Nursing home · Top rated by CMS
Signature Healthcare of Elizabethon Rehab & Wellness
1200 Spruce Lane, Elizabethton, TN 37643 · Map
For profit - Limited Liability company · Part of Signature Healthcare (71 facilities) · 94 certified beds
Signature Healthcare of Elizabethon Rehab & Wellness is a Medicare-certified nursing home in Elizabethton, Tennessee. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.78 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on May 7, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Signature Healthcare of Elizabethon Rehab & Wellness compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.78 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.08 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 35.4% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the May 7, 2025 inspection was corrected by May 16, 2025
What inspectors found at Signature Healthcare of Elizabethon Rehab & Wellness
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 2, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1200 Spruce Lane
Elizabethton, TN 37643 - CMS certification #
- 445217
- Ownership
- For profit - Limited Liability company
- Certified beds
- 94
- Avg residents/day
- 65.3
- Provider type
- Medicare and Medicaid
- First certified
- 1989-02-17
- Chain
- Signature Healthcare (71 facilities)
- Setting
- Urban
Part of Signature Healthcare
Signature Healthcare operates 71 nursing facilities across the United States. View all Signature Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Signature Healthcare of Elizabethon Rehab & Wellness using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Sycamore Shoals Hospital, Elizabethton. 2.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Ivy Hall Nursing Home, Elizabethton. 0.9 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Care, Elizabethton. 5.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37643 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Elizabethton, Elizabethton, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Tn Smokie Mountain Dialysis Pd, Johnson City, 10.3 miles away, straight line (CMS rating 5 of 5 stars)
Fmc Johnson City, Johnson City, 10.4 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 37643.
Amedisys Hospice, An Adventa Company, office in Elizabethton, 5.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Caris Healthcare, office in Johnson City, 9.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Ballad Health Hospice, office in Bristol, 17.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Chess Medicine PLLC, Johnson City. 8.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Signature Healthcare of Elizabethon Rehab & Wellness a good nursing home?
CMS gives Signature Healthcare of Elizabethon Rehab & Wellness an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Signature Healthcare of Elizabethon Rehab & Wellness staffed?
Signature Healthcare of Elizabethon Rehab & Wellness reports 3.78 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Signature Healthcare of Elizabethon Rehab & Wellness had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Signature Healthcare of Elizabethon Rehab & Wellness have?
Signature Healthcare of Elizabethon Rehab & Wellness is certified for 94 beds.