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Orchard View Post-Acute and Rehabilitation Center
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Kingsport, 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.
Physical therapy session with staff and residents Residents dancing together in an activity room

Orchard View Post-Acute and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Kingsport, 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.
2035 East Stonebrook Place, Kingsport, TN 37660 View map Calculator: See prices in your area
Orchard View Post-Acute and Rehabilitation Center accepts Medicare, Medicaid, and private pay.
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Orchard View Post-Acute and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Orchard View Post-Acute and Rehabilitation Center

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Orchard View Post-Acute and Rehabilitation Center is an 180-bed skilled nursing community in Kingsport, Tennessee, providing post-acute rehabilitation, long-term nursing care, and specialized medical support for older adults with complex healthcare needs. Operating since 1985, the community accepts Medicare, Medicaid, and private pay. Despite its large licensed capacity, current occupancy remains well below the Tennessee average, with approximately a 35.1% occupancy rate.

Services extend well beyond traditional nursing care and include wound management, IV therapy, respiratory and tracheostomy care, cardiac and stroke recovery, dialysis coordination, bariatric support, psychiatric and behavioral health services, hospice coordination, telemedicine consultations, and memory care programming.

CMS currently assigns the community a 1-star overall rating, including a 1-star score for health inspections. The most recent standard inspection in January 2025 identified seven deficiencies ranging from low-level concerns to actual-harm findings. The most serious citation involved failure to protect residents from abuse, neglect, or exploitation. Additional findings also addressed infection control, food storage practices, abuse-reporting procedures, medication and hospice coordination issues, and notification requirements related to Medicare and Medicaid coverage.

Complaint investigations from 2024 also raised notable concerns, which include a significant number of medication errors alongside abuse-prevention deficiencies, resulting in a substantial fine and a lengthy payment suspension. Another complaint investigation later that year again identified failures related to abuse prevention. Although all cited deficiencies have since been marked corrected, the repeated pattern involving resident protection and reporting procedures is an issue that warrants careful review and discussion with the management.

Staffing performance presents both strengths and limitations, with overall nursing hours remaining below Tennessee averages, particularly during weekdays for RN, LPN, and CNA coverage. However, weekend registered nurse staffing performs notably better than state benchmarks, and total weekend nursing coverage exceeds the Tennessee average. The most significant staffing concern is turnover, which remains substantially higher than statewide norms and may affect continuity of care and staff familiarity with residents’ needs.

Quality outcomes are mixed but include several encouraging indicators. Long-stay residents experience lower-than-average rates of falls with major injury, urinary tract infections, pressure ulcers, depressive symptoms, and antipsychotic medication use. Pneumococcal vaccination rates for long-stay residents also exceed the state average. At the same time, unexplained weight loss occurs at a significantly higher rate than Tennessee benchmarks, and declines in walking ability, hospitalizations, and emergency department visits are all elevated. Among short-stay residents, falls with major injury and re-hospitalization rates also exceed state norms.

Amenities include private and semi-private suites, therapeutic dining options, outdoor courtyards, Wi-Fi access, activity spaces, a beauty salon, and organized resident councils.

Orchard View Post-Acute and Rehabilitation Center is ideal for those needing extensive medical or rehabilitative support in the Kingsport area, though families should carefully review inspection history, staffing stability, and corrective action plans related to abuse prevention and resident safety before choosing the community.

Facility Direct Line (423) 246-8934
Facility Direct Line (423) 246-8934 contact@orchardviewhc.com
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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.
▼ 29.4% Below TN avg. ▼ 29.4% Below 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.
▼ 28.2% Below TN avg. ▼ 28.2% Below 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.
▼ 17.2% Below TN avg. ▼ 17.2% Below 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.
▼ 41.9% Below TN avg. ▼ 41.9% Below 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 #114 / 179Nurse hours — State benchmarkedThis home is ranked 114th out of 179 homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 179 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 114th out of 179 homes we track 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 20m

8% 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.
31m
−18% 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.
50m
−23% State avg: 1h 5m 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 0m
−7% State avg: 2h 9m per day · National avg: 2h 20m 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 19m
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.
4m
−21% 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
+19% State avg: 24m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Weekend RN is +19% above Tennessee average

By The Numbers

Community insights.

