Total health inspections
2
Tennessee average 3.5
Last Health inspection on May 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Signature Healthcare of Elizabethton Rehab & Wellness Center
Nursing Home · Tennessee, TN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Signature Healthcare of Elizabethton Rehab & Wellness Center
Nursing Home · Tennessee, TN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Signature Healthcare of Elizabethton Rehab & Wellness Center accepts Medicare, Medicaid, and private pay.
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
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 101st out of 172 homes in Tennessee. 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.
This home is ranked 101st out of 172 homes in Tennessee. 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 #101 / 172Nurse hours — State benchmarkedThis home is ranked 101st out of 172 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 172 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Tennessee avg
-9%
Standout metric
Physical Therapist is +40% above state avg
| 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.
| 28m per day | ▼ 24% 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.
| 1h 14m per day | ▲ 14% 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 5m per day | ▼ 3% 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 1m per day | ▼ 10% 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.
| 7m per day | ▲ 40% 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.
| 19m per day | ▼ 21% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
70.4%
Rank #186 / 302Occupancy rate — State benchmarkedThis home is ranked 186th out of 302 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 302. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
92 days
94-bed community Rank #174 / 427Bed count — State benchmarkedThis home is ranked 174th out of 427 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
33 years in operation Rank #69 / 384Years in operation — State benchmarkedThis home is ranked 69th out of 384 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee SNFs. Longer operating histories may benefit residents, families, and staff.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: 68 / 100 Rank #37 / 554Walk Score — State benchmarkedThis home is ranked 37th out of 554 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.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
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000027
CMS Certification Number445217
Signature Healthcare of Elizabethton Rehab & Wellness Center is administrated by Charles Cowan Gilmer.
Owner NameLP Elizabethton, LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
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 ServicesYes
Operating HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Food DescriptionDelicious home-cooked meals are provided.
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
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
2
Rank #1 / 176Health citations — State benchmarkedThis home is ranked 1st out of 176 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 176 TN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 15.4
Citations per inspection
1
Rank #1 / 176Citations per inspection — State benchmarkedThis home is ranked 1st out of 176 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 176 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
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
13% worse than Tennessee average
Avg staff/day
37
Average shift
8.3 hours
0% compared with Tennessee average
Total staff hours (quarter)
28,402
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
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
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 13,105 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,973 | 92 | 100% | 8.6 |
| RN Director of Nursing | 7 | 0 | 7 | 2,243 | 80 | 87% | 9.3 |
| Registered Nurse | 7 | 1 | 8 | 1,605 | 90 | 98% | 8.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,004 | 74 | 80% | 8.5 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 956 | 73 | 79% | 7.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 787 | 67 | 73% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 642 | 68 | 74% | 9.4 |
| Administrator | 2 | 0 | 2 | 568 | 66 | 72% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 539 | 71 | 77% | 6 |
| Physical Therapy Aide | 3 | 0 | 3 | 506 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 486 | 60 | 65% | 7.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 437 | 67 | 73% | 6.1 |
| Dietitian | 1 | 0 | 1 | 328 | 52 | 57% | 6.3 |
| Qualified Social Worker | 3 | 0 | 3 | 145 | 48 | 52% | 3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 44 | 10 | 11% | 4 |
| Medical Director | 0 | 1 | 1 | 36 | 13 | 14% | 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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.5
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 Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.0
23% better than Tennessee averageTennessee average: 19.5
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
9.1%
Percent of long-stay residents whose need for help with daily activities has increased
9.1%
43% better than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.8%
Percent of long-stay residents whose ability to move independently worsened
18.8%
13% better than Tennessee averageTennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.2%
17% better than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
32% worse than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.3%
Percent of long-stay high risk residents with pressure ulcers
6.3%
16% worse than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
12% better than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
46% better than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.0%
Percent of long-stay residents who have depressive symptoms
6.0%
45% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.0%
Percent of long-stay residents who received an antipsychotic medication
14.0%
15% better than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
9% better than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
In line with Tennessee averageTennessee average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.39
Number of hospitalizations per 1,000 long-stay resident days.
1.39
12% better than Tennessee averageTennessee average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.35
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.35
78% better than Tennessee averageTennessee average: 1.57
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
15% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
20% better than Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.9%
10% better than Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
22.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.3%
99% worse than Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
55.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.9%
In line with Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.6%
Rate of successful return to home or community from a skilled nursing facility.
55.6%
10% 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.
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Signature Healthcare of Elizabethton Rehab & Wellness Center based on CMS SNF Cost Reports.
Occupancy Rate
70.4%
↑ 13.9pp vs 2022
Net Income
$77.8K
↑ ~$253.9K vs 2022
Total Payroll
$3.3M
↑ ~$1.0M vs 2022
Profit Margin
0.9%
↑ 3.4pp vs 2022
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
$9.5M Rank #133 / 176Revenue — State benchmarkedThis home is ranked 133rd out of 176 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$77.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #151 / 176Payroll — State benchmarkedThis home is ranked 151st out of 176 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #151 / 176Payroll — State benchmarkedThis home is ranked 151st out of 176 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.5M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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Estimated distance in miles from Elizabethton's city center to Signature Healthcare of Elizabethton Rehab & Wellness Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Tennessee
Signature Healthcare of Elizabethton Rehab & Wellness Center is located in Elizabethton, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about Signature Healthcare of Elizabethton Rehab & Wellness Center
Who is the owner of Signature Healthcare of Elizabethton Rehab & Wellness Center?
The legal owner and operator of Signature Healthcare of Elizabethton Rehab & Wellness Center is LP Elizabethton, LLC.
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.
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.
Are there photos of Signature Healthcare of Elizabethton Rehab & Wellness Center?
Yes — there is 1 photo of Signature Healthcare of Elizabethton Rehab & Wellness Center in the photo gallery on this page.
What is the address of Signature Healthcare of Elizabethton Rehab & Wellness Center?
Signature Healthcare of Elizabethton Rehab & Wellness Center is located at 1200 Spruce Lane.
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