Obion County Nursing Home
Nursing home in Union City, TN
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 1084 East County Home Road, Union City, TN 38261
- Phone
- (731) 885-9065
- Listed under
- Government-owned
- Medicare CCN
- 445508
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 56
- Average residents per day
- 44
- Ownership
- Government, county
- Legal business name
- County of Obion
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Apr 20, 2012
- 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
Inspection record
Most recent standard health inspection: Feb 19, 2026. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 29, 2024 to Jan 20, 2026): 12 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jan 20, 2026 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D |
| Jan 20, 2026 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed… | D |
| Jun 26, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| Mar 19, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D |
| Mar 19, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Mar 19, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Mar 19, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| Mar 19, 2025 | Post nurse staffing information every day. | D |
| Mar 19, 2025 | Ensure medication error rates are not 5 percent or greater. | D |
| Mar 19, 2025 | Provide and implement an infection prevention and control program. | E |
| Jan 29, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Jan 29, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D |
Fines and payment denials
CMS records 2 fines totalling $23,963 in the last three years.
| Jun 26, 2025 | Fine: $9,110 |
| Jan 29, 2024 | Fine: $14,853 |
Staffing
- Total nurse staffing per resident per day
- 3.78 hours
- Registered nurse (RN) time per resident per day
- 0.50 hours
- Nurse aide time per resident per day
- 2.03 hours
- Total nurse staffing on weekends
- 3.21 hours
- Nursing staff turnover (yearly)
- 47%
- RN turnover (yearly)
- 17%
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.