Bed count Info A large-scale community that may provide a wide range of amenities, services, and structured programs. 180 Rank #16 / 425Bed count — State benchmarkedThis home is ranked 16th out of 425 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. Rank #48 / 386Years in operation — State benchmarkedThis home is ranked 48th out of 386 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
34 years
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #255 / 268Occupancy rate — State benchmarkedThis home is ranked 255th out of 268 homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 268. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
40% This home usually has availability
Lower than the Tennessee average: 71.6%
Occupied beds
73 / 180
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.
119 days

About this community

License Details

Facility TypeAssisted Care Living Facility
IssuanceJuly 1, 1992
ExpirationAugust 31, 2026 Expires in 15 days
License Number00000261

Ownership & Operating Entity

Orchard View Post-Acute and Rehabilitation Center is administered by Rachel Hicks.

Owner NameBrookhaven Tn Opco, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Housekeeping
Laundry
Salon
Activities
Wi-Fi
Courtyard
Specific Programs24/7 Skilled Nursing Care, Post-Acute Rehabilitation, Memory Care Support, IV Therapy & Wound Care, Cardiac, Stroke, and Orthopedic Recovery, Diabetic Care & Pain Management, Hospice & Palliative Care Coordination, Bariatric & Dialysis Support, Psychiatric & Behavioral Health Services, Telemedicine & Telepsych Consultations, Tracheostomy & Post-Hospital Recovery Care

Contact Orchard View Post-Acute 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 2016 · 10 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 1 citation

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 2016 vs. Tennessee state average
Overall vs. TN average 0 Worse No metrics in this bucket. 1 Better Metrics better than Tennessee average:
• Total citations (80% below)

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. 15 This facility has 80% fewer total citations than a typical Tennessee nursing home (1 vs. TN avg 5).↓ 80% better
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2021 · 5 years of data
Total health inspections 5

State average 3.5

Last Health inspection on Jan 2025

Total health citations
24 Rank #148 / 180Health citations — State benchmarkedThis home is ranked 148th out of 180 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 15.4

Citations per inspection
4.8 Rank #111 / 180Citations per inspection — State benchmarkedThis home is ranked 111th out of 180 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.39

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 24 citations resulted from standard inspections; 11 of 24 resulted from complaint investigations; and 7 of 24 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than State average

State average: 1.1

Serious health citations
8
1233% worse than State average

State average: 0.6

0 critical citations State average: 1.1
8 serious citations State average: 0.6
16 moderate citations State average: 13.7
0 minor citations State average: 0.1
Citations history (last 5 years)
Abuse/Neglect serious citation Jan 08, 2025
Corrected
Abuse/Neglect moderate citation Jan 08, 2025
Corrected
Abuse/Neglect moderate citation Jan 08, 2025
Corrected
Administration moderate citation Jan 08, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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 239
Employees 82
Contractors 157
Staff to resident ratio 3.57 : 1
104% more staff per resident than Tennessee average
Tennessee average ratio: 1.75 : 1 Tennessee average ratio: 1.75 : 1See full Tennessee ranking
Avg staff/day 38
Average shift 9.4 hours
13% better than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 33,009

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 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 57 total: 11 full-time employees and 46 contractors. 57
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 146 total: 38 full-time employees and 108 contractors. 146
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 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

29.5%

9,753 contractor hours this quarter

Certified Nursing Assistant: 108 Licensed Practical Nurse: 46 Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

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 Assistant3810814616,88792100%10.1
Licensed Practical Nurse1146577,47292100%10.7
Clinical Nurse Specialist5051,5776773%8
Registered Nurse5051,1588491%9.1
Physical Therapy Assistant2029286874%7.3
Administrator1015286672%8
Nurse Practitioner1015286672%8
RN Director of Nursing1015286672%8
Mental Health Service Worker2025286672%8
Respiratory Therapy Technician3034947076%6.9
Dietitian1014865964%8.2
Other Dietary Services Staff3034396571%6.6
Physical Therapy Aide3034316773%6.2
Speech Language Pathologist2024316470%6.7
Qualified Social Worker1014236672%6.4
Occupational Therapy Aide011921314%7
Nurse Aide in Training3033733%9.2
Occupational Therapy Assistant0113667%6
Medical Director011633%2
146 Certified Nursing Assistant
% of Days 100%
57 Licensed Practical Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 73%
5 Registered Nurse
% of Days 91%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024-2025

