# Erwin Health Care Center

Erwin Health Care Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Erwin, TN, CMS Certification Number 445291, with 125 certified beds and about 77 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 2/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 100 Stalling Lane, Erwin, TN 37650 (Unicoi County)
- Ownership type: For profit - Individual

- Operator (legal business name): [Erwin Healthcare LLC](https://carefield.site/operator/op-erwin-healthcare-llc)
- CMS chain: [Green Tree Health Management](https://carefield.site/chain/cms-chain-853) — 8 facilities

- Phone: 4237434131
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445291

## Inspection record
7 inspections in the CMS window (latest 2025-03-19); 27 citations (22 health, 5 fire safety); 0 at actual harm and 2 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2024-05-17 — [F-0604](https://carefield.site/deficiency/cms-f0604) Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2024-05-17 — [F-0835](https://carefield.site/deficiency/cms-f0835) Administer the facility in a manner that enables it to use its resources effectively and efficiently. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-03-19 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [K-0781](https://carefield.site/deficiency/cms-k0781) Have restrictions on the use of portable space heaters. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [K-0923](https://carefield.site/deficiency/cms-k0923) Have proper medical gas storage and administration areas. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0814](https://carefield.site/deficiency/cms-f0814) Dispose of garbage and refuse properly. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2022-01-20 — [F-0637](https://carefield.site/deficiency/cms-f0637) Assess the resident when there is a significant change in condition — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2022-01-20 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2022-01-20 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2022-01-20 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2022-01-20 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2022-01-20 — [F-0867](https://carefield.site/deficiency/cms-f0867) Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2019-05-30 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-05-30 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2019-05-30 — [F-0604](https://carefield.site/deficiency/cms-f0604) Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-05-30 — [F-0636](https://carefield.site/deficiency/cms-f0636) Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-05-30 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- …and 7 more on the source page.

## Penalties
- 2024-05-17 — Civil money penalty (fine): $5,012
- 2024-05-17 — Civil money penalty (fine): $5,012

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.23281 (state avg 3.81924, US 3.90085)
- RN: 0.63943
- Nursing staff turnover: 50.7%

## Owners and managers of record (CMS disclosures)
- [Erwin Holdco LLC](https://carefield.site/owner/org-erwin-holdco-llc) — Direct owner, 100%, since 2025-09-01
- [Starlight Healthcare LLC](https://carefield.site/owner/org-starlight-healthcare-llc) — Indirect owner, 45%, since 2025-09-01
- [Horizon Healthcare Group LLC](https://carefield.site/owner/org-horizon-healthcare-group-llc) — Indirect owner, 10%, since 2025-09-01
- [10-26 Nationwide Tr](https://carefield.site/owner/org-10-26-nationwide-tr) — Indirect owner, since 2025-09-01
- [Bcj Enterprises LLC](https://carefield.site/owner/org-bcj-enterprises-llc) — Indirect owner, since 2025-09-01
- [Capital Holdings Trust](https://carefield.site/owner/org-capital-holdings-trust) — Indirect owner, since 2025-09-01
- Baruch Jeremias — Indirect owner, since 2025-09-01
- Samuel Jeremias — Indirect owner, since 2025-09-01
- Jacob Stern — Operational / managerial control, since 2025-09-30
- [Cch Healthcare Nc, LLC](https://carefield.site/owner/org-cch-healthcare-nc-llc) — Operational / managerial control, since 2025-09-01
- [Erwin Propco LLC](https://carefield.site/owner/org-erwin-propco-llc) — Operational / managerial control, since 2025-09-01
- Jason Bennett — Operational / managerial control, since 2025-09-01
- Jason Colinger — Operational / managerial control, since 2025-09-01
- Jacob Stern — Operational / managerial control, since 2025-09-01

## Nearby nursing homes
- [Center on Aging and Health](https://carefield.site/facility/cms-445424) — 1.4 km, CMS overall 3/5
- [Christian Care Center of Unicoi County](https://carefield.site/facility/cms-445077) — 1.6 km, CMS overall 4/5
- [Four Oaks Health Care Center](https://carefield.site/facility/cms-445458) — 19.1 km, CMS overall 4/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445291&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445291&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445291&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445291&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445291&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445291&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-445291 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.