# Elk River Health & Rehabilitation of Fayetteville Elk River Health & Rehabilitation of Fayetteville is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Fayetteville, TN, CMS Certification Number 445320, with 79 certified beds and about 56 residents per day. CMS rates it 3/5 overall (health inspections 4/5, staffing 1/5, quality measures 4/5). ## Key facts - Status: Active CMS certification - Address: 4081 Thornton Taylor Parkway, Fayetteville, TN 37334 (Lincoln County) - Ownership type: Non profit - Corporation - Operator (legal business name): [Elk River Health & Nursing Center of Fayetteville LLC](https://carefield.site/operator/op-elk-river-health-and-nursing-center-of-fayetteville-llc) - CMS chain: [Twin Rivers Health & Rehabilitation](https://carefield.site/chain/cms-chain-532) — 11 facilities - Phone: 9314339973 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445320 ## Inspection record 6 inspections in the CMS window (latest 2025-09-10); 22 citations (8 health, 14 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2025-09-10 — [E-0006](https://carefield.site/deficiency/cms-e0006) Conduct risk assessment and an All-Hazards approach. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [E-0015](https://carefield.site/deficiency/cms-e0015) Address subsistence needs for staff and patients. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [E-0032](https://carefield.site/deficiency/cms-e0032) Provide primary/alternate means for communication. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [E-0037](https://carefield.site/deficiency/cms-e0037) Establish staff and initial training requirements. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-10 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [K-0521](https://carefield.site/deficiency/cms-k0521) Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2024-07-11 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2022-04-20 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-20 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-20 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 2 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.46564 (state avg 3.81924, US 3.90085) - RN: 0.40533 - Nursing staff turnover: 70.4% ## Owners and managers of record (CMS disclosures) - Don Bradley — Operational / managerial control, since 2019-04-01 - William Burton — Operational / managerial control, since 2019-04-01 - Kathleen Kupchynsky — Operational / managerial control, since 2024-02-07 - Dorothy Phillips — Operational / managerial control, since 2019-04-01 - John Sheehan — Operational / managerial control, since 2024-02-07 - Margaret Sheehan — Operational / managerial control, since 2019-04-01 - Frank Smith — Operational / managerial control, since 2019-04-01 - [Ocoee Foundation Inc](https://carefield.site/owner/org-ocoee-foundation-inc) — Operational / managerial control, since 2019-04-01 - [Pioneer Consulting LLC](https://carefield.site/owner/org-pioneer-consulting-llc) — Operational / managerial control, since 2019-04-01 - [Twin Rivers Health & Rehabilitation LLC](https://carefield.site/owner/org-twin-rivers-health-and-rehabilitation-llc) — Operational / managerial control, since 2019-04-01 - Don Bradley — Operational / managerial control, since 2019-04-01 - William Burton — Operational / managerial control, since 2019-04-01 - Clinton Davis — Operational / managerial control, since 2019-04-01 - Michelle Holcombe — Operational / managerial control, since 2019-04-01 - Kathleen Kupchynsky — Operational / managerial control, since 2024-02-07 ## Nearby nursing homes - [Donalson Care Center](https://carefield.site/facility/cms-445173) — 3.2 km, CMS overall 2/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445320&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445320&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445320&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445320&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445320&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445320&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-445320 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.