Signature Healthcare of Elizabethton Rehab & Wellness Center
Nursing Home, Hospice Care, Palliative Care & Respite Care · Elizabethton, 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.

Signature Healthcare of Elizabethton Rehab & Wellness Center

Nursing Home, Hospice Care, Palliative Care & Respite Care · Elizabethton, 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.
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Signature Healthcare of Elizabethton Rehab & Wellness Center accepts Medicare, Medicaid, and private pay.

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.

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.
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.
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.
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.

Staffing hours breakdown

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 — compared to state averages

Total nursing care / resident Info 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 per day
Rank #115 / 192Nurse hours — State benchmarkedThis home is ranked 115th out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +86% above state avg
Staff typeHours / Day / Residentvs 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. 30m per day ▼ 20% 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. 1h 10m per day ▲ 8% 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 8m per day ■ Avg 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 11m per day ▼ 5% 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. 9m per day ▲ 86% 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. 18m per day ▼ 27% State avg: 24m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
92 days
Bed community size
94-bed community Rank #174 / 426Bed count — State benchmarkedThis home is ranked 174th out of 426 homes in Tennessee. 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.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation Rank #67 / 385Years in operation — State benchmarkedThis home is ranked 67th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 68 / 100 Rank #37 / 553Walk Score — State benchmarkedThis home is ranked 37th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
70%
Rank #196 / 319Occupancy rate — State benchmarkedThis home is ranked 196th out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Tennessee average: 71.6%
Occupied beds
66 / 94
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000027
CMS Certification Number445217

Ownership & Operating Entity

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

Owner NameLP Elizabethton, LLC

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Satellite Television
Concierge Services
Personalized Planning Of Care
Onsite Chapel
Elder Vacations
Transportation To Community Events
Community Involvement
Small Neighborhoods
Specific ProgramsClinical Services, Care Navigation
Religious Services
Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

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.

Inspection oversight

  • Latest inspection: November 7, 2022

Health Inspection History

Inspections since 2019
Total health inspections 2

State average N/A


Last Health inspection on May 2025

Total health citations
2 Rank #1 / 196Health citations — State benchmarkedThis home is ranked 1st out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
1 Rank #1 / 196Citations per inspection — State benchmarkedThis home is ranked 1st out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 7 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

2 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 7 years)
Infection Control moderate citation May 07, 2025
Corrected

Abuse/Neglect moderate citation Oct 02, 2019
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 107
Employees 103
Contractors 4
Staff to resident ratio 1.53 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 28,402

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 8 total: 7 full-time employees and 1 contractor. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 45 CNA Staff are full-time employees. No contractors work on this role. 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 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

0.3%

82 contractor hours this quarter

Occupational Therapy Assistant: 2 Registered Nurse: 1 Medical Director: 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 Assistant4504513,10592100%8.6
Licensed Practical Nurse160164,97392100%8.6
RN Director of Nursing7072,2438087%9.3
Registered Nurse7181,6059098%8.6
Other Dietary Services Staff3031,0047480%8.5
Respiratory Therapy Technician4049567379%7.2
Clinical Nurse Specialist4047876773%8.2
Nurse Practitioner1016426874%9.4
Administrator2025686672%8
Physical Therapy Assistant2025397177%6
Physical Therapy Aide3035066571%6.8
Mental Health Service Worker2024866065%7.7
Speech Language Pathologist3034376773%6.1
Dietitian1013285257%6.3
Qualified Social Worker3031454852%3
Occupational Therapy Assistant022441011%4
Medical Director011361314%2.8
45 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
7 RN Director of Nursing
% of Days 87%
8 Registered Nurse
% of Days 98%
3 Other Dietary Services Staff
% of Days 80%
4 Respiratory Therapy Technician
% of Days 79%
4 Clinical Nurse Specialist
% of Days 73%
1 Nurse Practitioner
% of Days 74%
2 Administrator
% of Days 72%
2 Physical Therapy Assistant
% of Days 77%
3 Physical Therapy Aide
% of Days 71%
2 Mental Health Service Worker
% of Days 65%
3 Speech Language Pathologist
% of Days 73%
1 Dietitian
% of Days 57%
3 Qualified Social Worker
% of Days 52%
2 Occupational Therapy Assistant
% of Days 11%
1 Medical Director
% of Days 14%

Penalties and fines

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.

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
Significantly above average State avg: 3.7 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 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.39
12% better than State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.35
78% better than State average

State average: 1.57

Short-stay resident measures
Significantly above average State avg: 3.4 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 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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.9%
10% better than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 22.3%
99% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State 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. 55.9%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.6%
10% better than State average

State average: 50.6%

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

Facility Characteristics

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

Total residents 70
Medicare
12
17.1% of residents
Medicaid
53
75.7% of residents
Private pay or other
5
7.1% 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.

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."
$7.7M
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."
-$272.8K
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."
$7.7M Rank #151 / 196Revenue — State benchmarkedThis home is ranked 151st out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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."
-$272.8K
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.
$350.6K
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 #169 / 196Payroll — State benchmarkedThis home is ranked 169th out of 196 homes in Tennessee. 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.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M 43% 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 #165 / 196Payroll % — State benchmarkedThis home is ranked 165th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
$4.6M
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).
$7.9M

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.

Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
272 total

Coverage residents most often arrive under.

Medicare 24%
Private pay 68%
Medicaid 8%
Discharges
262 total

Coverage residents most often leave under.

Medicare 17%
Private pay 66%
Medicaid 17%

Places of interest near Signature Healthcare of Elizabethton Rehab & Wellness Center

Address 0.0 miles from city center Info Estimated distance in miles from Elizabethton's city center to Signature Healthcare of Elizabethton Rehab & Wellness Center's address, calculated via Google Maps.

Calculate Travel Distance to Signature Healthcare of Elizabethton Rehab & Wellness Center

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Address

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Frequently Asked Questions about Signature Healthcare of Elizabethton Rehab & Wellness Center

Who is the owner of Signature Healthcare of Elizabethton Rehab & Wellness Center?

Signature Healthcare of Elizabethton Rehab & Wellness Center is legally operated by LP Elizabethton, LLC, and administered by Charles Cowan Gilmer.

Is Signature Healthcare of Elizabethton Rehab & Wellness Center in a walkable area?

Signature Healthcare of Elizabethton Rehab & Wellness Center has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Signature Healthcare of Elizabethton Rehab & Wellness Center?

According to TN state health department records, Signature Healthcare of Elizabethton Rehab & Wellness Center's license number is 00000027.

What is the occupancy rate at Signature Healthcare of Elizabethton Rehab & Wellness Center?

Signature Healthcare of Elizabethton Rehab & Wellness Center's occupancy is 70%.

Does Signature Healthcare of Elizabethton Rehab & Wellness Center operate as a for-profit or non-profit?

Signature Healthcare of Elizabethton Rehab & Wellness Center is registered as a for-profit in TN.

Who is the administrator of Signature Healthcare of Elizabethton Rehab & Wellness Center?

Charles Cowan Gilmer is the administrator of Signature Healthcare of Elizabethton Rehab & Wellness Center.

How many beds does Signature Healthcare of Elizabethton Rehab & Wellness Center have?

Signature Healthcare of Elizabethton Rehab & Wellness Center has 94 beds.

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