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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nhc Healthcare, Knoxville is a 127-bed skilled nursing and post-acute facility on East Emerald Avenue in Knoxville, Tennessee, offering 24/7 skilled nursing care, short-term rehabilitation, long-term care, memory care, and respite care to residents across Knox County. It is operated by NHC Healthcare/Knoxville, LLC.
CMS rates the facility 3 stars overall. Health Inspection scores pull the rating down — running 31.5% below the Tennessee average — while staffing and quality measures perform much better. Staffing rates run 22.4% above the state benchmark, and quality measures are 34.0% higher. Nurse staffing averages 3 hours and 32 minutes per resident per day, just under the Tennessee average of 3 hours and 40 minutes, a modest gap given the facility’s strong staffing sub-rating reflects case-mix-adjusted performance.
The community provides on-site beauty and barber services, a dining room, outdoor relaxation areas, and daily activities and entertainment programming. Rehabilitation services include therapy delivered on-site, consistent with a post-acute model. Memory care and respite care are available alongside longer-term skilled nursing stays.
With an average length of stay of 71 days and Medicare, Medicaid, and private-pay acceptance, NHC HealthCare Knoxville is best suited for residents needing short- to mid-term post-acute rehabilitation and longer-term skilled nursing placement. It fits residents transitioning from a hospital stay or managing complex care needs in Knox County.
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 69th out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 10m per day | ▼ 5% State avg: 3h 21m per day · National avg: 3h 26m per day |
Similar to the Tennessee average: 71.6%NHC HealthCare, Knoxville is administrated by Thomas Bradley Shuford.
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 3.5
Last Health inspection on Nov 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.
12 of 16 citations resulted from standard inspections; 1 of 16 resulted from complaint investigations; and 3 of 16 came from combined inspections (standard and complaint).
100% better than Tennessee averageTennessee average: 1.1
67% worse than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% fewer staff per resident than Tennessee average
6% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 0 | 47 | 15,064 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 20 | 0 | 20 | 8,798 | 92 | 100% | 9.5 |
| Registered Nurse | 13 | 0 | 13 | 6,500 | 92 | 100% | 9.3 |
| Nurse Aide in Training | 15 | 0 | 15 | 2,376 | 80 | 87% | 8.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,553 | 65 | 71% | 8.8 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,541 | 65 | 71% | 8.4 |
| Physical Therapy Assistant | 4 | 0 | 4 | 579 | 70 | 76% | 6.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 543 | 75 | 82% | 6.5 |
| Dietitian | 2 | 0 | 2 | 538 | 61 | 66% | 7.4 |
| Speech Language Pathologist | 4 | 0 | 4 | 535 | 65 | 71% | 5.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 531 | 69 | 75% | 7.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 502 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 452 | 58 | 63% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 292 | 65 | 71% | 4.4 |
| Qualified Social Worker | 1 | 0 | 1 | 207 | 65 | 71% | 3.2 |
| Medical Director | 0 | 1 | 1 | 2 | 3 | 3% | 0.5 |
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 (Data as of Jan 2026)
61% lower than Tennessee averageTennessee average: $86K
43% fewer fines than Tennessee averageTennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Tennessee averageTennessee average: 0.5
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
50% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.1
34% worse 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
28.2%
76% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
33.0%
52% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
17% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
8% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
10.0%
85% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.6%
70% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
3.4%
46% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
2.7%
75% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
19.2%
16% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better 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
96.9%
22% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
81% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
16% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.0%
41% better than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
13% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.5%
16% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.4%
21% 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.
11% of new residents, usually for short-term rehab.
67% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
102Residents 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.
Historical financial and operational data for NHC HealthCare, Knoxville based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #58 / 176Payroll — State benchmarkedThis home is ranked 58th out of 176 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
2.8 miles from city center
Estimated distance in miles from Knoxville's city center to NHC HealthCare, Knoxville's address, calculated via Google Maps.
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NHC HealthCare, Knoxville is located in Knoxville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| 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
Facility
94
TN AVG
88
Rank
#174 / 427 | 81.9% | +12% | 3.36 | -1% | -7% | $0 | 5 | 2.5 | - | 77 |
2
Facility
2
TN AVG
34
Rank
#508 / 554 | Daniel Mckenzie | $13.4M | $6.2M | 46.5% | 445344 | ||||
| NHC HealthCare, Farragut |
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 | 88
Facility
88
TN AVG
88
Rank
#186 / 427 | 100.0% | +37% | 4.17 | +27% | +15% | $0 | 12 | 6.0 | - | 94 |
24
Facility
24
TN AVG
34
Rank
#358 / 554 | Karla Lane | $21.8M | $10.2M | 46.7% | 445415 | ||||
| Island Home Park 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 (South Knoxville) | 95
Facility
95
TN AVG
88
Rank
#172 / 427 | 89.0% | +22% | 3.24 | -2% | -11% | $0 | 5 | 2.5 | - | 81 |
18
Facility
18
TN AVG
34
Rank
#395 / 554 | Trudy Durham | $10.8M | $5.8M | 53.5% | 445476 | ||||
| NHC HealthCare, Knoxville |
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 (North Knoxville) | 115
Facility
115
TN AVG
88
Rank
#109 / 427 | 74.3% | +2% | 3.54 | +16% | -2% | $0 | 16 | 4.0 | 1 | 95 |
31
Facility
31
TN AVG
34
Rank
#304 / 554 | Thomas Shuford | $13.3M | $7.0M | 52.8% | 445098 | ||||
| Renaissance Terrace |
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 (Fourth & Gill) | 50
Facility
50
TN AVG
88
Rank
#341 / 427 | 29.2% | -60% | 2.82 | +75% | -22% | $9.3k | 27 | 6.8 | 1 | 43 |
74
Facility
74
TN AVG
34
Rank
#26 / 554 | William Sharpe | $4.8M | $2.2M | 45.2% | 445223 |
NHC HealthCare, Knoxville is in the North Knoxville neighborhood of Knoxville.
NHC HealthCare, Knoxville has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TN state health department records, NHC HealthCare, Knoxville's license number is 00000146.
NHC HealthCare, Knoxville's occupancy is 74%.
Thomas Bradley Shuford is the administrator of NHC HealthCare, Knoxville.
NHC HealthCare, Knoxville has 115 beds.
Yes — there are 2 photos of NHC HealthCare, Knoxville in the photo gallery on this page.
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