HOLSTON HEALTH & REHABILITATION
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-05-07 — IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-05-07 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
Staffing, from payroll records
Nursing hours / resident / day
2.70
state median 3.10
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.41
registered nurses only
Contract (agency) staff
16%
share of all nursing hours
Nursing staff turnover
78%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $111,911 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-07 | Fine | $111,911 |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-05-07 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-07 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2025-05-07 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-07 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-07 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-07 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-07 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-07 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-07 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-07 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-07 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-07 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-05-07 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-07 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-07 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-05-07 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-07 | F0711 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-05-07 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-05-07 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-05-07 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-07 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-07 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-07 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-07 | F0770 | Administration Deficiencies | D | not recorded |
| 2025-05-07 | F0773 | Administration Deficiencies | D | not recorded |
| 2025-05-07 | F0776 | Administration Deficiencies | D | not recorded |
| 2025-05-07 | F0839 | Administration Deficiencies | D | not recorded |
| 2025-05-07 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-07 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-07 | F0941 | Administration Deficiencies | D | not recorded |
| 2025-05-07 | F0949 | Administration Deficiencies | E | not recorded |
| 2024-02-02 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-02 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0711 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-02-02 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-02 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-02-02 | F0908 | Environmental Deficiencies | D | not recorded |
| 2022-05-12 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-05-12 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-05-12 | F0886 | Infection Control Deficiencies | D | not recorded |
| 2019-06-07 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-07 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-07 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-07 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-06-07 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-06-07 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-07 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2019-06-07 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-07 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-07 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-07 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-07 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-06-07 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2019-06-07 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-06-07 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-06-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2019-06-07 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-06-07 | F0880 | Infection Control Deficiencies | D | not recorded |