# Obion County Nursing Home

Obion County Nursing Home is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Union City, TN, CMS Certification Number 445508, with 56 certified beds and about 45 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 4/5, quality measures 2/5).

## Key facts
- Status: Active CMS certification
- Address: 1084 East County Home Road, Union City, TN 38261 (Obion County)
- Ownership type: Government - County

- Operator (legal business name): [County of Obion](https://carefield.site/operator/op-county-of-obion)
- CMS chain: not part of a CMS-reported chain

- Phone: 7318859065
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445508

## Inspection record
8 inspections in the CMS window (latest 2026-02-19); 24 citations (22 health, 2 fire safety); 1 at actual harm and 1 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.
- 2024-01-29 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-06-26 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-02-19 — [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
- 2026-01-20 — [F-0835](https://carefield.site/deficiency/cms-f0835) Administer the facility in a manner that enables it to use its resources effectively and efficiently. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-01-20 — [F-0837](https://carefield.site/deficiency/cms-f0837) Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-03-19 — [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
- 2025-03-19 — [F-0604](https://carefield.site/deficiency/cms-f0604) Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-03-19 — [F-0690](https://carefield.site/deficiency/cms-f0690) Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0698](https://carefield.site/deficiency/cms-f0698) Provide safe, appropriate dialysis care/services for a resident who requires such services. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0732](https://carefield.site/deficiency/cms-f0732) Post nurse staffing information every day. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-19 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-01-29 — [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
- 2024-01-29 — [F-0582](https://carefield.site/deficiency/cms-f0582) Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-01-29 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-01-29 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-01-29 — [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; complaint survey
- 2024-01-29 — [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
- 2024-01-29 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- …and 4 more on the source page.

## Penalties
- 2025-06-26 — Civil money penalty (fine): $9,110
- 2024-01-29 — Civil money penalty (fine): $14,853

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.99015 (state avg 3.81924, US 3.90085)
- RN: 0.46944
- Nursing staff turnover: 46.8%

## Owners and managers of record (CMS disclosures)
- [County of Obion](https://carefield.site/owner/org-county-of-obion) — Direct owner, since 2011-06-01

## Nearby nursing homes
- [Union City Health and Rehabilitation](https://carefield.site/facility/cms-445381) — 8.1 km, CMS overall 1/5
- [The Waters of Union City , LLC](https://carefield.site/facility/cms-445138) — 8.3 km, CMS overall 5/5

## 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=445508&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=445508&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=445508&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=445508&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=445508&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=445508&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-445508 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.