Nursing HomeInspections

Elk River Health & Rehabilitation of Fayetteville

Nursing home in Fayetteville, TN

Medicare & Medicaid certified4★ overall (CMS)

Call (931) 433-9973Send a messageMap ↗

Public-record details

Address
4081 Thornton Taylor Parkway, Fayetteville, TN 37334
Phone
(931) 433-9973
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
445320
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
79
Average residents per day
56
Ownership
Nonprofit, corporation
Legal business name
Elk River Health & Nursing Center of Fayetteville 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 445320. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 10, 2025. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 20, 2022 to Sep 10, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 10, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 10, 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
Jul 11, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 11, 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
Apr 20, 2022Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 20, 2022Develop 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 20, 2022Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 20, 2022Procure 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

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
3.41 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
40%
Administrators who left in the past year
0

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 Fayetteville

Donalson Care Center1681 Winchester Highway · Fayetteville, TN 37334 · (931) 433-7156 · Nonprofit24 health citations in 3 inspection cycles · last standard inspection Mar 12, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

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