Elk River Health & Nursing Center of Winchester — nursing home in Winchester, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 56.1 CMS, MDS-derived
CMS Certification Number: 445319
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1993
Ownership type: Non profit - Other
Operator (legal business name): Elk River Health & Nursing Center of Winchester, LLC
CMS chain: Twin Rivers Health & Rehabilitation 11 facilities
Phone: (931) 967-0200
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 30, 2025

Citations

35

9 health · 26 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D34	E·	F1
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445319
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 80
First approved: Oct 1, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 30, 2025	Fire safety	Fire Safety Standard	17	Potential harm	—	Open →
Jul 30, 2025	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Apr 3, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Apr 3, 2024	Health	Health Standard	5	Potential harm	—	Open →
Dec 14, 2021	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 14, 2021	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D34	E·	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2025	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0034	Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0035	Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 13, 2025
Jul 30, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 30, 2025	Complaint
Jul 30, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 30, 2025
Jul 30, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 30, 2025
Apr 3, 2024	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Apr 26, 2024
Apr 3, 2024	E-0033	Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Apr 26, 2024
Apr 3, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 26, 2024
Apr 3, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 26, 2024
Apr 3, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 3, 2024
Apr 3, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 3, 2024
Apr 3, 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 May 3, 2024
Apr 3, 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	F · Potential harm Widespread	Corrected May 3, 2024
Apr 3, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 3, 2024
Dec 14, 2021	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 5, 2022
Dec 14, 2021	E-0020	Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 5, 2022
Dec 14, 2021	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 5, 2022
Dec 14, 2021	E-0033	Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 5, 2022
Dec 14, 2021	E-0034	Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 5, 2022
Dec 14, 2021	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 5, 2022

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.64

State avg 3.82US avg 3.90

Registered nurse (RN)0.63

State avg 0.60US avg 0.69

Licensed practical nurse1.25

State avg 1.08US avg 0.86

Nurse aide1.76

State avg 2.14US avg 2.35

Weekend total nurse3.06

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.32 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover72.5%

State avg 48.6%US avg 45.3%

Registered nurse turnover50.0%

State avg 43.2%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 30, 2025
Cycle 1 health score: 12
Total weighted score: 17

Operating entity

Elk River Health & Nursing Center of Winchester, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Twin Rivers Health & Rehabilitation

11 facilities in 1 states. CMS chain ID 532.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.8

Ownership disclosures

Disclosures

31

Organizations

4

Individuals

24

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Don Bradley	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 7, 2024
William Burton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 7, 2024
Kathleen Kupchynsky	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 7, 2024
Dorothy Phillips	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 7, 2024
John Sheehan	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 7, 2024
Margaret Sheehan	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Dec 15, 2022
Frank Smith	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 7, 2024
Ocoee Foundation Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Pioneer Consulting LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Twin Rivers Health & Rehabilitation LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Don Bradley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2024
William Burton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2024
Clinton Davis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Michelle Holcombe	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Kathleen Kupchynsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2024
Douglas Malin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 28, 2024
Dorothy Phillips	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2024
John Sheehan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2024
Margaret Sheehan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2019
Frank Smith	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 7, 2024
John Sheehan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 7, 2024
Margaret Sheehan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 15, 2022
Ocoee Foundation Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Ocoee Winchester Property Investment LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Pioneer Consulting LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 14, 2025
Twin Rivers Health & Rehabilitation LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 14, 2025
Clinton Davis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Ephraim Gammada	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 28, 2024
Michelle Holcombe	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019
Douglas Malin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 28, 2024
John Sheehan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2019

Same chain in Tennessee

All 10 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Trenton Health and Rehabilitation Center, LLC 2036 Highway 45 Bypass, Trenton, TN 38382 CCN 445308	50	Jan 22, 2026	11	—
Elk River Health & Rehabilitation of Fayetteville 4081 Thornton Taylor Parkway, Fayetteville, TN 37334 CCN 445320	79	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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 32 Memorial Drive, Winchester, TN 37398
ZIP: 37398
County: Franklin County FIPS 47051
State: Tennessee
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Southern Tenn Medical Center SNF 629 Hospital Road, Winchester, TN 37398 CCN 445222	0.5 km	46		Sep 4, 2025	21	—
Heritage Place Care & Rehabilitation LLC 1360 Bypass Road, Winchester, TN 37398 CCN 445145	1.2 km	132		Apr 8, 2026	42	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445319	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445319	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

Record-level source links for CCN 445319

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction