Critical Findings
1
Life Care Center of Elizabethton: 75.7% Hospitalization Rate
Appearing at 6 of 8 Ballad hospitals, this facility posts the highest hospitalization rate in the system. 30-day readmission of 20.9% and 90-day of 31.8%. Facility risk scores reach 6.98 (JCMC). Immediate system-level patient safety evaluation required.
2
Ridgecrest Manor: System's Highest Fac Risk (13.39)
Johnston Memorial's facility-specific risk score of 13.39 is the highest in the entire Ballad system. Also appears at Holston Valley (4.56) and Sycamore Shoals (3.32). Warrants immediate preferred network exit or corrective action plan.
3
Mountain City Care: Fac Risk 9.77 Across 5 Hospitals
The second-highest facility risk in the system, scored at Holston Valley. Also carries Very High risk at Bristol (4.23), JCMC (3.53), Sycamore Shoals (4.34), and High at Johnston Memorial (3.24). JJLA-operated. 25.0% 90-day readmit rate.
4
Extreme SNF Concentration at Multiple Hospitals
Johnston Memorial: top 2 partners capture 58.3% of volume. Greeneville Community: 54.0%. Franklin Woods: 53.9% in a single facility (Princeton). Bristol Regional: top 4 partners = 65.1%. This concentration creates dependency risk and limits quality leverage.
5
System Readmission Rate Exceeds State Benchmarks
The weighted average 30-day SNF readmission rate across hospitals with available data is 18.5%, exceeding both the TN state average (18.0%) and the national average (17.5%). JCMC (18.4%), Holston Valley (18.9%), and Bristol (18.8%) are above benchmarks.
Hospital Portfolio
JCMC
Johnson City, TN · 501 beds
SNF Patients
724
30d Readmit
18.4%
Opp. Score
78 — Immediate
Holston Valley
Kingsport, TN · 303 beds
SNF Patients
475
30d Readmit
18.9%
Opp. Score
65 — Immediate
Bristol Regional
Bristol, TN · 312 beds
SNF Patients
390
30d Readmit
18.8%
Opp. Score
45 — Immediate
Indian Path
Kingsport, TN · 239 beds
SNF Patients
5
30d Readmit
11.6%
Opp. Score
6 — Monitor
Johnston Memorial
Abingdon, VA · 116 beds
SNF Patients
266
30d Readmit
N/A
Opp. Score
59 — Immediate
Greeneville Community
Greeneville, TN · 140 beds
SNF Patients
174
30d Readmit
N/A
Opp. Score
50 — Immediate
Franklin Woods
Johnson City, TN · 80 beds
SNF Patients
141
30d Readmit
N/A
Opp. Score
39 — Near-Term
Sycamore Shoals
Elizabethton, TN · 121 beds
SNF Patients
196
30d Readmit
N/A
Opp. Score
37 — Near-Term
Hospital Drill-Down
Opportunity Index
Hospital Engagement Priority Ranking
Composite score (0–100) based on volume, utilization vs state avg, readmission rate, network fragmentation, concentration risk, and Very High risk facility count.
| Hospital | Location | SNF Patients | SNF Dests | SNF Util % | 30d Readmit | Score | Priority |
|---|---|---|---|---|---|---|---|
| Johnson City Medical Center | Johnson City, TN | 724 | 70 | 19.4% | 18.4% | 78 | Immediate |
| Holston Valley Medical Center | Kingsport, TN | 475 | 53 | 19.2% | 18.9% | 65 | Immediate |
| Johnston Memorial Hospital | Abingdon, VA | 266 | 32 | 19.5% | — | 59 | Immediate |
| Greeneville Community Hospital | Greeneville, TN | 174 | 23 | 21.0% | — | 50 | Immediate |
| Bristol Regional Medical Center | Bristol, TN | 390 | 51 | 14.2% | 18.8% | 45 | Immediate |
| Franklin Woods Community Hospital | Johnson City, TN | 141 | 26 | 16.1% | — | 39 | Near-Term |
| Sycamore Shoals Hospital | Elizabethton, TN | 196 | 28 | 16.1% | — | 37 | Near-Term |
| Indian Path Community Hospital | Kingsport, TN | 5 | 8 | 10.0% | 11.6% | 6 | Monitor |
Scores are relative within the Ballad Health system. Higher score = higher engagement priority for Puzzle Healthcare. Indian Path data largely suppressed due to low FFS volume.
Cross-System SNF Analysis
SNFs Appearing at 3+ Ballad Hospitals
These 11 facilities represent system-level preferred network opportunities or risk concerns. Sorted by priority.
| SNF Facility | # Hospitals | Hosp Rate | 30d Readmit | Max Fac Risk | Priority |
|---|---|---|---|---|---|
| NHC Healthcare, Kingsport | 8 | 24.7% | 8.2% | 3.57 | High |
| Princeton Transitional Care & Assisted Living | 7 | 35.4% | 13.8% | 4.27 | High |
| Life Care Center of Elizabethton | 6 | 75.7% | 20.9% | 6.98 | Immediate |
| Durham-Hensley Health and Rehabilitation | 6 | 58.9% | 12.1% | 6.38 | Immediate |
| Brookhaven Health and Rehabilitation | 5 | 58.8% | 17.9% | 8.70 | Immediate |
| NHC Healthcare-Johnson City LLC | 6 | 22.5% | 6.8% | 3.62 | Near-Term |
| NHC Healthcare-Bristol LLC | 5 | 20.6% | 4.5% | 5.51 | Near-Term |
| Asbury Place Kingsport | 4 | 38.1% | 16.5% | 5.34 | Near-Term |
| Waters of Bristol A Rehabilitation & Nursing Center LLC | 4 | 48.0% | 17.1% | 3.67 | Near-Term |
| Signature Healthcare of Greeneville | 3 | 46.9% | 15.3% | 3.64 | Near-Term |
| Mountain City Care & Rehabilitation Center | 5 | ins | 16.7% | 9.77 | Immediate |
Hospitalization rate and readmission data shown from the hospital with highest available data for each SNF. Max fac risk = highest facility-specific risk score across all sending hospitals. "Immediate" = system-level review required. "Near-Term" = preferred network discussion warranted.