Federal inspection record · CMS data as of October 1, 2026
Obion County Nursing Home
1084 East County Home Road, Union City, TN · (731) 885-9065
- Certified beds
- 56
- Residents per day
- 45
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 20, 2012
1
How this home got 2 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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Obion County Nursing Home carries 51 inspection points. That is fewer than 23% 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
22 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care7D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Administration2D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Inspection history
2026-02-19
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2025-03-19
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-01-29
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 59 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$23,963 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-26 | Fine | $9,110 |
| 2024-01-29 | Fine | $14,853 |
6
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 days0.3 pts worse | 1.9 | 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 vaccine10.5 pts better | 100.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 100.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 2.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.2 pts better | 0.7% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 5.2% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication22 pts worse | 53.7% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts worse | 19.8% | 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 worsened11.3 pts better | 4.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts worse | 16.3% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts better | 16.1% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 3.8% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.4 pts better | 96.8% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts better | 7.9% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication10.5 pts worse | 12.2% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better | 95.5% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts worse | 25.0% | 22.6% | 23.4% |
·
Who owns and runs it
8 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 |
|---|---|---|---|
| Barker, Patsy | Corporate Director · Individual | 0% | 1 facilities |
| Batey, Tracey | Corporate Director · Individual | 0% | 1 facilities |
| County Of Obion | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Gantt, Timothy | Corporate Director · Individual | 0% | 1 facilities |
| Lacewell, Janis | Corporate Director · Individual | 0% | 1 facilities |
| Mcguire, Benny | Corporate Director · Individual | 0% | 1 facilities |
| Sherwood, James | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Yarbough, Charles | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Union City Health And Rehabilitation
Union City, TN · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 23 min
- Fines
- $10,348
-
The Waters Of Union City , LLC
Union City, TN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
Fulton Nursing and Rehabilitation, LLC
Fulton, KY · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 3 min
- Fines
- $0