Erwin Health Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
Bottom 25% in TN · Meets national RN staffing standard · $10,024 in fines
What this means for your family
Erwin Health Care Center is highly regarded for its specialized dementia care and compassionate nursing staff, making it a strong candidate for families prioritizing emotional support. However, because communication responsiveness and facility maintenance in specific wings have been inconsistent, we recommend scheduling a tour of the specific wing your loved one would occupy and asking for a direct contact person for administrative concerns.
Google Reviews
Google Reviews
23 reviews on Google“Erwin Health Care Center receives high praise from many families for its compassionate, attentive nursing staff and dedicated memory care services. However, some visitors have reported significant concerns regarding poor communication from administrative and nursing staff, as well as issues with facility maintenance and cleanliness in certain wings.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Strong memory care and dementia support
- Proactive family communication and involvement
- Clean and well-maintained environment (reported by many)
Concerns
- Lack of responsiveness and poor communication from staff (mentioned by 2 reviewers)
- Unpleasant odors and run-down room conditions in specific wings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 26 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed you are very active in responding to family feedback online; how do you incorporate that family input into your daily care plans?
- 2With a capacity of 125 residents, how does the team ensure consistent communication with families, especially when concerns about responsiveness arise?
- 3I see that staffing levels are a primary focus for the facility; what specific steps are you taking to ensure residents receive timely attention throughout the day and night?
- 4Some areas of the facility have been described as very well-maintained, while others have been noted for needing updates; could you show us the specific wing where my loved one would be residing?
- 5Given the recent focus on health inspection outcomes, what improvements have been implemented to ensure the highest standards of cleanliness and resident care?
- 6What does the daily activity schedule look like for memory care residents, and how do you tailor these programs to keep them engaged and comfortable?
Personalized based on this facility's data
Key Review Excerpts
“The staff here took amazing care of my grandmother who suffered from dementia. She was not just another patient, they treated her like family.”
“They’ve been communicative, listened to concerns, and answered whatever questions we have had.”
“My biggest issue is communication. I have left several messages for social services and nursing with no return calls.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
7
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints that triggered inspections in 2024 regarding improper physical restraint use and administrative issues, both since corrected. The facility shows recurring problems with resident assessment and care planning across multiple surveys, along with ongoing food safety and infection control deficiencies. While all violations have been corrected, the pattern of repeated issues in care planning suggests families should carefully evaluate the facility's assessment processes during visits.
Mar 19, 2025Routine7
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
May 17, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jan 20, 2022Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 30, 2019Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Federal Penalties
Fine
May 17, 2024
$5,012
Fine
May 17, 2024
$5,012
Ownership & Operations
Who Operates This Facility
Erwin Health Care Center
for profit
Ownership & Management
Owners
Bailey, Keith
Owner
Bailey, Kreis
Owner
Nelson, Kimball
Owner
Price, Wendy
Owner
Wagner, Lindsey
Owner
C & E Management INC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit erwinhc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.