Nursing HomeInspections

Elk River Health & Nursing Center of Winchester

Nursing home in Winchester, TN

Medicare & Medicaid certified3★ overall (CMS)

Call (931) 967-0200Send a messageMap ↗

Public-record details

Address
32 Memorial Drive, Winchester, TN 37398
Phone
(931) 967-0200
Listed under
Nonprofit, No fines in 3 years
Medicare CCN
445319
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
80
Average residents per day
52
Ownership
Nonprofit, other
Legal business name
Elk River Health & Nursing Center of Winchester, LLC
Chain
Twin Rivers Health & Rehabilitation (11 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445319. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 30, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 14, 2021 to Jul 30, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 30, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 30, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 30, 2025Develop 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		D
Potential for more than minimal harm, isolated
Apr 3, 2024Develop 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		D
Potential for more than minimal harm, isolated
Apr 3, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 3, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 3, 2024Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 3, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Dec 14, 2021Ensure 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		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.70 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
3.24 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
50%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Winchester

Heritage Place Care & Rehabilitation LLC1360 Bypass Road · Winchester, TN 37398 · (931) 967-7082 · For-profit6 health citations in 3 inspection cycles · last standard inspection Apr 8, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)Southern Tenn Medical Center SNF629 Hospital Road · Winchester, TN 37398 · (931) 967-8249 · For-profit11 health citations in 3 inspection cycles · last standard inspection Sep 4, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

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