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C
Below Standard

WEXFORD HOUSE

2421 JOHN B DENNIS HIGHWAY · KINGSPORT, TN 37660

4232883988 · For profit - Corporation

174 beds91.7 residents150 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

WEXFORD HOUSE receives an overall staffing grade of C (Below Standard). With 3.8081 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5151 HPRD, below the recommended 0.75. It is 0.09 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.27% compared to weekdays. The facility uses a moderate level of agency staff (10.8% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5151 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.8081hrs/resident/day▼ 0.09
CMS benchmark: 3.48
RN HPRD
0.5151hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
17.27%
4.0035 weekday → 3.312 weekend
Agency Staff
10.8%
22.33% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2473hrs/resident/day
Direct care aides
LPN HPRD
1.0457hrs/resident/day
Licensed practical nurses
Consistency
0.4032std 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-0.01 HPRD
3.82
03.81 HPRD
vs. Tennessee State Average-0.06 HPRD
3.87
03.81 HPRD
vs. National Average-0.09 HPRD
3.90
03.81 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
WEXFORD HOUSE ★
KINGSPORT · This facility
—
C
3.80810.5151★★☆☆☆
HOLSTON REHABILITATION AND CARE CENTER
KINGSPORT
1.5 mi
C
4.0890.4788★☆☆☆☆
ORCHARD VIEW POST-ACUTE AND REHABILITATION CENTER
KINGSPORT
2 mi
C
3.37260.5777★☆☆☆☆
GREYSTONE HEALTH CARE CENTER
BLOUNTVILLE
7.3 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
14.8 mi
C
3.83040.4307★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
15
Total Deficiencies
$0
Fines Assessed
Nov 17, 2025Health
1 deficiency cited
▼
Jun 18, 2025Health
7 deficiencies cited
▼
Mar 20, 2024Health
6 deficiencies cited
▼
Feb 20, 2020Health
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.