SNF
HOLSTON HEALTH & REHABILITATION CENTER
CCN: 445344 · KNOXVILLE, TN 37914 · Knox County
Overview
- Address
- 3916 BOYDS BRIDGE PIKE, KNOXVILLE, TN 37914
- Phone
- 8655241500
- Certified beds
- 94
- Avg daily residents
- 86 (91% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1995-02-22
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.61 | 4.21 | 3.31 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.70 | 0.74 | 0.64 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.79 | 0.93 | 0.73 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.12 | 2.54 | 1.94 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.50 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.11 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.07
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
2.81
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
48.9%
annual
RN turnover
47.4%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.49
higher acuity than avg
Case-Mix Index Ratio
1.08
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-12-11 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2022-03-23 | 4 | 2 | 2 | 20 | 1 | 20 |
Total weighted health score
8.0
lower is better
Deficiencies (5)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
5 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-12-11 | 2025-01-17 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-11 | 2025-01-17 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-12-11 | 2023-02-01 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-03-23 | 2022-05-01 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2022-03-23 | 2022-04-30 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 11.9% Medicaid 54.2% Other 33.9%
Operating performance
Operating Margin
5.9%
Total Margin
11.6%
Occupancy Rate
85.0%
Cost per Resident Day
$54
Revenue & costs
Net Patient Revenue
$10.2M
Total Costs
$1.6M
Net Income
$1.3M
Balance sheet
Total Assets
$636K
Total Liabilities
$982K
Fund Balance
-$346K
Current Ratio
4.01
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NATIONAL HEALTHCARE CORPORATION
- Chain ID
364- Facilities in chain
- 65
- Legal business name
- NHC HEALTHCARE-HOLSTON HILLS LLC
Chain-average star ratings (for peer context)
Overall
3.9
Health
3.4
Staffing
3.3
QM
4.5
Owner / manager organizations (9)
| Organization | Role | Association |
|---|---|---|
| NHC-OP LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/05/2008 |
| BLACKROCK INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/20/2019 |
| DIMENSIONAL FUND ADVISORS LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/07/2023 |
| MORGAN STANLEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/08/2024 |
| NATIONAL HEALTH CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/05/2008 |
| NATIONAL HEALTHCARE CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/05/2008 |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/27/2017 |
| NATIONAL HEALTHCARE CORPORATION | OPERATIONAL/MANAGERIAL CONTROL | since 01/05/2008 |
| NHC-OP LP | OPERATIONAL/MANAGERIAL CONTROL | since 01/05/2008 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| BALDWIN, BRITTANY | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2023 |
| DODSON, VICKI | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2019 |
| JONES, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | since 05/26/2025 |
| KIDD, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | since 05/31/2023 |
| MCKENZIE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | since 09/15/2018 |
| NASON JR., HOWARD | OPERATIONAL/MANAGERIAL CONTROL | since 04/18/2016 |
| USSERY, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2009 |
| NASON JR., HOWARD | CORPORATE OFFICER | since 04/18/2016 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $54 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 4.01 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 54.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 11.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,252,018 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,167,782 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 85.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 5.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $635,800 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,566,824 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-345,821 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $981,621 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 11.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.72623 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.93937 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.64470 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.31030 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.81264 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 85.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.93479 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.54054 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.73682 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.21214 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.71256 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 364 | Chain ID |
| Provider Information | Chain Name | NATIONAL HEALTHCARE CORPORATION | Chain Name |
| Provider Information | City/Town | KNOXVILLE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 445344 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Knox | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1995-02-22 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.9846 | Latitude |
| Provider Information | Legal Business Name | NHC HEALTHCARE-HOLSTON HILLS LLC | Legal Business Name |
| Provider Information | Location | 3916 BOYDS BRIDGE PIKE,KNOXVILLE,TN,37914 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -83.86 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 94 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 65 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.49217 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.08313 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3916 BOYDS BRIDGE PIKE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HOLSTON HEALTH & REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 460 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-12-11 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-03-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 20 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 20 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.48061 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 47.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.49563 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.79229 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.11579 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.11076 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.70334 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.61142 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TN | State |
| Provider Information | Telephone Number | 8655241500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.06850 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 48.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 8.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 37914 | ZIP Code |