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Holston Health And Rehabilitation Center
Nursing Home, Home Care, Hospice Care, Palliative Care & Skilled Nursing · Knoxville, TN
CMS overall rating Info 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.
Signage for Holston Health and Rehabilitation Center Staff members posing together in a common area Staff members posing together in a common area Residents engaged in an art activity in a common area

Holston Health And Rehabilitation Center

Nursing Home, Home Care, Hospice Care, Palliative Care & Skilled Nursing · Knoxville, TN
CMS overall rating Info 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.
3916 Boyds Bridge Pike, Knoxville, TN 37914 View map Calculator: See prices in your area
Holston Health And Rehabilitation Center accepts Medicare, Medicaid, and private pay.
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Holston Health And Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Holston Health and Rehabilitation Center

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.

Facility Direct Line (865) 524-1500
Facility Direct Line (865) 524-1500

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 76.5% Above TN avg. ▲ 76.5% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 79.5% Above TN avg. ▲ 79.5% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 24.2% Above TN avg. ▲ 24.2% Above TN avg.TN average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 45.3% Above TN avg. ▲ 45.3% Above TN avg.TN average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Tennessee averages

Rank #88 / 176Nurse hours — State benchmarkedThis home is ranked 88th out of 176 homes in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 176 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 88th out of 176 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.

3h 22m

7% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
44m
+20% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info 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.
46m
−30% State avg: 1h 6m per day · National avg: 52m per day
Nurse Aide Info 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 20m
+9% State avg: 2h 9m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 18m
Avg State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
8m
+51% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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
+16% State avg: 25m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: Physical Therapist is +51% above Tennessee average

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
63 days
Bed community size
94-bed community Rank #174 / 425Bed count — State benchmarkedThis home is ranked 174th out of 425 homes in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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.
Years in operation
31 years in operation Rank #153 / 386Years in operation — State benchmarkedThis home is ranked 153rd out of 386 homes in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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
Walk Score: 2 / 100 Rank #507 / 520Walk Score — State benchmarkedThis home is ranked 507th out of 520 homes in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
82%
Rank #93 / 272Occupancy rate — State benchmarkedThis home is ranked 93rd out of 272 homes in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Tennessee average: 71.6%
Occupied beds
77 / 94
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
IssuanceJune 2, 1995
ExpirationJanuary 28, 2027
License Number00000333
CMS Certification Number445344

Ownership & Operating Entity

Holston Health And Rehabilitation Center is legally operated by NHC HealthCare/Holston Hills, LLC, and administered by Daniel Graham Mckenzie.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Activities
Salon
Gardening
Dining
Social Events
Religious Services
Housekeeping
Laundry
Wi-Fi
Cable Tv
Private Event Room
Activities
Specific ProgramsIndividual nursing care 24 hours a day, Physician directed protocols, Specialized nutrition program, Recreation specialist, Diabetes management, Specialty services available, IV therapy, Podiatry care, Pain management, Psychological services, Home Health Care Services
Religious Services

Contact Holston Health And Rehabilitation Center

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.

Since 2019 · 7 years of data 6 citations 3 inspections

Inspection Scorecard Info 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.

Since 2019 vs. Tennessee state average
Overall vs. TN average 1 Worse Metrics worse than Tennessee average:
• Total citations (50% above) 1 At Avg Metrics at Tennessee average:
• Citations per inspection (at TN avg) 0 Better No metrics in this bucket.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTN Averagevs. TN Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 64 This facility has 50% more total citations than a typical Tennessee nursing home (6 vs. TN avg 4).↑ 50% worse
Citations per inspection Info Average citations per inspection. 2.02 This facility has citations per inspection in line with the Tennessee average (2 vs. TN avg 2).— At avg

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTN Averagevs. TN Avg
Total inspections Info Combined count of all inspections conducted at this facility. 32 This facility has had 50% more total inspections than the Tennessee average (3 vs. TN avg 2). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 2

Tennessee average 3.5

Last Health inspection on Dec 2024

Total health citations
5 Rank #17 / 180Health citations — State benchmarkedThis home is ranked 17th out of 180 homes in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 180 TN facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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
2.5 Rank #29 / 180Citations per inspection — State benchmarkedThis home is ranked 29th out of 180 homes in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 180 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.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.

