Nursing HomeInspections

Overton County Health and Rehab Center

Nursing home in Livingston, TN

Medicare & Medicaid certified4★ overall (CMS)

Call (931) 823-6403Send a messageMap ↗

Public-record details

Address
318 Bilbrey Street, Livingston, TN 38570
Phone
(931) 823-6403
Listed under
Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN
445419
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
125
Average residents per day
79
Ownership
Government, county
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 2000
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 445419. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 14, 2025. CMS lists 5 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 28, 2018 to May 14, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 14, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 14, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 14, 2025Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		F
Potential for more than minimal harm, widespread
Nov 28, 2018Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 28, 2018Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		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
4.36 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
2.74 hours
Total nurse staffing on weekends
4.26 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
0%
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.