| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E3 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 22, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 22, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Dec 11, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 11, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 2, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Nov 2, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E3 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 25, 2025 | |
| Dec 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 25, 2025 | |
| Dec 11, 2024 | K-0923 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
11 facilities in 1 states. CMS chain ID 532.
Chain average overall rating (CMS): 3.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| J-M Investments, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | Oct 1, 2015 |
| Hampton Worthington Properties, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | Jan 1, 2022 |
| Wallis Vernon | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | Jan 1, 2022 |
| John Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2015 |
| Margaret Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| J-M Investments, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | Oct 1, 2015 |
| Hampton Worthington Properties, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | Jan 1, 2022 |
| Wallis Vernon | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | Jan 1, 2022 |
| John Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2015 |
| Margaret Sheehan |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Elk River Health & Nursing Center of Winchester 32 Memorial Drive, Winchester, TN 37398 CCN 445319 | 80 | Jul 30, 2025 | 35 | — | |
| Elk River Health & Rehabilitation of Fayetteville 4081 Thornton Taylor Parkway, Fayetteville, TN 37334 CCN 445320 | 79 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Dyer Nursing and Rehabilitation Center 1124 North Main Street Po Box 160, Dyer, TN 38330 CCN 445468 | 13.4 km | 120 | Aug 27, 2025 | 17 | — | |
| Avondale Health and Rehabilitation Center, LLC 2031 Avondale Street Po Box 446, Humboldt, TN 38343 CCN 445454 | 14.9 km | 89 | Jul 22, 2026 | 28 | — | |
| W D Bill Manning Tennessee State Veterans Home 2865 Main Street, Humboldt, TN 38343 CCN 445366 | 17.3 km | 140 | Jun 3, 2026 | 12 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445308 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445308 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jan 25, 2025 |
| Dec 11, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 6, 2025 |
| Dec 11, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 6, 2025 |
| Dec 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 6, 2025 |
| Dec 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 6, 2025 |
| Nov 2, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 2, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 2, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 2, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.56 (case-mix index 1.53).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Oct 1, 2015 |
| J-M Investments, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2015 |
| Pioneer Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Clinton Davis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Michelle Holcombe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| John Sheehan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2015 |
| Wallis Vernon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 18, 2013 |
| James Williams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2018 |
| John Sheehan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2015 |
| Lument Real Estate Capital LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jul 12, 2019 |
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2015 |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2015 |
| J-M Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2015 |
| Pioneer Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2025 |
| Trenton Property Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2015 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Clinton Davis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2019 |
| Michelle Holcombe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2019 |
| Wallis Vernon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 18, 2013 |
| James Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 13, 2018 |
| Sep 10, 2025 |
22 |
| — |
| Elk River Health and Nursing Center of Ardmore, Ll 24623 Union Hill Road, Ardmore, TN 38449 CCN 445321 | 79 | Feb 20, 2026 | 27 | — |
| Wood Village 520 Old Highway 68, Sweetwater, TN 37874 CCN 445322 | 89 | Jun 3, 2026 | 11 | — |
| Ocoee Transitional Care Center LLC 2320 East Lamar Alexander Pkwy, Maryville, TN 37804 CCN 445404 | 76 | Jul 15, 2026 | 29 | — |
| Woodbury Health and Rehabilitation Center 119 West High Street, Woodbury, TN 37190 CCN 445435 | 82 | Apr 22, 2026 | 191 IJ1 harm | $14k |
| Celina Health and Rehabilitation Center 120 Pitcock Lane, Celina, TN 38551 CCN 445445 | 78 | Sep 4, 2025 | 16 | — |
| Hancock Manor Nursing Home 1423 Main Street, Sneedville, TN 37869 CCN 445459 | 50 | Sep 10, 2026 | 8 | — |