01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-20 | 2 | 2025-05-20 | 2 |
| Cycle 2 | 2022-08-10 | 2 | 2022-08-10 | 2 |
| Cycle 3 | 2019-11-06 | 1 | 2019-11-06 | 2 |
CMS CCN 4454742026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Hermitage Health Center
1633 Hillview Drive · Elizabethton, TN 37643 · Carter County
Certified beds70CMS provider file
Recent citation rows11current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
11 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-20 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-20 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-312025-05-20 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-272025-05-20 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-05-192024-01-10 · FIREK0781Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2024-02-02 · complaint2022-08-10 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2022-09-152022-08-10 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2022-09-152022-08-10 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-08-082022-08-10 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2022-09-152019-11-06 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2019-11-082019-11-06 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2019-11-2103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- OCOEE FOUNDATION INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/19/2008
- BRADLEY, DONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/07/2024
- BURTON, WILLIAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/07/2024
- KUPCHYNSKY, KATHLEENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/07/2024
- PHILLIPS, DOROTHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/07/2024
- SHEEHAN, JOHNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/07/2024
- SHEEHAN, MARGARETIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/19/2008
- SMITH, FRANKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/07/2024
- SHEEHAN, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/19/2008
- OCOEE FOUNDATION INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/19/2008
- PIONEER CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2019
- TWIN RIVERS HEALTH & REHABILITATION LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2019
- BRADLEY, DONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/07/2024
- BURTON, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/07/2024
- CALL, ANDREWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2025
- DAVIS, CLINTONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2019
- HOLCOMBE, MICHELLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2019
- KUPCHYNSKY, KATHLEENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/07/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.63per resident day
RN hours0.61per resident day
Weekend nurse hours3.31per resident day
Staff turnover53.4%CMS reported field
06 / LOCAL RECORDS
Open the Elizabethton ledger →