nursing home in Winchester, TN
Elk River Health & Nursing Center of Winchester
32 Memorial Drive, Winchester, TN 37398 · (931) 967-0200
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Elk River Health & Nursing Center of Winchester at a glance
Elk River Health & Nursing Center of Winchester is a 80-bed non-profit nursing home in Winchester, Tennessee (Franklin County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Tennessee average of 3.
Residents receive about 3.7 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (July 30, 2025) found 3 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 69.7% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Other
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Twin Rivers Health & Rehabilitation
- Medicare-certified since
- October 1, 1993
- Resident/family council
- Resident
- County
- Franklin County
- CMS Certification Number
- 445319
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.70 hrs | 3.80 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.86 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.24 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 69.7% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 17 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 114 | 107 | |
| Average residents per day | 52 | 84 | 86 | |
| Occupancy | 65% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11.3% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.9% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.1% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 12.2% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.7% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 35.4% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 27.3% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.7% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.1% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 87.4% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 86.8% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 26 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | D Potential harm, isolated | Corrected September 13, 2025 |
| July 30, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 30, 2025 |
| July 30, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 30, 2025 |
| July 30, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 30, 2025 |
| April 3, 2024 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | D Potential harm, isolated | Corrected April 26, 2024 |
| April 3, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected April 26, 2024 |
| April 3, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected April 26, 2024 |
| April 3, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 26, 2024 |
| April 3, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 3, 2024 |
| April 3, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 3, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 3, 2024 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 3, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 3, 2024 |
| December 14, 2021 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | D Potential harm, isolated | Corrected January 5, 2022 |
| December 14, 2021 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | D Potential harm, isolated | Corrected January 5, 2022 |
| December 14, 2021 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | D Potential harm, isolated | Corrected January 5, 2022 |
| December 14, 2021 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected January 5, 2022 |
| December 14, 2021 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | D Potential harm, isolated | Corrected January 5, 2022 |
| December 14, 2021 Standard | 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 · Tag F0693 | D Potential harm, isolated | Corrected January 5, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DAVIS, CLINTON Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| GAMMADA, EPHRAIM Individual | adp of the snf | NOT APPLICABLE | 02/28/2024 |
| HOLCOMBE, MICHELLE Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| MALIN, DOUGLAS Individual | adp of the snf | NOT APPLICABLE | 02/28/2024 |
| OCOEE FOUNDATION INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| OCOEE WINCHESTER PROPERTY INVESTMENT LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| PIONEER CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| SHEEHAN, JOHN Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| TWIN RIVERS HEALTH & REHABILITATION LLC Organization | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| SHEEHAN, JOHN Individual | corporate officer | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, MARGARET Individual | corporate officer | NOT APPLICABLE | 12/15/2022 |
| BRADLEY, DON Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| BURTON, WILLIAM Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| KUPCHYNSKY, KATHLEEN Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| PHILLIPS, DOROTHY Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, JOHN Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, MARGARET Individual | managing control - governing body | NOT APPLICABLE | 12/15/2022 |
| SMITH, FRANK Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| BRADLEY, DON Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| BURTON, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| DAVIS, CLINTON Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| HOLCOMBE, MICHELLE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| KUPCHYNSKY, KATHLEEN Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| MALIN, DOUGLAS Individual | operational/managerial control | NOT APPLICABLE | 02/28/2024 |
| OCOEE FOUNDATION INC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| PHILLIPS, DOROTHY Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| PIONEER CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| SHEEHAN, JOHN Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, MARGARET Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| SMITH, FRANK Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| TWIN RIVERS HEALTH & REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
Other nursing homes near Elk River Health & Nursing Center of Winchester
Southern Tenn Medical Center SNF
629 Hospital Road, Winchester, TN 37398 · under 1 mi
For-profit · 46 beds
★★★★★1Much below averageHeritage Place Care & Rehabilitation LLC
1360 Bypass Road, Winchester, TN 37398 · under 1 mi
For-profit · 132 beds · Part of Infinity Healthcare Consulting
★★★★★1Much below averageSignature Healthcare of Monteagle Rehab & Wellness
26 Second Street, Monteagle, TN 37356 · 15.7 mi
For-profit · 150 beds · Part of Signature Healthcare
★★★★★3AverageNhc Healthcare, Tullahoma
1321 Cedar Lane, Tullahoma, TN 37388 · 15.8 mi
For-profit · 90 beds · Part of National Healthcare Corporation
★★★★★3AverageLife Care Center of Tullahoma
1715 N Jackson St, Tullahoma, TN 37388 · 16 mi
For-profit · 169 beds · Part of Life Care Centers of America
★★★★★2Below averageLynchburg Nursing Center
40 Nursing Home Road, Lynchburg, TN 37352 · 17.5 mi
For-profit · 88 beds · Part of Life Care Centers of America
★★★★★5Much above average
Frequently asked questions
What is Elk River Health & Nursing Center of Winchester's rating?
Elk River Health & Nursing Center of Winchester has 3 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Elk River Health & Nursing Center of Winchester receive?
Its most recent standard health inspection found 3 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Elk River Health & Nursing Center of Winchester accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Elk River Health & Nursing Center of Winchester?
It is non profit - other and part of Twin Rivers Health & Rehabilitation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Elk River Health & Nursing Center of Winchester and how do I contact it?
Elk River Health & Nursing Center of Winchester is at 32 Memorial Drive, Winchester, TN 37398. Phone: (931) 967-0200.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.