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Assisted Living Home

Signature Healthcare of Elizabethton Rehab & Wellness Center

Assisted Living Home

Signature Healthcare of Elizabethton Rehab & Wellness Center

1200 Spruce Lane, Elizabethton, TN 37643 View map
Overview of Signature Healthcare of Elizabethton Rehab & Wellness Center
Signature Healthcare of Elizabethton Rehab & Wellness Center is located in Elizabethton, TN. It offers a variety of skilled care and medical assistance services, including rehabilitation and life enrichment programs. The facility focuses on providing quality patient care and enhancing resident satisfaction.
(423) 543-3202

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.
5/5
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.
5/5
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.
3/5
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.
4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 20m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 94

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the state average
Occupancy rate 70.4%
Residents per day (avg) 70
Occupancy rate
70.4%
Residents per day (avg)
70

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

68% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.5M
Profit
$77.8K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$9,545,036.00
Profit
$77,809.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
31.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.4M
Total costs $9.5M
Bed community size
94-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

License details

Facility type
Nursing Home
Status Licensed
Issuance July 1, 1992

Additional licensing details

License number: 00000027
CMS Certification Number: 445217

Ownership & operating entity

Signature Healthcare of Elizabethton Rehab & Wellness Center is administrated by Charles Cowan Gilmer.

Owner name: LP Elizabethton, LLC

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Rehabilitation
Respite Care

Amenities & Lifestyle

Private rooms
satellite television
concierge services
personalized planning of care
onsite chapel
elder vacations
transportation to community events
community involvement
small neighborhoods

Programs & Activities

Specific Programs
Clinical Services, Rehabilitation, Care Navigation, Life Enrichment
Religious Services
Yes
Operating Hours
Monday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Dining & Nutrition

Food Description
Delicious home-cooked meals are provided.
Contact Signature Healthcare of Elizabethton Rehab & Wellness 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.

Tennessee average: 9 complaint visits

Latest inspection

Date:November 7, 2022

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 2

State average N/A


Last Health inspection on May 2025

Total health citations 2

State average N/A

Citations per inspection
1

State average N/A


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

All 2 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
In line with State average

State average: N/A


Serious Health citations More info 0
In line with State average

State average: N/A

0 critical citations More info State average: N/A

0 serious citations More info State average: N/A

2 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 07, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 02, 2019
Corrected

Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

Signature Healthcare of Elizabethton Rehab & Wellness 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.

Elizabethton
94
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 Signature Healthcare of Elizabethton Rehab & Wellness Center

Address 0.0 miles from city center

Address 1200 Spruce Lane, Elizabethton, TN 37643

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 110
Employees 106
Contractors 4
Staff to resident ratio 1.57:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 36
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,048
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.3%

75 contractor hours this quarter

Occupational Therapy Assistant: 2 Registered Nurse: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant3903912,34991100%8.7
Licensed Practical Nurse150154,37191100%8.6
Registered Nurse121132,40191100%9.1
RN Director of Nursing6062,1307987%9.4
Respiratory Therapy Technician5058856875%7
Other Dietary Services Staff5056767380%8.1
Nurse Practitioner1016607178%9.3
Clinical Nurse Specialist7075645459%8
Physical Therapy Aide4045366875%6.1
Administrator1015206571%8
Dietitian1014786470%7.5
Speech Language Pathologist3034396571%5.6
Physical Therapy Assistant3034276774%6.3
Mental Health Service Worker1013715055%7.4
Qualified Social Worker3031725560%3
Medical Director011361314%2.8
Occupational Therapy Assistant0223589%4.4
39 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
6 RN Director of Nursing
% of Days 87%
5 Respiratory Therapy Technician
% of Days 75%
5 Other Dietary Services Staff
% of Days 80%
1 Nurse Practitioner
% of Days 78%
7 Clinical Nurse Specialist
% of Days 59%
4 Physical Therapy Aide
% of Days 75%
1 Administrator
% of Days 71%
1 Dietitian
% of Days 70%
3 Speech Language Pathologist
% of Days 71%
3 Physical Therapy Assistant
% of Days 74%
1 Mental Health Service Worker
% of Days 55%
3 Qualified Social Worker
% of Days 60%
1 Medical Director
% of Days 14%
2 Occupational Therapy Assistant
% of Days 9%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
70 residents
Residents by payment source
Medicare
12 residents (17.1%)
Medicaid
53 residents (75.7%)
Private pay or other
5 residents (7.1%)
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.

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. 8.5
19% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.0
23% better than State average

State average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.1%
43% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.8%
13% better than State average

State 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 17.2%
17% better than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.8%
32% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.3%
16% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
12% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
46% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.0%
45% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.0%
15% better than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
9% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
In line with State average

State average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.5%
15% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
20% better than State average

State average: 79.8%

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