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C
Below Standard

HOLSTON REHABILITATION AND CARE CENTER

3641 MEMORIAL BLVD · KINGSPORT, TN 37664

4232462411 · For profit - Corporation

204 beds132.4 residents365 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HOLSTON REHABILITATION AND CARE CENTER receives an overall staffing grade of C (Below Standard). With 4.089 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4788 HPRD, below the recommended 0.75. It is 0.19 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.08% compared to weekdays. The facility relies heavily on temporary agency staff (20.1% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4788 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️20.1% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.089hrs/resident/day▲ 0.19
CMS benchmark: 3.48
RN HPRD
0.4788hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
17.08%
4.2964 weekday → 3.5626 weekend
Agency Staff
20.1%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2996hrs/resident/day
Direct care aides
LPN HPRD
1.2131hrs/resident/day
Licensed practical nurses
Consistency
0.5792std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sullivan County Average+0.27 HPRD
3.82
04.09 HPRD
vs. Tennessee State Average+0.22 HPRD
3.87
04.09 HPRD
vs. National Average+0.19 HPRD
3.90
04.09 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HOLSTON REHABILITATION AND CARE CENTER ★
KINGSPORT · This facility
—
C
4.0890.4788★☆☆☆☆
WEXFORD HOUSE
KINGSPORT
1.5 mi
C
3.80810.5151★★☆☆☆
ORCHARD VIEW POST-ACUTE AND REHABILITATION CENTER
KINGSPORT
2.7 mi
C
3.37260.5777★☆☆☆☆
GREYSTONE HEALTH CARE CENTER
BLOUNTVILLE
6.2 mi
B
4.15980.5706★☆☆☆☆
CHURCH HILL POST-ACUTE AND REHABILITATION CENTER
CHURCH HILL
12.7 mi
C
3.83170.4563☆☆☆☆☆
NHC HEALTHCARE, JOHNSON CITY
JOHNSON CITY
13.4 mi
C
3.83040.4307★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
23
Total Deficiencies
$0
Fines Assessed
Nov 17, 2025Health
9 deficiencies cited· Includes actual harm
▼
Mar 5, 2024Health
10 deficiencies cited
▼
Nov 9, 2023Health
1 deficiency cited
▼
Jan 14, 2020Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.