All states › Tennessee › Elizabethton › Signature Healthcare of Elizabethton Rehab & Wellness
1200 Spruce Lane Elizabethton, TN 37643 · Carter County
All 5 nursing homes in Elizabethton, TN (5 take Medicaid)
CMS certification number 445217 · See this home on Medicare Care Compare
Is Signature Healthcare of Elizabethton Rehab & Wellness a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Signature Healthcare of Elizabethton Rehab & Wellness as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Tennessee average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.12 hours per resident per day at Signature Healthcare of Elizabethton Rehab & Wellness, above the Tennessee median of 3.66 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 3.57 hours, 13% below its all-week average. 35.3% of nursing staff left within a year (Tennessee median 48.7%). That is lower than most homes in Tennessee, a sign of a steadier team.
About this nursing home
Paying for care at Signature Healthcare of Elizabethton Rehab & Wellness: Medicare and Medicaid
Signature Healthcare of Elizabethton Rehab & Wellness is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 29, 2026 and found 4 deficiencies. In total, inspectors issued 5 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 5 citations at Signature Healthcare of Elizabethton Rehab & Wellness across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 5 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (3) and infection control (1). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level D, July 29, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 29, 2026 · 4 citations
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 7, 2025 · 1 citation
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Signature Healthcare of Elizabethton Rehab & Wellness
- CMS cited the home under its abuse and neglect rules on July 29, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 5/5 | 5/5 | 3/5 | 4/5 |
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Location
Hospitals near Signature Healthcare of Elizabethton Rehab & Wellness
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.3 mi
Sycamore Shoals Hospital ElizabethtonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 22m for patients treated and sent home
- 9.2 mi
-
9.9 mi
Johnson City Medical Center Johnson CityEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 31m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Signature Healthcare of Elizabethton Rehab & Wellness › All nursing homes in Elizabethton ›
Higher-rated nursing homes within 10 miles
- Ivy Hall Nursing Home · Elizabethton · 5 stars · 0.9 mi
- Abundant Christian Living Community Rehabilitation · Johnson City · 5 stars · 9.0 mi
- Princeton Transitional Care & Assisted Living · Johnson City · 5 stars · 9.0 mi
- NHC Healthcare, Johnson City · Johnson City · 5 stars · 9.7 mi
Other Signature Healthcare nursing homes in Tennessee
- Princeton Transitional Care & Assisted Living · Johnson City · 5 stars
- Signature Healthcare of Memphis · Memphis · 5 stars
- Signature Healthcare of Rockwood Rehab & Wellness · Rockwood · 5 stars
- Standing Stone Care and Rehab · Monterey · 5 stars
- Mountain City Care & Rehabilitation Center · Mountain City · 5 stars
- Signature Healthcare of Rogersville · Rogersville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Signature Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.