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)

Total fines amount $228K Rank #165 / 181Federal fines — State benchmarkedThis home is ranked 165th out of 181 homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 181 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
164% higher than Tennessee average

Tennessee average: $86K

Number of fines 4
129% more fines than Tennessee average

Tennessee average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
293% more payment denials than Tennessee average

Tennessee average: 0.5

Fines amount comparison
Fines amount comparison
This facility $228K
Tennessee average $86K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

5 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 8, 2025
$42K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jan 8, 2025
7 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 10, 2024
$13K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 10, 2024
$38K

Last updated: Jan 2026

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. 14.4
37% worse 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. 23.1
18% worse than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Below average 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 18.8%
17% worse than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.5%
36% worse 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 21.1%
In line with Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
56% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.3%
39% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
60% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 18.8%
198% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.9%
83% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.6%
30% better than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
In line with Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.88
19% worse than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.28
45% worse than Tennessee average

Tennessee average: 1.57

Short-stay resident measures
Significantly below average 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 88.3%
11% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.0%
20% worse than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 82.8%
In line with 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. 23.3%
5% worse than Tennessee average

Tennessee average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.5%
In line with Tennessee average

Tennessee average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.3%
203% 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. 50.0%
7% worse than Tennessee average

Tennessee average: 53.7%

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

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

27% 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 67
Medicare
3
4.5% of residents
Medicaid
53
79.1% of residents
Private pay or other
11
16.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

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."
$7.4M
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."
-$977.4K
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."
$7.4M Rank #134 / 174Net patient revenue — State benchmarkedThis home is ranked 134th out of 174 homes we track 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 %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
-$977.4K
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.
$640.7K
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 #140 / 174Payroll costs — State benchmarkedThis home is ranked 140th out of 174 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.4M 45.8% 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 #124 / 174Payroll % of net patient revenue — State benchmarkedThis home is ranked 124th out of 174 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$5.0M
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).
$8.4M
How we calculate these figures

This home is administered by Rachel Hicks.

This home is owned by Brookhaven Tn Holdco LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445174

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
201 total

Coverage residents most often arrive under.

Medicare 20%
Private pay 53%
Medicaid 27%
Discharges
194 total

Coverage residents most often leave under.

Medicare 31%
Private pay 54%
Medicaid 15%

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 Orchard View Post-Acute and Rehabilitation Center

Address 1.8 miles from city center Info Estimated distance in miles from Kingsport's city center to Orchard View Post-Acute and Rehabilitation Center's address, calculated via Google Maps.