3 of 5 citations resulted from standard inspections; and 2 of 5 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Tennessee average

Tennessee average: 1.1

Serious health citations
0
100% better than Tennessee average

Tennessee average: 0.6

0 critical citations Tennessee average: 1.1
0 serious citations Tennessee average: 0.6
5 moderate citations Tennessee average: 13.7
0 minor citations Tennessee average: 0.1
Citations history (last 4 years)
Abuse/Neglect moderate citation Dec 11, 2024
Corrected
Abuse/Neglect moderate citation Dec 11, 2024
Corrected
Care Planning moderate citation Dec 11, 2024
Corrected
Administration moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 138
Employees 137
Contractors 1
Staff to resident ratio 1.70 : 1
0% compared with Tennessee average
Tennessee average ratio: 1.75 : 1 Tennessee average ratio: 1.75 : 1See full Tennessee ranking
Avg staff/day 56
Average shift 7.3 hours
12% worse than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 37,461

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 59 CNA Staff are full-time employees. No contractors work on this role. 59
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5905916,62392100%7.1
Licensed Practical Nurse160166,08792100%7.8
Registered Nurse120124,42492100%7.4
Nurse Aide in Training100101,78892100%7.3
Mental Health Service Worker4041,4947582%7.1
Respiratory Therapy Technician4049947278%7.5
Speech Language Pathologist5059486874%7.4
Clinical Nurse Specialist2029416368%8
Physical Therapy Assistant6065867076%6.6
Physical Therapy Aide9095847986%6.3
Other Dietary Services Staff1015226672%7.9
Nurse Practitioner1014806065%8
Dietitian2024705964%6.6
Administrator1014505762%7.9
Dental Services Staff1014155863%7.1
Occupational Therapy Aide1013594852%7.5
Qualified Social Worker2022896571%4.5
RN Director of Nursing101855%1.6
Medical Director011233%0.5
59 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
10 Nurse Aide in Training
% of Days 100%
4 Mental Health Service Worker
% of Days 82%
4 Respiratory Therapy Technician
% of Days 78%
5 Speech Language Pathologist
% of Days 74%
2 Clinical Nurse Specialist
% of Days 68%
6 Physical Therapy Assistant
% of Days 76%
9 Physical Therapy Aide
% of Days 86%
1 Other Dietary Services Staff
% of Days 72%
1 Nurse Practitioner
% of Days 65%
2 Dietitian
% of Days 64%
1 Administrator
% of Days 62%
1 Dental Services Staff
% of Days 63%
1 Occupational Therapy Aide
% of Days 52%
2 Qualified Social Worker
% of Days 71%
1 RN Director of Nursing
% of Days 5%
1 Medical Director
% of Days 3%
View All Staffing Data in Knoxville

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 Info 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 average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.2
38% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Significantly above average Tennessee avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.3%
61% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.8%
36% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.4%
21% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.8%
30% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.7%
69% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.6%
27% worse than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
44% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.6%
5% worse than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.1%
57% better than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
9% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
6% worse than Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Significantly above average Tennessee avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
23% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
75% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.1%
15% better than Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.8%
33% better than Tennessee average

Tennessee average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 2.5%
78% better than Tennessee average

Tennessee average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.9%
21% worse than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 68.5%
28% better than Tennessee average

Tennessee average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 69.1%
37% better than Tennessee average

Tennessee average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

64% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

12% 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 81
Medicare
19
23.5% of residents
Medicaid
44
54.3% of residents
Private pay or other
18
22.2% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$599.0K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.2M Rank #77 / 174Net patient revenue — State benchmarkedThis home is ranked 77th out of 174 homes in Tennessee. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$599.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$653.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #62 / 174Payroll costs — State benchmarkedThis home is ranked 62nd out of 174 homes in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
$6.2M 61.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #36 / 174Payroll % of net patient revenue — State benchmarkedThis home is ranked 36th out of 174 homes in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.6M
How we calculate these figures

This home is administered by Daniel Graham Mckenzie.

This home is owned by Daniel Mckenzie

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445344

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Building type icon
Building type icon

Building Type: Single-story

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
451 total

Coverage residents most often arrive under.

Medicare 24%
Private pay 64%
Medicaid 12%
Discharges
465 total

Coverage residents most often leave under.

