/Holston Hills, LLC.
Holston Health And Rehabilitation Center has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Holston Health And Rehabilitation Center's license number is 00000333.
According to TN state health department records, Holston Health And Rehabilitation Center's license expires on January 28, 2026.
Holston Health And Rehabilitation Center's occupancy is 82%.
Daniel Graham McKenzie is the administrator of Holston Health And Rehabilitation Center.
Holston Health And Rehabilitation Center has 94 beds.
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