D+
50/100

HOLSTON REHABILITATION AND CARE CENTER Inspection Report, Violations & Safety Grade (KINGSPORT, Tennessee)

3641 MEMORIAL BLVD, KINGSPORT, Tennessee 37664

Phone: 4232462411

CMS Overall:1/5

Overview & Bed Count

Certified Beds
204
Avg Residents/Day
139.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Sullivan
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing1/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.510.60-0.09
Total Nurse Hours per Resident per Day3.653.82-0.17
CMS Staffing Rating1/52.5/5-
Nursing Staff Turnover72.3%48.6%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2025-11-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-11-17Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.E – Moderate Harm Potential
2025-11-17Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-11-17Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2025-11-17Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2025-11-17Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-11-17Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-11-17Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-11-17Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-03-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-03-05Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-03-05Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-03-05Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-03-05Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-03-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-03-05Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-03-05Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2024-03-05Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-03-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-11-09Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2020-01-14Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2020-01-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2020-01-14Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2025-11-17Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-11-17Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-11-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-11-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-03-05Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-03-05Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2024-03-05Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2020-01-14Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.F – Moderate Harm Potential
2020-01-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2020-01-14Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2020-01-14Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2020-01-14Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2020-01-14Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$10,868
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-11-17Fine$10,868-
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