Medicare 25%
Private pay 62%
Medicaid 13%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Holston Health And Rehabilitation Center

Address 3.9 miles from city center Info Estimated distance in miles from Knoxville's city center to Holston Health And Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Holston Health And Rehabilitation Center

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Address

Compare Nursing Homes around Knoxville

Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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445484
Holston Health And Rehabilitation Center
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Daniel Mckenzie
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Facility $6.2MFiscal year ending 12/2023
TN AVG $5.9M
Rank #62 / 174
61.1%Fiscal year ending 12/2023
Facility 61.1%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #36 / 174
445344
NHC HealthCare, Farragut
NH
AL
MC
SNF
Knoxville
88
Facility 88
TN AVG 88
Rank #186 / 425
--
4.17
Facility 4.17
TN AVG 3.63
Rank #23 / 176
 +27%+15%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
12
Facility 12
TN AVG 15.4
Rank #72 / 180
6.0
Facility 6.0
TN AVG 4.4
Rank #144 / 180
-91-
24
Facility 24
TN AVG 36
Rank #358 / 520
Karla Lane
$16.3MFiscal year ending 12/2023
Facility $16.3MFiscal year ending 12/2023
TN AVG $11.1M
Rank #30 / 174
$9.6MFiscal year ending 12/2023
Facility $9.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #19 / 174
58.6%Fiscal year ending 12/2023
Facility 58.6%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #49 / 174
445415
Westmoreland Health And Rehabilitation Center
NH
HOS
PC
RC
SNF
Westmoreland
100
Facility 100
TN AVG 88
Rank #141 / 425
81.2%
Facility 81.2%
TN AVG 71.5
Rank #98 / 272
+14%
2.92
Facility 2.92
TN AVG 3.63
Rank #156 / 176
 -23%-19%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
10
Facility 10
TN AVG 15.4
Rank #57 / 180
5.0
Facility 5.0
TN AVG 4.4
Rank #113 / 180
-81-
19
Facility 19
TN AVG 36
Rank #386 / 520
Lashell Spears
$10.2MFiscal year ending 12/2023
Facility $10.2MFiscal year ending 12/2023
TN AVG $11.1M
Rank #76 / 174
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
TN AVG $5.9M
Rank #120 / 174
38.7%Fiscal year ending 12/2023
Facility 38.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #166 / 174
445342
Island Home Park Health and Rehab
NH
HOS
RC
SNF
Knoxville (South Knoxville)
95
Facility 95
TN AVG 88
Rank #172 / 425
85.6%
Facility 85.6%
TN AVG 71.5
Rank #71 / 272
+20%
3.24
Facility 3.24
TN AVG 3.63
Rank #124 / 176
 -2%-11%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
5
Facility 5
TN AVG 15.4
Rank #17 / 180
2.5
Facility 2.5
TN AVG 4.4
Rank #29 / 180
-81-
18
Facility 18
TN AVG 36
Rank #394 / 520
Trudy Durham
$9.4MFiscal year ending 06/2024
Facility $9.4MFiscal year ending 06/2024
TN AVG $11.1M
Rank #95 / 174
$3.6MFiscal year ending 06/2024
Facility $3.6MFiscal year ending 06/2024
TN AVG $5.9M
Rank #133 / 174
38.8%Fiscal year ending 06/2024
Facility 38.8%Fiscal year ending 06/2024
TN AVG 54.1%
Rank #165 / 174
445476
Nursing Home Explorer

Financial Assistance for
Nursing Home in Tennessee

Holston Health And Rehabilitation Center is located in Knoxville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.

Get Financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled
General Tennessee resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TN

Managed care model; high rural demand.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Tennessee Options for Community Living

TN Options

Age 60+
General Tennessee resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TN

Limited funding; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled
General TN resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TN

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
TN

Includes grandparent caregivers; high rural demand.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TN resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
TN

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+
General TN resident; no income limit but prioritizes low-income.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TN

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Benefits
Congregate meals ($5-$7/meal value) at senior centers Home-delivered meals ($5-$7/meal)

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+
General TN resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year household, excludes half of Social Security
Asset Limits Not assessed; income-focused.
TN

Rebates up to $1,000; serves ~100,000 annually.

Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Frequently Asked Questions about Holston Health And Rehabilitation Center

Who is the owner of Holston Health And Rehabilitation Center?

Holston Health And Rehabilitation Center is legally operated by NHC HealthCare/Holston Hills, LLC, and administered by Daniel Graham McKenzie.

Is Holston Health And Rehabilitation Center in a walkable area?

Holston Health And Rehabilitation Center has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Holston Health And Rehabilitation Center?

According to TN state health department records, Holston Health And Rehabilitation Center's license number is 00000333.

When does Holston Health And Rehabilitation Center's license expire?

According to TN state health department records, Holston Health And Rehabilitation Center's license expires on January 28, 2027.

What is the occupancy rate at Holston Health And Rehabilitation Center?

Holston Health And Rehabilitation Center's occupancy is 82%.

How long has Holston Health And Rehabilitation Center been in business?

Holston Health And Rehabilitation Center has been operating for approximately 31 years, based on available licensing and registration records.

Are pets allowed at Holston Health And Rehabilitation Center?

No, Holston Health And Rehabilitation Center has a no-pet policy.

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