Erwin Health Care Center
Erwin, Unicoi County, Tennessee · CCN 445291 · For-profit (Individual) · part of Green Tree Health Management (8 facilities, chain average 2.9 stars)
CMS rates Erwin Health Care Center 2 of 5 overall as of August 2026. 125 certified beds, 72 residents a day on average. 22 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $10,024.
On record
- Changed ownership in the last twelve months.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.4002 hours per resident per day |
|---|---|
| Registered nurses | 0.79781 hours per resident per day |
| Weekend total | 2.94133 hours per resident per day |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-03-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-24 |
| 2025-03-19 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2025-03-19 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-03 |
| 2025-03-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-24 |
| 2024-05-17 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-05-18 |
| 2024-05-17 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-05-18 |
| 2022-01-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-03-04 |
| 2022-01-20 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-03-04 |
| 2022-01-20 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2022-01-20 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2022-01-20 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2022-01-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-03-04 |
| 2019-05-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | 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 · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | 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 · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
| 2019-05-30 | 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 · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-14 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-17 | Fine | $5,012 |
| 2024-05-17 | Fine | $5,012 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Erwin Holdco LLC Organization | 5% or greater direct ownership interest | 100% | 2025-09-01 |
| Horizon Healthcare Group LLC Organization | 5% or greater indirect ownership interest | 10% | 2025-09-01 |
| Starlight Healthcare LLC Organization | 5% or greater indirect ownership interest | 45% | 2025-09-01 |
| 10-26 Nationwide Tr Organization | adp of the snf | — | 2025-09-01 |
| 1026 Enterprises II, LLC Organization | adp of the snf | — | 2025-09-01 |
| Capital Holdings Trust Organization | adp of the snf | — | 2025-09-01 |
| Cch Healthcare Nc, LLC Organization | adp of the snf | — | 2025-11-05 |
| Erwin Holdco LLC Organization | adp of the snf | — | 2025-09-01 |
| Erwin Propco LLC Organization | adp of the snf | — | 2025-09-01 |
| Horizon Healthcare Group LLC Organization | adp of the snf | — | 2025-09-01 |
| Starlight Healthcare LLC Organization | adp of the snf | — | 2025-09-01 |
| 10-26 Nationwide Tr Organization | indirect ownership interest | — | 2025-09-01 |
| Bcj Enterprises, LLC Organization | indirect ownership interest | — | 2025-09-01 |
| Capital Holdings Trust Organization | indirect ownership interest | — | 2025-09-01 |
| Cch Healthcare Nc, LLC Organization | operational/managerial control | — | 2025-09-01 |
| Erwin Propco LLC Organization | operational/managerial control | — | 2025-09-01 |
| Bennett, Jason Individual | adp of the snf | — | 2025-09-01 |
| Colinger, Jason Individual | adp of the snf | — | 2025-09-01 |
| Jeremias, Samuel Individual | adp of the snf | — | 2025-09-01 |
| Stern, Jacob Individual | adp of the snf | — | 2025-09-01 |
| Jeremias, Baruch Individual | indirect ownership interest | — | 2025-09-01 |
| Jeremias, Samuel Individual | indirect ownership interest | — | 2025-09-01 |
| Stern, Jacob Individual | managing control - governing body | — | 2025-09-30 |
| Bennett, Jason Individual | operational/managerial control | — | 2025-09-01 |
| Colinger, Jason Individual | operational/managerial control | — | 2025-09-01 |
| Stern, Jacob Individual | operational/managerial control | — | 2025-09-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Erwin Health Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Unicoi County.