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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.
Princeton Transitional Care & Assisted Living is a 79-bed assisted living and transitional care community in Johnson City, Tennessee, operated through a partnership between Ballad Health and Signature HealthCARE under Blue Ridge Medical Management Corporation. The facility serves Washington County residents across assisted living, short-term rehabilitation, and memory care.
The facility performs above the Tennessee average across all four CMS rating categories. Health Inspection scores run 71% above state norms, and Staffing metrics place it 19th out of 172 Tennessee skilled nursing facilities. Nurse staffing averages 4 hours and 19 minutes per resident per day, roughly 22% above the state benchmark, which is meaningful for residents requiring consistent hands-on assistance.
The campus is built around rehabilitation and recovery. It includes a dedicated therapy gym for outpatient care, assisted living apartments, and transitional care units. Memory care is available on-site. Outdoor spaces include secure courtyards with walking paths and a covered patio with an outdoor fireplace. A chapel with weekly spiritual programming rounds out the lifestyle offering.
The facility accepts Medicare and private pay.
Princeton Transitional Care & Assisted Living serves older adults undergoing post-acute rehabilitation, residents with memory care needs, or those seeking assisted living within a larger health system footprint in the Tri-Cities region.
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 19th 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 |
|---|---|---|
|
Registered Nurse (RN)
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.
| 1h 55m per day | ▲ 211% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 46m per day | ▼ 29% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
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 per day | ▼ 7% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
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 49m per day | ▲ 14% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 19m per day | ▲ 280% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 59m per day | ▲ 146% State avg: 24m per day · National avg: 28m per day |
Similar to the Tennessee average: 71.6%Princeton Transitional Care & Assisted Living is administrated by Keith Boyce.
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 May 2025
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.
All 2 citations resulted from standard inspections.
100% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
47% more staff per resident than Tennessee average
0% compared with Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
18 total: 17 full-time employees and 1 contractor.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
All 23 CNA Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
139 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 0 | 23 | 7,998 | 92 | 100% | 10 |
| Registered Nurse | 17 | 1 | 18 | 5,174 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,555 | 81 | 88% | 8.2 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,302 | 88 | 96% | 10 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,338 | 80 | 87% | 6.8 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,304 | 78 | 85% | 6 |
| Qualified Social Worker | 3 | 0 | 3 | 862 | 66 | 72% | 7.3 |
| RN Director of Nursing | 4 | 0 | 4 | 792 | 75 | 82% | 6.9 |
| Speech Language Pathologist | 8 | 0 | 8 | 746 | 73 | 79% | 5.5 |
| Physical Therapy Aide | 5 | 0 | 5 | 720 | 73 | 79% | 5.4 |
| Dental Services Staff | 2 | 0 | 2 | 649 | 65 | 71% | 7.7 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 447 | 57 | 62% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 318 | 38 | 41% | 8.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 302 | 48 | 52% | 6.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 84 | 22 | 24% | 3.8 |
| Medical Director | 0 | 1 | 1 | 39 | 29 | 32% | 1.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
89.8%
13% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
27% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.5%
5% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.9%
12% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.2%
9% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
12% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.2%
18% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.6%
30% 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.
41% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
39Data 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 Princeton Transitional Care & Assisted Living 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 #147 / 176Payroll — State benchmarkedThis home is ranked 147th 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
289.9 miles from city center
Estimated distance in miles from Johnson City's city center to Princeton Transitional Care & Assisted Living's address, calculated via Google Maps.
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Princeton Transitional Care & Assisted Living is located in Johnson City, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The legal owner and operator of Princeton Transitional Care & Assisted Living is LP Johnson City, LLC.
Princeton Transitional Care & Assisted Living has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Princeton Transitional Care & Assisted Living's license number is 00000486.
Princeton Transitional Care & Assisted Living's occupancy is 73%.
Keith Boyce is the administrator of Princeton Transitional Care & Assisted Living.
Princeton Transitional Care & Assisted Living has 79 beds.
Yes — there is 1 photo of Princeton Transitional Care & Assisted Living in the photo gallery on this page.
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