Deficiency Index

Signature Healthcare of Elizabethton Rehab & Welln

Elizabethton, Tennessee · CCN 445217

9 surveys since 2011, 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
24
Surveys
9
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
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
94
Ownership
For profit - Limited Liability company
Chain
SIGNATURE HEALTHCARE
County
Carter
Medicare-certified since
1989

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=6, floor 20).

Last survey on record

May 7, 2025

551 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 day3.893.49
Registered-nurse hours per resident day0.48—
Annual nurse turnover36.8%52.6%

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 minimalD2100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 2 of the 24 citations on record.

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Elizabethton Rehab & Welln, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF600Jul 29, 2026

    Based on facility policy review, medical record review, text message review, and interviews, the facility failed to protect the resident's right to be free from abuse for 1 resident (Resident #32) of 24 residents reviewed for abuse. The findings include: Review of the facility policy titled, Abuse, Neglect, and Misappropriation of Property, revised on 9/15/2023, revealed .it is the organization's intention to prevent the occurrence of abuse .the organization will include prevention, identification, protection to provide protection for the health, welfare, and rights of each resident residing in the facility .Mental abuse .includes but not limited to humiliation, or any other statements or behaviors that a reasonable person would consider to be humiliating, demeaning .verbal abuse . […]

  • No harm, potential for more than minimal, isolatedF609Jul 29, 2026

    Based on facility policy review, medical record review, text message review, and interviews, the facility failed to report an allegation of abuse to the appropriate state agencies for 1 resident (Resident #32) of 24 residents reviewed for abuse. The findings include: Review of the facility policy titled, Abuse, Neglect and Misappropriation of Property, revised 9/15/2023, revealed .It is the orgnaization's intention .to assure that alleged violations of federal or State laws which involve abuse .are .reported immediately to the Facility Administrator, the State Survey Agency, and other appropriate State and local agencies in accordance with Federal and State law .The Facility Administrator is responsible for reporting all investigations' results to applicable State agencies .Mental abuse… […]

  • No harm, potential for more than minimal, isolatedF610Jul 29, 2026

    Based on facility policy review, medical record review, text message review, staff assignment sheets, staff time sheets, and interviews, the facility failed to investigate an allegation of abuse for 1 resident (Resident #32) of 24 residents reviewed for abuse.The findings include: Review of the facility policy titled, Abuse, Neglect, and Misappropriation of Property, revised on 9/15/2023, revealed .It is the organization's intention to prevent .abuse .The organization will include .investigation .to provide protection for the health, welfare, and rights of each resident .the Facility Administrator, or he or her designee, will conduct a reasonable investigation of each such alleged violation .Mental abuse .Include, but is not limited to, humiliation .or any other statements or behavior that… […]

  • No harm, potential for more than minimal, isolatedF656Jul 29, 2026

    Based on facility policy review, medical record review, and interviews, the facility failed to develop a person-centered care plan related to specific Post Traumatic Stress Disorder (PTSD) triggers for 1 resident (Resident #51) of 1 resident reviewed for PTSD.The findings include: Review of the facility policy titled, Behavioral Health, last revised 9/15/2023, revealed .It is the organization's intent to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with the comprehensive assessment and plan of care .Post-traumatic stress disorder occurs in some individuals who have encountered a shocking, scary, or dangerous situation .GUIDELINES .Person-centered approaches will be… […]

  • No harm, potential for more than minimal, isolatedF880May 7, 2025

    Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices related to hand hygiene were followed by 1 staff member during meal service and failed to offer hand hygiene assistance to 1 resident (Resident #48) of 10 residents observed during meal tray distribution on 1 of 3 hallways. The findings include: Review of the facility's policy titled, Infection Control, revised 1/31/2025, revealed .facility infection control policies and practices are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections . […]

Read 20 findings in full →The most serious and the most recent: 20 of 24 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 29, 2026Standard4 findings
  • May 7, 2025Standard1 finding
  • Sep 8, 2021Complaint1 finding
  • Oct 2, 2019Standard and complaint1 finding
  • Nov 7, 2018Standard2 findings
  • Nov 16, 2016Standard2 findings
  • Sep 24, 2014Standard2 findings
  • Aug 14, 2013—1 finding
Show the 1 earlier survey
  • Nov 17, 2011—10 findings

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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