| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E1 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 19, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| May 17, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jan 20, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 20, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| May 30, 2019 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 30, 2019 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 17, 2024 | Civil money penalty (fine) | $5,012 | — | 445291|Fine|33610 |
| May 17, 2024 | Civil money penalty (fine) | $5,012 | — | 445291|Fine|33611 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E1 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 19, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 24, 2025 | |
| Mar 19, 2025 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 24, 2025 | |
| Mar 19, 2025 | K-0923 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
8 facilities in 5 states. CMS chain ID 853.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Erwin Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2025 |
| Starlight Healthcare LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | Sep 1, 2025 |
| Horizon Healthcare Group LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Sep 1, 2025 |
| 10-26 Nationwide Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Bcj Enterprises LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Capital Holdings Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Baruch Jeremias | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Samuel Jeremias | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Erwin Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2025 |
| Starlight Healthcare LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | Sep 1, 2025 |
| Horizon Healthcare Group LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Sep 1, 2025 |
| 10-26 Nationwide Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Center on Aging and Health 880 South Mohawk Drive, Erwin, TN 37650 CCN 445424 | 1.4 km | 120 | Apr 15, 2026 | 18 | — | |
| Christian Care Center of Unicoi County 100 Greenway Circle, Erwin, TN 37650 CCN 445077 | 1.6 km | 50 | Apr 15, 2026 | 10 | — | |
| Four Oaks Health Care Center 1101 Persimmon Ridge Rd, Jonesborough, TN 37659 CCN 445458 | 19.1 km | 84 | Dec 3, 2025 | 18 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445291 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445291 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Mar 24, 2025 |
| Mar 19, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 24, 2025 |
| Mar 19, 2025 | F-0656 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Mar 19, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Mar 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 24, 2025 |
| May 17, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected May 18, 2024 | Complaint |
| May 17, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | K · Immediate jeopardy Pattern | Corrected May 18, 2024 | Complaint |
| Jan 20, 2022 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2022 |
| Jan 20, 2022 | F-0656 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2022 |
| Jan 20, 2022 | F-0657 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2022 |
| Jan 20, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2022 |
| Jan 20, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 4, 2022 |
| Jan 20, 2022 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 4, 2022 |
| May 30, 2019 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0656 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0657 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0693 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0756 | 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 Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 14, 2019 |
| May 30, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 14, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.30 (case-mix index 1.37).
| Bcj Enterprises LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Capital Holdings Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Baruch Jeremias | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Samuel Jeremias | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Jacob Stern | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 30, 2025 |
| Cch Healthcare Nc, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Erwin Propco LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Jason Bennett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Jason Colinger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Jacob Stern | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| 10-26 Nationwide Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| 1026 Enterprises II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Capital Holdings Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Cch Healthcare Nc, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2025 |
| Erwin Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Erwin Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Horizon Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Starlight Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Jason Bennett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Jason Colinger | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Samuel Jeremias | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Jacob Stern | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |