Federal inspection record · CMS data as of October 1, 2026
Elk River Health & Nursing Center Of Winchester
32 Memorial Drive, Winchester, TN · (931) 967-0200
- Certified beds
- 80
- Residents per day
- 56
- Ownership
- Non-Profit
- Chain
- Twin Rivers Health & Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1993
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Elk River Health & Nursing Center Of Winchester carries 17 inspection points. That is fewer than 66% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-07-30
3 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-04-03
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2021-12-14
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 38 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 73% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.2 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 95.6% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 95.9% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9 pts better | 5.9% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts worse | 10.7% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 36.0% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts better | 11.4% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.1 pts better | 11.3% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 12.5% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.8 pts worse | 4.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.7 pts worse | 26.7% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.1% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 86.9% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse | 12.4% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse | 3.5% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 82.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission16.1 pts worse | 38.7% | 22.6% | 23.4% |
·
Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bradley, Don | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Bradley, Don | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Burton, William | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Burton, William | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Davis, Clinton | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Davis, Clinton | Adp Of The SNF · Individual | 0% | 11 facilities |
| Gammada, Ephraim | Adp Of The SNF · Individual | 0% | 1 facilities |
| Holcombe, Michelle | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Holcombe, Michelle | Adp Of The SNF · Individual | 0% | 12 facilities |
| Kupchynsky, Kathleen | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Kupchynsky, Kathleen | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Malin, Douglas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Malin, Douglas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ocoee Foundation Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ocoee Foundation Inc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Ocoee Winchester Property Investment LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Phillips, Dorothy | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Phillips, Dorothy | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Pioneer Consulting LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Pioneer Consulting LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Sheehan, John | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Sheehan, John | Corporate Officer · Individual | 0% | 11 facilities |
| Sheehan, John | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Sheehan, John | Adp Of The SNF · Individual | 0% | 11 facilities |
| Sheehan, Margaret | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Sheehan, Margaret | Corporate Officer · Individual | 0% | 11 facilities |
| Sheehan, Margaret | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Smith, Frank | Managing Control - Governing Body · Individual | 0% | 20 facilities |
| Smith, Frank | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Twin Rivers Health & Rehabilitation LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Twin Rivers Health & Rehabilitation LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
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Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness17D
- D
Address subsistence needs for staff and patients.
- D
Establish policies and procedures for volunteers.
- D
Establish roles under a Waiver declared by secretary.
- D
Provide primary/alternate means for communication.
- D
Provide a means of sharing information on occupancy/needs.
- D
Provide family notifications of emergency plan.
- D
Establish staff and initial training requirements.
- D
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct risk assessment and an All-Hazards approach.
- D
List the names and contact information of those in the facility.
- D
Establish methods for sharing information.
- D
Establish policies and procedures including evacuation.
- D
Establish roles under a Waiver declared by secretary.
- D
Establish methods for sharing information.
- D
Provide a means of sharing information on occupancy/needs.
- D
Develop and maintain an Emergency Preparedness Program (EP).
Smoke4D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
Miscellaneous2D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
Egress1D
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
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Other homes nearby
-
Southern Tenn Medical Center SNF
Winchester, TN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Heritage Place Care & Rehabilitation LLC
Winchester, TN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Signature Healthcare Of Monteagle Rehab & Wellness
Monteagle, TN · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 35 min
- Fines
- $31,902