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Nursing HomeMedicaid Top Rated

Signature Healthcare of Elizabethon Rehab & Wellne

Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy. Still worth an in-person visit.

1200 Spruce Lane, Elizabethton, TN 3764394 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 34 Google reviews

5
4
3
2
1
Signature Healthcare of Elizabethon Rehab & Wellne Nursing Home in Elizabethton, TN — Street View
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What this means for your family

This facility is highly regarded for its physical therapy and dedicated nursing staff, making it a strong candidate for rehabilitation. However, families should be aware of reports regarding inconsistent responsiveness to call lights and should plan to visit frequently to ensure personal needs are being met.

Google Reviews

Google Reviews

34 reviews on Google
Signature Healthcare of Elizabethton receives highly polarized feedback, with many families praising the compassionate nursing and effective physical therapy teams. However, some residents and family members report significant concerns regarding responsiveness, staffing levels, and the quality of care provided during off-hours. While many find the environment warm and professional, others have expressed frustration over communication gaps and basic care standards.

Quality Themes

Tap a score for details
Food4.0Staff8.0CleanN/AActivitiesN/AMeds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Compassionate and attentive nursing staff
  • Warm, welcoming atmosphere
  • Strong support for long-term care residents

Concerns

  • Slow or inadequate response to call lights and resident needs (mentioned by 2 reviewers)
  • Poor communication regarding medical updates and medication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(3)'22(4)'24(5)'26(8)

Distribution · 34 analyzed

5
28
4
1
3
0
2
0
1
5

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard such wonderful things about the physical and occupational therapy programs here; could you tell us more about how the therapists work with residents to regain their strength?
  • 2It’s great to see how much the management team engages with the community through online feedback; how does that culture of listening translate to the day-to-day care of the residents?
  • 3What is the process for ensuring family members receive timely and clear updates regarding changes in a resident's medical status or medication adjustments?
  • 4How does the nursing team manage call lights during the busier shifts to ensure that residents' needs are met promptly?
  • 5Could you describe what a typical day looks like for residents, including the types of social activities and dining experiences you offer?
  • 6In the event of a medical emergency after hours, what are the specific protocols in place to ensure a resident receives immediate care?

Personalized based on this facility's data


Key Review Excerpts

The PT department was phenomenal, Sylvester was especially instrumental in getting me to walk without a cane. Jeff, Victoria and Page and Andrea, everyone is incredible.

Rehab patient · 2026★★★★★

The worst is when 70% of the time I rang for help they came in and ask roommate what she needed, not even looking my way.

Resident · 2024☆☆☆☆

My dad was there for about 2 years and just recently passed. In all that time I have no complaints. Staff was kind, knowledgeable and willing to listen.

Long-term resident's family · 2026★★★★★
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
3.79hrs
92%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility53.8%
Worse than Avg
Here
53.8%
US
19.5%
TN
31.9%
Carter
38.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
15.3%
TN
18.5%
Carter
10.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
93.4%
TN
89.5%
Carter
95.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
12.1%
TN
12.9%
Carter
18.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.1%
Better than Avg
Here
15.1%
US
19.4%
TN
20.1%
Carter
20.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
5.3%
TN
6.3%
Carter
3.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
79.8%
TN
79.8%
Carter
79.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.3%
Better than Avg
Here
93.3%
US
81.8%
TN
79.4%
Carter
83.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Carter
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (5.9)

This facility shows a relatively clean inspection record with only 4 deficiencies across 3 surveys, all corrected by the provider. The issues were scattered across different areas including infection control, resident protection, and facility safety systems, with no recurring patterns of concern. All deficiencies were minor (D-level severity) and appear to have been promptly addressed, suggesting reasonable compliance with federal standards.

May 7, 2025Routine
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 9, 2022Routine
1
0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

Oct 2, 2019Routine
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Elizabethon Rehab & Wellne

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 3 of 70 (Best)

Ownership & Management

Owners

Lp Cr Holdings LLC

Owner · Organization

100%

Agemo Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf II LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Street, DebbieW-2 Managing EmployeeHarrison, JohnOfficer / DirectorSignature Healthcare LLCManagerStreet, DebbieManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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