Total health inspections
5
State average N/A
Last Health inspection on Nov 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Holston Rehabilitation and Care Center
Assisted Living Home
Holston Rehabilitation and Care Center
Assisted Living Home
Holston Rehabilitation and Care Center is a skilled nursing facility located in Kingsport, TN. It offers both short-term rehabilitation and long-term care options, with a focus on personalized service. The center is equipped with a state-of-the-art therapy gym and a dedicated staff committed to providing quality care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
204
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
51.2%
Residents per day (avg)
132
Occupancy rate
51.2%
Residents per day (avg)
132
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
71% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$15.2M
Profit
$1.2M
Proprietary home
Corporation
Home revenue
$15,215,842.00
Profit
$1,244,645.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.0M
204-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
Additional licensing details
License number:
00000264
CMS Certification Number:
445295
Ownership & operating entity
Holston Rehabilitation and Care Center is administrated by Johnathan Blaine Kelly.
Owner name:
Holston Manor SNF Operations, LLC
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Therapy, Short Term Rehab, Long Term Care, Memory Support Care
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.
Latest inspection
Date:March 5, 2024
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Holston Rehabilitation and Care Center
-60%
+4%
-30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 37664
204
No
-
DEFLUITER, MARK
51.2%
$14,914,945.00
$5,378,491.00
36.1%
132.20
3.7698
17
-60%+4%-30%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
Holston Rehabilitation and Care Center
Type of care:
SNF
AL
Community:
TN 37664
Bed Count:
204
Pets Allowed:
No
Operator:
DEFLUITER, MARK
CCN:
445295
Occupancy:
51.2%
Home Revenue:
$14,914,945.00
Payroll Costs:
$5,378,491.00
Payroll %:
36.1%
Avg Residents/Day:
132.20
Overall Rating:
Adj Nurse Hours:
3.7698
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
RN share vs State Avg:
-60%
-60%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-30%
-30%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Holston Rehabilitation and Care Center
4.3 miles from city center
Kingsport, TN 37664
Calculate Travel Distance to Holston Rehabilitation and Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
369
Total Staff
211
Employees
158
Contractors
59,991
Total Hours (Quarter)
80
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 5.6 | No |
| Licensed Practical Nurse | 90 | 8.9 | Yes |
| Certified Nursing Assistant | 201 | 8.7 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
326 staff
8.5hs shift avg
Physicians & Practitioners ⓘ
13 staff
7.9hs shift avg
Therapy Services ⓘ
14 staff
5.8hs shift avg
Activities & Recreation ⓘ
5 staff
7hs shift avg
Social Services ⓘ
4 staff
6.8hs shift avg
Dietary Services ⓘ
4 staff
7.8hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
Contractor Analysis
11.9%
of total hours from contractors
7,145 contractor hours this quarter
Licensed Practical Nurse: 58
Certified Nursing Assistant: 100
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 101 | 100 | 201 | 29,203 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 32 | 58 | 90 | 12,762 | 91 | 100% | 8.9 |
| Clinical Nurse Specialist | 12 | 0 | 12 | 3,272 | 84 | 92% | 8 |
| Nurse Aide in Training | 17 | 0 | 17 | 2,680 | 87 | 96% | 8.2 |
| RN Director of Nursing | 5 | 0 | 5 | 1,887 | 80 | 88% | 7.4 |
| Therapeutic Recreation Specialist | 4 | 0 | 4 | 1,499 | 72 | 79% | 6.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,494 | 85 | 93% | 7.8 |
| Registered Nurse | 13 | 0 | 13 | 1,382 | 89 | 98% | 5.6 |
| Respiratory Therapist | 6 | 0 | 6 | 1,185 | 68 | 75% | 7.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 707 | 67 | 74% | 6 |
| Qualified Social Worker | 4 | 0 | 4 | 661 | 64 | 70% | 6.8 |
| Dietitian | 1 | 0 | 1 | 526 | 67 | 74% | 7.8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 65 | 71% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 466 | 60 | 66% | 7.8 |
| Qualified Activities Professional | 1 | 0 | 1 | 451 | 55 | 60% | 8.2 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 314 | 73 | 80% | 3.3 |
Health Inspection History
Inspections
Total health citations
17
Citations per inspection
3.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 17 citations resulted from standard inspections; 3 of 17 resulted from complaint investigations; and 2 of 17 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
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
16 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Nov 17, 2025
Administration moderate citation
Mar 05, 2024
Corrected
Infection Control moderate citation
Mar 05, 2024
Corrected
Nutrition moderate citation
Mar 05, 2024
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: venza care
Resident Census by Payment Source
128
Total Residents
Medicare
23
(18%)
ⓘ
Medicaid
82
(64.1%)
ⓘ
Private Pay/Other
23
(18%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
20.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
20.8
99% 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.
37.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
37.8
94% 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
31.5%
Percent of long-stay residents whose need for help with daily activities has increased
31.5%
97% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
57.6%
Percent of long-stay residents whose ability to move independently worsened
57.6%
166% 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
24.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
17% worse than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
47% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.4%
Percent of long-stay high risk residents with pressure ulcers
3.4%
37% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
72% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.6%
Percent of long-stay residents who lose too much weight
9.6%
52% worse than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.5%
Percent of long-stay residents who have depressive symptoms
2.5%
77% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.9%
Percent of long-stay residents who received an antipsychotic medication
25.9%
57% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
7% 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
96.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
20% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
25% worse than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
22% 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.
Financial Trends
Historical financial and operational data for Holston Rehabilitation and Care Center based on CMS SNF Cost Reports.
Occupancy Rate
51.2%
↑ 4.4pp vs 2022
Net Income
$1,244,645
↑ ~$301K vs 2022
Total Payroll
$6,193,129
↑ ~$758K vs 2022
Profit Margin
8.3%
↑ 0.8pp vs 2022
Loading trend charts...
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