Facility type
Nursing Home
Status
Licensed
Licensed
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Assisted Living Home
Holston Rehabilitation and Care Center
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$15.2M
Profit
$1.2M
Privately-owned community
Operated by a business 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 details
Issuance
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.
Tennessee average: 9 complaint visits
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.
Health Inspection History
Inspections
Total health inspections
5
State average N/A
Last Health inspection on Nov 2025
Total health citations
17
State average N/A
Citations per inspection
3.4
State average N/A
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 17, 2025
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 05, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 05, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 05, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 05, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 05, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
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.
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
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.
Kingsport
204
No
-
-
Job Haines Home
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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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).
Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
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.
Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
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.
Conroe
12
No
8
-
Anton’s Assisted Living
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.
Boerne
10
No
-
-
Places of interest near Holston Rehabilitation and Care Center
4.3 miles from city center
3641 Memorial Blvd., Kingsport, TN 37664
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
369
Employees
211
Contractors
158
Staff to resident ratio
2.88:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
80
Average shift
8.2 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
59,991
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
90
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
201
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.9%
7,145 contractor hours this quarter
Certified Nursing Assistant: 100
Licensed Practical Nurse: 58
Staff by category
| 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 |
201 Certified Nursing Assistant
% of Days
100%
90 Licensed Practical Nurse
% of Days
100%
12 Clinical Nurse Specialist
% of Days
92%
17 Nurse Aide in Training
% of Days
96%
5 RN Director of Nursing
% of Days
88%
4 Therapeutic Recreation Specialist
% of Days
79%
3 Other Dietary Services Staff
% of Days
93%
13 Registered Nurse
% of Days
98%
6 Respiratory Therapist
% of Days
75%
3 Physical Therapy Assistant
% of Days
74%
4 Qualified Social Worker
% of Days
70%
1 Dietitian
% of Days
74%
1 Administrator
% of Days
71%
1 Mental Health Service Worker
% of Days
69%
1 Nurse Practitioner
% of Days
71%
1 Dental Services Staff
% of Days
66%
1 Qualified Activities Professional
% of Days
60%
5 Respiratory Therapy Technician
% of Days
80%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
128 residents
Residents by payment source
Medicare
23 residents (18%)
Medicaid
82 residents (64.1%)
Private pay or other
23 residents (18%)
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.
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
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