Cycle 1
Health 2025-09-04 · Fire 2025-09-04
6 health deficiencies
Top issue: Administration (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Winchester, TN
Southern Tenn Medical Center SNF
3-star overall rating with 2-star inspections with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
629 Hospital Road, Winchester, TN
(931) 967-8249
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
46
Certified beds
Average residents
17
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-04-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
2.40
Registered nurse staffing
LPN hours / resident day
3.07
Licensed practical nurse staffing
Aide hours / resident day
2.26
Nurse aide staffing
Weekend hours
6.57
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
79.6%
8.5 pts better
|
81.7%
6.4 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.0% |
11.2%
11.8 pts worse
|
12.0%
11 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.6%
0.5 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.4% |
79.8%
0.4 pts worse
|
79.7%
0.3 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.1% |
22.2%
3.1 pts better
|
23.9%
4.8 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-13 · Fire 2022-07-13
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-05-08 · Fire 2019-05-08
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-09-04
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
E42 · Emergency Preparedness Deficiencies
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-19
D · Potential for more than minimal harm
2022-07-13
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2022-07-15
D · Potential for more than minimal harm
2019-05-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-06-03
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-04
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-10-19
F · Potential for more than minimal harm
2025-09-04
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-10-19
E · Potential for more than minimal harm
2025-09-04
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-10-19
E · Potential for more than minimal harm
2025-09-04
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-10-19
E · Potential for more than minimal harm
2025-09-04
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-10-19
D · Potential for more than minimal harm
2025-09-04
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-10-19
F · Potential for more than minimal harm
2022-07-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-25
E · Potential for more than minimal harm
2022-07-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-25
D · Potential for more than minimal harm
2022-07-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-25
B · Minimal harm
2022-07-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-08-25
D · Potential for more than minimal harm
2019-05-08
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2019-05-29
Penalties and ownership
What sits behind the stars
Ownership
Highpoint Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
Ascension Health
5% Or Greater Indirect Ownership Interest · Organization
Baptist Health Care Affiliates Inc
5% Or Greater Indirect Ownership Interest · Organization
Davis, Daniel
Corporate Officer · Individual
Dsb Acquisition LLC
5% Or Greater Indirect Ownership Interest · Organization
Edwards, Danny
Operational/Managerial Control · Individual
Grooms, John
Corporate Officer · Individual
Haugh, William
Corporate Officer · Individual
Highpoint Partner, LLC
5% Or Greater Indirect Ownership Interest · Organization
Historic Lifepoint Hospitals, LLC
5% Or Greater Indirect Ownership Interest · Organization
Lawrence, Charlotte
Corporate Officer · Individual
Legacy Lifepoint Health LLC
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Corporate Services General Partnership
General Partnership Interest · Organization
Lifepoint Health Inc
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Holdings 2 LLC
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Hospitals Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Martin, Adam
Operational/Managerial Control · Individual
Monte, Christopher
Corporate Officer · Individual
Poppell, Marcus
Corporate Officer · Individual
Saint Thomas Health
5% Or Greater Indirect Ownership Interest · Organization
Saint Thomas Network
5% Or Greater Indirect Ownership Interest · Organization
Selbe, Jamie
Operational/Managerial Control · Individual
Wofford, Jody
Operational/Managerial Control · Individual
Zaharcu, Alexandru
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Elk River Health & Nursing Center Of Winchester
Winchester, TN
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#2
The Waters Of Winchester, LLC
Winchester, TN
4-star overall rating with 5-star inspections with $19,325 in total fines with 1 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
#3
Signature Healthcare Of Monteagle Rehab & Wellness
Monteagle, TN
2-star overall rating with 2-star inspections with $39,507 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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