Nursing homeActive
Elk River Health & Nursing Center Of Winchester
32 Memorial Drive, Winchester, TN 37398931967020080 certified beds · 52 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
3
since 2021
Deficiencies
9
● 0● 9● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-07-30
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-30 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-04-03 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2021-12-14 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-30Record 445319-20250730-F609
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-30Record 445319-20250730-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-30Record 445319-20250730-F657
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 445319-20240403-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 445319-20240403-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 445319-20240403-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 445319-20240403-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 445319-20240403-F814
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-05Record 445319-20211214-F693
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.56
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.70
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.24
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover70%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover50%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.5% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.3% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.9% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 12.2% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 35.4% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bradley, Don Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burton, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Davis, Clinton Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holcombe, Michelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kupchynsky, Kathleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Malin, Douglas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ocoee Foundation Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Phillips, Dorothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pioneer Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sheehan, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sheehan, Margaret Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Frank Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Twin Rivers Health & Rehabilitation LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bradley, Don Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Burton, William Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Davis, Clinton Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gammada, Ephraim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holcombe, Michelle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kupchynsky, Kathleen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Malin, Douglas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ocoee Foundation Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ocoee Winchester Property Investment LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Phillips, Dorothy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pioneer Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sheehan, John Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sheehan, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sheehan, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sheehan, Margaret Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sheehan, Margaret Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Smith, Frank Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Twin Rivers Health & Rehabilitation LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Twin Rivers Health & Rehabilitation — 11 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Franklin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Southern Tenn Medical Center SNF Winchester | 0.3 mi | 2025-09-04 | 060 |
| Heritage Place Care & Rehabilitation LLC Winchester | 0.7 mi | 2026-04-08 | 050 |
| Nhc Healthcare, Tullahoma Tullahoma | 15.8 mi | 2025-06-11 | 0130 |
| Life Care Center Of Tullahoma Tullahoma | 16.0 mi | 2026-05-13 | 050 |
| Signature Healthcare Of Monteagle Rehab & Wellness Monteagle | 15.7 mi | 2025-09-17 | 0171 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |