Unicoi County, Tennessee · Nursing home
Erwin Health Care Center
2 of 5 overall from CMS
100 Stalling Lane, Erwin, TN 37650
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.40 hours Below the state average of 3.80
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 22 2 at the harm level or above
- Fines in 3 years $10,024 2 fines
- Certified beds in use 57.4% of 125 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Erwin Health Care Center is a 125-bed nursing home in Erwin, Tennessee (Unicoi County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.40 nurse staffing hours per resident per day, below the Tennessee average of 3.80. CMS lists 2 fines totaling $10,024 in the past three years.
- Certified beds
- 125
- Residents per day (average)
- 71.8
- Certified since
- 1992 (34 yrs)
For profit - Individual Participates in Medicare and MedicaidPart of Green Tree Health Management (8 homes)Ownership changed in last 12 months
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Erwin Health Care Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $10,024 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 2.94 hours per resident on weekends against 3.40 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- CMS shows an ownership change in the last 12 months. Has the management or care team changed?Ownership change flag in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Tennessee average 3.0
- Health inspections 2 of 5 Tennessee average 3.0
- Staffing 2 of 5 Tennessee average 2.5
- Quality measures 3 of 5 Tennessee average 3.6
The vertical line marks the Tennessee average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.40 h Tennessee average 3.80
- Nurse aides 1.97 h Tennessee average 2.12
- Licensed practical nurses 0.63 h Tennessee average 1.09
- Registered nurses 0.80 h Tennessee average 0.60
- All staff, weekends 2.94 h Tennessee average 3.31
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Tennessee average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Tennessee average48.9%
- Registered nurse turnoverNot reported
- Tennessee average43.2%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Tennessee and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 17.7% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.3% | 6.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.5% | 13.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 8.3% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 89.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.5% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 56.5% | 31.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.7% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 27.9% | 16.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.11 | 1.67 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.93 | 1.56 | 1.78 |
Short-stay residents
| Measure | This home | Tennessee | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 79.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 79.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 5.4% | 22.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 22 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 17, 2024: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 19, 2025 | 4 | 3 |
| Jan 20, 2022 | 6 | 0 |
| May 30, 2019 | 12 | 2 |
Tennessee homes averaged 4.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (22)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 24, 2025)
-
KImmediate jeopardy, pattern
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 18, 2024)
Show 17 more
-
KImmediate jeopardy, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 18, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 4, 2022)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 4, 2022)
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 4, 2022)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 4, 2022)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 4, 2022)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 4, 2022)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 14, 2019)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 14, 2019)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jul 14, 2019)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 17, 2024 | Fine | $5,012 |
| May 17, 2024 | Fine | $5,012 |
Tennessee homes averaged 0.5 fines and $22,907 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Tennessee
- Size96 of 303 by certified beds
- Tennessee average residents per day84.0
- ChainGreen Tree Health Management
- Chain average overall rating3.1 of 5
- Resident or family councilResident
- Homes in Erwin3
- Homes in Unicoi County3
Common questions
What is the CMS star rating for Erwin Health Care Center?
Erwin Health Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 3.
How many beds does Erwin Health Care Center have?
Erwin Health Care Center has 125 certified beds. It averages 71.8 residents per day, about 57.4% of its certified beds.
How much nursing care do residents get at Erwin Health Care Center?
The home reports 3.40 hours of nurse staffing per resident per day, including 0.80 hours from registered nurses. The Tennessee average is 3.80 hours and 0.60 hours from registered nurses.
Has Erwin Health Care Center been fined?
Yes. CMS lists 2 fines totaling $10,024 in the past three years.
Does Erwin Health Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Center on Aging and Health 120beds 56.5%in use 4.29nurse hours a day
- 4 of 5 Christian Care Center of Unicoi County 50beds 92.2%in use 4.37nurse hours a day
- 4 of 5 Four Oaks Health Care Center 84beds 71.2%in use 3.47nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Unicoi County
Who to call in Tennessee
These offices serve residents of every nursing home in Tennessee.
- Long-term care ombudsman Tennessee Long-Term Care Ombudsman Program 877-236-0013 (Toll-free; routes callers to the District Ombudsman program for their area. State office: 615-253-5412.) An advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Commission complaint intake (Division of Licensure and Regulation) 1-877-287-0010 (Toll-free; Monday through Friday, 8:00 a.m. - 4:30 p.m. Complaints can also be filed through the Commission's online Public Records & Complaints Portal.) The state agency that inspects nursing homes.
Tennessee staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 445291. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.