nursing home in Livingston, TN
Overton County Health and Rehab Center
318 Bilbrey Street, Livingston, TN 38570 · (931) 823-6403
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Overton County Health and Rehab Center at a glance
Overton County Health and Rehab Center is a 125-bed government nursing home in Livingston, Tennessee (Overton County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Tennessee average of 3.
Residents receive about 4.4 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (May 14, 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 35.1% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- July 1, 2000
- Resident/family council
- Resident
- County
- Overton County
- CMS Certification Number
- 445419
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 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) | 4.36 hrs | 3.80 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.74 hrs | 2.12 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.26 hrs | 3.31 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 35.1% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 0% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
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) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 18 | 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 | 125 | 114 | 107 | |
| Average residents per day | 79 | 84 | 86 | |
| Occupancy | 63.5% | 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) | 0% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.6% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.8% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 29.7% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 29.8% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 26.8% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 89.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96.4% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 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 June 30, 2025 |
| May 14, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 14, 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 June 30, 2025 |
| May 14, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | F Potential harm, widespread | Corrected June 6, 2025 |
| May 14, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 23, 2025 |
| May 14, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 23, 2025 |
| November 20, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 31, 2019 |
| November 20, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 31, 2019 |
| November 20, 2019 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 December 31, 2019 |
| November 20, 2019 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 December 31, 2019 |
| November 20, 2019 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected December 31, 2019 |
| November 20, 2019 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 31, 2019 |
| November 28, 2018 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | C No harm, widespread | Corrected December 5, 2018 |
| November 28, 2018 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | C No harm, widespread | Corrected December 28, 2018 |
| November 28, 2018 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 28, 2018 |
| November 28, 2018 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 28, 2018 |
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 |
|---|---|---|---|
| OVERTON COUNTY AMBULANCE SERVICE Organization | 5% or greater direct ownership interest | 100% | 01/01/1966 |
| BOULDIN, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 02/26/2007 |
| COX, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 03/25/2026 |
| JOBE, HASTING & ASSOCIATES CPAS, PLLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2004 |
| OVERTON COUNTY AMBULANCE SERVICE Organization | adp of the snf | NOT APPLICABLE | 07/01/1961 |
| ZALEWSKI, CHARLA Individual | adp of the snf | NOT APPLICABLE | 02/10/2008 |
| BOSWELL, RANDALL Individual | managing control - governing body | NOT APPLICABLE | 08/01/2011 |
| CLARK, DARWIN Individual | managing control - governing body | NOT APPLICABLE | 08/01/2011 |
| MELTON, ROBBIE Individual | managing control - governing body | NOT APPLICABLE | 09/01/2021 |
| SAVAGE, DONNA Individual | managing control - governing body | NOT APPLICABLE | 08/01/2011 |
| WALKER, GERALDINE Individual | managing control - governing body | NOT APPLICABLE | 10/01/2022 |
| BOULDIN, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 06/03/2007 |
| COX, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| ZALEWSKI, CHARLA Individual | operational/managerial control | NOT APPLICABLE | 02/10/2008 |
Other nursing homes near Overton County Health and Rehab Center
Celina Health and Rehabilitation Center
120 Pitcock Lane, Celina, TN 38551 · 14.6 mi
For-profit · 78 beds · Part of Twin Rivers Health & Rehabilitation
★★★★★4Above averageSignature Healthcare of Putnam County
278 Dry Valley Rd, Cookeville, TN 38506 · 15.2 mi
For-profit · 175 beds · Part of Signature Healthcare
★★★★★2Below averageStanding Stone Care and Rehab
410 W Crawford Avenue, Monterey, TN 38574 · 16.4 mi
For-profit · 115 beds · Part of Signature Healthcare
★★★★★5Much above averagePickett Care and Rehabilitation Center
129 Hillcrest Drive, Byrdstown, TN 38549 · 16.9 mi
For-profit · 69 beds · Part of Signature Healthcare
★★★★★4Above averageGrandview Post Acute
444 One Eleven Place, Cookeville, TN 38506 · 17.8 mi
For-profit · 120 beds · Part of Pacs Group
★★★★★1Much below averageMabry Health Care
1340 N Grundy Quarles Hwy PO Box 7, Gainesboro, TN 38562 · 18 mi
For-profit · 80 beds · Part of Infinity Healthcare Consulting
★★★★★3Average
Frequently asked questions
What is Overton County Health and Rehab Center's rating?
Overton County Health and Rehab Center has 4 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Overton County Health and Rehab Center 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 Overton County Health and Rehab Center 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 Overton County Health and Rehab Center?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Overton County Health and Rehab Center and how do I contact it?
Overton County Health and Rehab Center is at 318 Bilbrey Street, Livingston, TN 38570. Phone: (931) 823-6403.
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.