Hearth Record

Life Care Center of Elizabethton

A nursing home in Elizabethton, Tennessee 37643

1641 Highway 19e, Elizabethton, Tennessee 37643. (423) 542-4133.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 12 citations in 2 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

9 health citations at the latest inspection cycle

The Tennessee average is 4.3.

Last standard inspection Jul 29, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 29, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

12 citations in 2 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

12 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 19 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 3 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 29, 2026: standard inspection9 citations

  • Allow residents to self-administer drugs if determined clinically appropriate.

    Rule F0554. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Dispose of garbage and refuse properly.

    Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 8, 2026.

Feb 29, 2024: complaint inspection3 citations

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 5, 2023.

  • Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.

    Rule F0711. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 5, 2023.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 5, 2023.

Nov 14, 2023: standard inspection7 citations

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

  • Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

  • Post nurse staffing information every day.

    Rule F0732. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 28, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jan 15, 1993.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 158 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $10,036 in all.
  • No Medicare payment denials in the last three years.
  • 3 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 29, 2024Fine$10,036

Who does the caring?

3.13 nurse hours per resident per day

The Tennessee average is 3.82.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTennessee average
Nurse hours per resident per day3.133.82
Of which registered nurses0.430.60
At weekends2.553.32
Nursing staff turnover55%48.6%
Registered nurse turnover35.7%43.2%
Administrators who left0Not given

Who owns it?

  • Life Care Centers of America, Inc. and Elizabethton Medical Investors LP and Hcf Inc. and Consolidated Resources Health Care Fund I LP run it.
  • 20 owners or officers are people: Forrest L Preston (owns 5% or more through other companies, 99.9%); Forrest L Preston (limited partner, 0.1%); Forrest L Preston (additional disclosable party (controls, leases property to, or provides services to the home)); Terry Henry (corporate officer); Deepika A Tumkur (runs it (operational or managerial control)); Deepika A Tumkur (additional disclosable party (controls, leases property to, or provides services to the home)); Todd Fletcher (corporate officer); Aubrey Preston (runs it (operational or managerial control)); Joan E Thurmond (corporate officer); Brandy Grindstaff (runs it (operational or managerial control)); Brandy Grindstaff (on the governing body (managing control)); Brandy Grindstaff (additional disclosable party (controls, leases property to, or provides services to the home)); Cindy S Cross (corporate officer); Richard Swanker (corporate officer); Melissa Foster Archer (runs it (operational or managerial control)); Melissa Foster Archer (on the governing body (managing control)); Lisa M Lay (corporate officer); James Ziegler (corporate officer); Jennifer Solomon (runs it (operational or managerial control)); Jennifer Solomon (on the governing body (managing control)).
  • Part of Life Care Centers of America (194 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Life Care Centers of America, Inc.Runs it (operational or managerial control)100%Feb 5, 1990
Consolidated Resources Health Care Fund I LPGeneral partner99.9%Aug 23, 1995
Fund I Investments Limited PartnershipOwns 5% or more through other companies95.83%Aug 23, 1995
An organisation CMS lists without a nameOwns a share through other companies0.05%Aug 23, 1995
Hcf Inc.Owns a share through other companies0.04%Aug 23, 1995
Elizabethton Medical Investors LPRuns it (operational or managerial control)Mar 1, 1990
Elizabethton Medical Investors LPAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 5, 2000
Hcf Inc.Runs it (operational or managerial control)Aug 23, 1995
Consolidated Resources Health Care Fund I LPRuns it (operational or managerial control)Sep 23, 1983
Consolidated Resources Health Care Fund I LPAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 5, 2000
Life Care Centers of America, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Mar 20, 2025
Fund I Investments Limited PartnershipAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 5, 2000
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 5, 2000

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Tennessee average 3.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing2 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 12.7 miles, this one had the 1st most health citations at the latest inspection cycle (9; the middle value was 2).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Life Care Center of Elizabethton This nursing home9
Ivy Hall Nursing Home0.20
Signature Healthcare of Elizabethton Rehab & Welln0.94
Hermitage Health Center1.01
Hillview Health Center1.13
Princeton Transitional Care & Assisted Living8.12
Abundant Christian Living Community Rehabilitation8.12
Agape Rehabilitation & Nursing Center, A Waters Cm8.32
Nhc Healthcare, Johnson City8.80
The Waters of Johnson City, LLC9.63
Lakebridge, A Waters Community, LLC9.91
Life Care Center of Gray12.76

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.