Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nhc Healthcare, Kingsport during CMS and state inspections, most recent first.
Failure to Revise Care Plans for Skin Changes: The facility did not revise the comprehensive care plans for two residents to reflect changes in skin integrity. One resident had a stage 2 pressure ulcer with physician orders for zinc oxide and heel floating, while the other had scabbed areas, scratches, self-inflicted abrasions, and shearing to the buttocks with related orders for lotion, protective sleeves, and barrier cream. The RN MDS Coordinator confirmed the care plans were not updated to include these skin-related problems and treatments.
A resident with CHF, CKD, and cardiomyopathy, and severe cognitive impairment, was observed receiving oxygen at 3 L/min by nasal cannula without a physician order. The chart showed no oxygen order during the review period, and an LPN confirmed the omission before an order was later obtained.
Failure to Revise Care Plans for Skin Integrity Changes
Penalty
Summary
The facility failed to revise the comprehensive care plan to include changes in skin integrity for 2 residents reviewed. Facility policy titled, Patient Care Policies, stated that physicians’ orders are to be incorporated into the care plan. Resident #40 was admitted with diagnoses including fracture of the left femur, pressure ulcer of the right buttocks stage 2, and anxiety. A 5-day MDS assessment showed a BIMS score of 15 and identified a stage 2 pressure ulcer. The comprehensive care plan dated 5/4/2026 included a skin/wound area, but a physician’s order dated 4/28/2026 directed application of zinc oxide to an open wound and floating heels, and the RN MDS Coordinator confirmed during interview that the care plan had not been revised to include the stage 2 wound, zinc oxide treatment, or floating heels. Resident #64 was admitted with diagnoses including chronic kidney disease with heart failure, type II diabetes mellitus with polyneuropathy, and excoriation disorder. Admission observation documented scabbed areas to both arms and legs, numerous scratches to the bilateral upper extremities, and blanchable redness to the buttocks. The comprehensive care plan dated 8/15/2025, revised 5/13/2026, stated the resident would have no skin breakdown and did not identify specific skin-related problems. Physician orders included Calm-Cool lotion to the upper extremities twice daily and protective sleeves to prevent picking, and a weekly skin observation documented shearing to bilateral buttocks and open abrasions to bilateral arms. A later physician order directed barrier cream to the bilateral buttocks and surrounding area twice daily, and the RN MDS Coordinator confirmed the care plan had not been revised to include the self-inflicted abrasions on both arms or the shearing to the bilateral buttocks.
Failure to Obtain Physician Order for Supplemental Oxygen
Penalty
Summary
The facility failed to obtain a physician’s order for supplemental oxygen for one resident who was observed receiving oxygen at 3 liters per minute by nasal cannula. The resident had diagnoses including hypertensive heart and chronic kidney disease with heart failure, chronic systolic congestive heart failure, chronic kidney disease stage 3A, and cardiomyopathy, and a 5-day MDS assessment showed a BIMS score of 00, indicating severe cognitive impairment. During observations, the resident was lying in bed with supplemental oxygen in use on two separate occasions. Review of the current physician’s orders report showed no order for oxygen during that period. When the resident was observed receiving oxygen, an LPN confirmed there was no physician’s order for it. A physician’s order for oxygen at 3 liters per minute by nasal cannula was then obtained after the surveyor interview, and the DON confirmed that an order should have been obtained to administer oxygen for the resident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kingsport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wexford House | 0.4 mi | ★★★★★ | 1 | 0 |
| Holston Rehabilitation And Care Center | 1.4 mi | ★★★★★ | 13 | 0 |
| Orchardview Post-acute And Rehabilitation Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Nova Health And Rehab | 5.2 mi | ★★★★★ | 0 | 0 |
| Asbury Place Kingsport | 5.8 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.