★★★★★CMS 5/5101 bedsFor-profitMedicaid
- Nurse hours
- 4.37 /day
- Staff turnover
- 43%
- Serious cites
- 0
Ivy Hall runs about 4.37 nursing hours per resident day, roughly 13% above the national average, and its inspection record is genuinely clean: two deficiencies on file, none involving harm or abuse, with a survey completed in September 2025. Staff turnover sits at 43.4%, a touch under the national figure. The one thing worth watching is weekends, when staffing drops about 14% below the home's own weekday level, that gap matters most for residents who need help at meals, with mobility, or with toileting on Saturday and Sunday. A for-profit owned by an individual, 101 beds, in Elizabethton. The numbers say a well-staffed home on paper; ask how weekends actually run.
★★★★☆CMS 4/576 bedsGovernmentMedicaid
- Nurse hours
- 3.65 /day
- Staff turnover
- 41%
- Serious cites
- 0
Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.
★★★★★CMS 5/594 bedsFor-profitMedicaid
- Nurse hours
- 3.89 /day
- Staff turnover
- 37%
- Serious cites
- 0
Signature Healthcare of Elizabethton runs 94 certified beds under for-profit LLC ownership, and its inspection record is the cleanest part of the story: a five-star health inspection rating with just two deficiencies on file, none at the harm or jeopardy level. One of those two is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.89 hours per resident day, barely above the 3.86 national average, and weekends dip about 12% below the home's own weekday coverage. Staff turnover is 36.8%, lower than the 45.8% national figure, which suggests people tend to stay. The last inspection was May 2025, so the record you're reading is recent.
★★★★★CMS 5/570 bedsNon-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 53%
- Serious cites
- 0
Hermitage Health Center runs a tight ship on inspections, a five-star health inspection rating with just five deficiencies on record, none of them causing harm or involving abuse, and the most recent survey was this past May. That's a real strength, and it's not easy to earn. Staffing is where the picture gets murkier: 3.63 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 9% below the home's own weekday levels, and turnover runs 53.4% against a national 45.8%. So the care you'd see on a Tuesday may not match what's there on a Sunday. Quality measures land mid-range at three stars.
★★★☆☆CMS 3/5158 bedsFor-profitMedicaid
- Nurse hours
- 3.44 /day
- Staff turnover
- 53%
- Serious cites
- 0
Life Care Center of Elizabethton runs 158 certified beds under corporate ownership, and the numbers show a building leaning hard on its clinical scores while staffing lags behind. Nurses provide 3.44 hours per resident day, roughly 11% under the national average of 3.86, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover sits at 53.3%, well above the 45.8% national figure, so the people at the bedside keep changing.
The inspection record is the sharper concern: 11 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. A single fine of $10,036 has been levied, and the last full inspection was November 2023. Strong quality-measure scores don't offset that pattern.