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

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Smith County Health and Rehabilitation ★ ★ ★ ★ ★
NH
MC
SNF
Carthage
34
Facility 34
TN AVG 88
Rank #402 / 425
61.8%
Facility 61.8%
TN AVG 73.1%
Rank #201 / 268
-16%
3.50
Facility 3.50
TN AVG 3.63
Rank #82 / 179
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -1%-3%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
7
Facility 7
TN AVG 15.4
Rank #32 / 180
2.3
Facility 2.3
TN AVG 4.4
Rank #25 / 180
221-
45
Facility 45
TN AVG 36
Rank #184 / 520
Tn M53 Spe Opco Holdco LLC
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
TN AVG $11.1M
Rank #104 / 174
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
TN AVG $5.9M
Rank #128 / 174
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #156 / 174
445172
Harbert Hills Academy Nursing Home ★ ★ ★ ★ ★
NH
SNF
Savannah
24
Facility 24
TN AVG 88
Rank #415 / 425
66.7%
Facility 66.7%
TN AVG 73.1%
Rank #178 / 268
-9%
5.46
Facility 5.46
TN AVG 3.63
Rank #8 / 179
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ -55%+51%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
17
Facility 17
TN AVG 15.4
Rank #110 / 180
5.7
Facility 5.7
TN AVG 4.4
Rank #141 / 180
-16-
60
Facility 60
TN AVG 36
Rank #67 / 520
Alton Cantarutti---445527
NHC Place Cool Springs ★ ★ ★ ★ ☆
NH
AL
HOS
MC
SNF
Franklin
108
Facility 108
TN AVG 88
Rank #123 / 425
67.6%
Facility 67.6%
TN AVG 73.1%
Rank #175 / 268
-8%
4.50
Facility 4.50
TN AVG 3.63
Rank #19 / 179
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +30%+24%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
8
Facility 8
TN AVG 15.4
Rank #41 / 180
2.7
Facility 2.7
TN AVG 4.4
Rank #36 / 180
273-
34
Facility 34
TN AVG 36
Rank #279 / 520
Anthony Moore
$15.2MFiscal year ending 12/2023
Facility $15.2MFiscal year ending 12/2023
TN AVG $11.1M
Rank #33 / 174
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
TN AVG $5.9M
Rank #21 / 174
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #33 / 174
445475
Rainbow Rehab & Healthcare ★ ★ ☆ ☆ ☆
NH
SNF
Bartlett (West Tennessee)
99
Facility 99
TN AVG 88
Rank #150 / 425
33.3%
Facility 33.3%
TN AVG 73.1%
Rank #261 / 268
-54%
3.48
Facility 3.48
TN AVG 3.63
Rank #82 / 179
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -15%-4%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
7
Facility 7
TN AVG 15.4
Rank #32 / 180
7.0
Facility 7.0
TN AVG 4.4
Rank #158 / 180
-33-
52
Facility 52
TN AVG 36
Rank #114 / 520
-
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
TN AVG $11.1M
Rank #92 / 174
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
TN AVG $5.9M
Rank #112 / 174
45%Fiscal year ending 12/2023
Facility 45%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #130 / 174
445283
Orchard View Post-Acute and Rehabilitation Center ★ ★ ☆ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Kingsport
180
Facility 180
TN AVG 88
Rank #16 / 425
40.4%
Facility 40.4%
TN AVG 73.1%
Rank #255 / 268
-45%
3.33
Facility 3.33
TN AVG 3.63
Rank #114 / 179
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -76%-8%
$94.9k
Facility $94.9k
TN AVG $90.9k
Rank #165 / 181
24
Facility 24
TN AVG 15.4
Rank #148 / 180
4.8
Facility 4.8
TN AVG 4.4
Rank #111 / 180
873--Brookhaven Tn Holdco LLC
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
TN AVG $11.1M
Rank #134 / 174
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
TN AVG $5.9M
Rank #140 / 174
45.8%Fiscal year ending 12/2023
Facility 45.8%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #124 / 174
445174
Nursing Home Explorer

Frequently Asked Questions about Orchard View Post-Acute and Rehabilitation Center

Who is the owner of Orchard View Post-Acute and Rehabilitation Center?

Orchard View Post-Acute and Rehabilitation Center is legally operated by Brookhaven TN OPCO, LLC, and administered by Rachel Hicks.

What is the license number of Orchard View Post-Acute and Rehabilitation Center?

According to TN state health department records, Orchard View Post-Acute and Rehabilitation Center's license number is 00000261.

When does Orchard View Post-Acute and Rehabilitation Center's license expire?

According to TN state health department records, Orchard View Post-Acute and Rehabilitation Center's license expires on August 31, 2026.

What is the occupancy rate at Orchard View Post-Acute and Rehabilitation Center?

Orchard View Post-Acute and Rehabilitation Center's occupancy is 40%.

How long has Orchard View Post-Acute and Rehabilitation Center been in business?

Orchard View Post-Acute and Rehabilitation Center has been operating for approximately 34 years, based on available licensing and registration records.

Are pets allowed at Orchard View Post-Acute and Rehabilitation Center?

No, Orchard View Post-Acute and Rehabilitation Center has a no-pet policy.

Does Orchard View Post-Acute and Rehabilitation Center operate as a for-profit or non-profit?

Orchard View Post-Acute and Rehabilitation Center is registered as a for-profit in TN.

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