Deficiency Index

Hillview Health Center

Elizabethton, Tennessee · CCN 445464

9 surveys since 2009, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
21
Surveys
9
Harm or worse
0
Immediate jeopardy
0
The record, 2009–2023
’09’10’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/9

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
76
Ownership
Government - Federal
Chain
TWIN RIVERS HEALTH & REHABILITATION
County
Carter
Medicare-certified since
2002

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

Nov 14, 2023

1,091 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.653.67
Registered-nurse hours per resident day0.75—
Annual nurse turnover41.2%48.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD571.4%E114.3%F114.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 21 citations on record.

In the surveyor’s words

From the most serious findings on record at Hillview Health Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF584Nov 14, 2023

    Based on observation and interview, the facility failed to maintain resident room doorways and hallways in good repair and a homelike environment for 4 resident rooms (#205, #207, #209, #210) of 24 rooms observed for homelike environment on 2 of 5 hallways observed. The findings include: During an environment tour of 5 Halls and 24 rooms on 11/14/2023, starting at 10:00 AM and ending at 10:30 AM, the following concerns were observed: room [ROOM NUMBER] was observed to have scratched/gouged (hole)/scuffed door jamb with missing paint. room [ROOM NUMBER] was observed to have scratched/gouged/scuffed doorjamb with missing paint. […]

  • No harm, potential for more than minimal, isolatedF655Nov 14, 2023

    Based on policy review, record review, observations, and interviews the facility failed to develop a baseline care plan to include an indwelling urinary catheter (a tube inserted into the bladder to drain urine) for 1 resident (Resident #214) of 18 new admissions reviewed for baseline care plans. The findings include: Review of the facility policy titled, Care Plans-Baseline, undated, .A baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty-eight (48) hours of admission .The Interdisciplinary Team will review the healthcare practitioner's orders .and implement a baseline care plan to meet the resident's immediate needs including .Physician orders . […]

  • No harm, potential for more than minimal, isolatedF761Nov 14, 2023

    Based on facility policy review, observation, and interview the facility failed to ensure expired supplies were not available for resident use in 1 of 2 medications storage rooms observed. The findings include: Review of the facility policy titled Storage of Medications, revised ,d+[DATE], showed .The facility stores all .biologicals in a safe, secure, and orderly manner .outdated .biologicals are .to be .destroyed . During an observation and interview on [DATE] at 9:32 AM, in the Station 2 Medication Storage room with Registered Nurse (RN) #1 showed: (2) gray top vacuette tubes (tubes used to collect blood for laboratory values) with an expired date of [DATE]; (2) IV start kits with an expired dated of [DATE]; (1) IV start kit with an expired date of [DATE]; and (7) Invervenous (IV)… […]

  • No harm, potential for more than minimal, isolatedF609Jan 12, 2021

    Based on facility policy review and interview the facility failed to ensure all allegations of abuse were reported to appropriate state entities for 1 resident of 4 residents reviewed for abuse. The findings include: Review of the facility Abuse Prevention Policy & Procedure revised 10/1/2017 revealed .All allegations involving abuse, neglect, exploitation or mistreatment .are reported immediately to the state survey agency, adult protective services and all other agencies or required, per state and federal guidelines . […]

Read 20 findings in full →The most serious and the most recent: 20 of 21 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 14, 2023Standard3 findings
  • Jan 12, 2021Complaint1 finding
  • Mar 6, 2019Standard4 findings
  • Apr 4, 2018Standard1 finding
  • Mar 2, 2016Standard2 findings
  • Jan 23, 2014—3 findings
  • Nov 29, 2012—5 findings
  • Jul 29, 2010—1 finding
Show the 1 earlier survey
  • Jun 4, 2009—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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