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C
Below Standard

SIGNATURE HEALTHCARE OF ELIZABETHON REHAB & WELLNE

1200 SPRUCE LANE · ELIZABETHTON, TN 37643

4235433202 · For profit - Limited Liability company

94 beds65.3 residents95 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

SIGNATURE HEALTHCARE OF ELIZABETHON REHAB & WELLNE receives an overall staffing grade of C (Below Standard). With 3.7921 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4603 HPRD, below the recommended 0.75. It is 0.10 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.7% compared to weekdays. The facility has low agency staff usage (0.01% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4603 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.01%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7921hrs/resident/day▼ 0.10
CMS benchmark: 3.48
RN HPRD
0.4603hrs/resident/day▼ 0.22
Recommended: 0.75
Weekend Drop-off
20.7%
4.0277 weekday → 3.1939 weekend
⚠ Significant weekend reduction
Agency Staff
0.01%
0.07% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0838hrs/resident/day
Direct care aides
LPN HPRD
1.2479hrs/resident/day
Licensed practical nurses
Consistency
0.4917std 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. Carter County Average-0.04 HPRD
3.83
03.79 HPRD
vs. Tennessee State Average-0.08 HPRD
3.87
03.79 HPRD
vs. National Average-0.10 HPRD
3.90
03.79 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
SIGNATURE HEALTHCARE OF ELIZABETHON REHAB & WELLNE ★
ELIZABETHTON · This facility
—
C
3.79210.4603★★★★★
LIFE CARE CENTER OF ELIZABETHTON
ELIZABETHTON
0.9 mi
C
3.35140.4185★★★☆☆
PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
JOHNSON CITY
9 mi
A
4.70331.9262★★★★★
AGAPE REHABILITATION & NURSING CENTER, A WATERS CM
JOHNSON CITY
9.1 mi
B
3.48930.6818★★★★☆
NHC HEALTHCARE, JOHNSON CITY
JOHNSON CITY
9.7 mi
C
3.83040.4307★★★★★
LAKEBRIDGE, A WATERS COMMUNITY, LLC
JOHNSON CITY
10.6 mi
D
3.29320.2651★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
2
Total Deficiencies
$0
Fines Assessed
May 7, 2025Health
1 deficiency cited
▼
Oct 2, 2019Health
1 deficiency 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.