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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E3 | 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.
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 | |
|---|---|---|---|---|---|---|
| Sep 4, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Sep 4, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Aug 24, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 24, 2022 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jul 23, 2019 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 23, 2019 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E3 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 4, 2025 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2025 | |
| Sep 4, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 1, 2025 | |
| Sep 4, 2025 | K-0355 |
“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 | 100% | Oct 1, 2024 |
| John Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2006 |
| Margaret Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| J-M Investments, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2024 |
| John Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2006 |
| Margaret Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2006 |
| J-M Investments, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2006 |
| Facility | Beds | CMS overall | 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 & Nursing Center of Winchester 32 Memorial Drive, Winchester, TN 37398 CCN 445319 | 80 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445445 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445445 | 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
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Oct 1, 2025 |
| Sep 4, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Sep 4, 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 Oct 1, 2025 |
| Sep 4, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Sep 4, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Aug 24, 2022 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 24, 2022 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 24, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 24, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 24, 2022 | 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 Sep 23, 2022 |
| Jul 23, 2019 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 23, 2019 |
| Jul 23, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 23, 2019 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 23, 2019 | 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 23, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.03 (case-mix index 1.45).
| 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 |
| Jessie Copeland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 20, 2022 |
| 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 | May 1, 2006 |
| Rebecca Tandy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2017 |
| Jessie Copeland | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 20, 2022 |
| Rebecca Tandy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 3, 2017 |
| John Sheehan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2006 |
| Celina Property Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2006 |
| J-M Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2006 |
| Pioneer Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| Jessie Copeland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 20, 2022 |
| 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 |
| Rebecca Tandy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2017 |
| Jul 30, 2025 |
35 |
| — |
| 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 |
| Hancock Manor Nursing Home 1423 Main Street, Sneedville, TN 37869 CCN 445459 | 50 | Sep 10, 2026 | 8 | — |