Nursing homeActive
Overton County Health And Rehab Center
318 Bilbrey Street, Livingston, TN 385709318236403125 certified beds · 79 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
5
● 0● 5● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-05-14
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
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 |
|---|---|---|---|---|
| 2025-05-14 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2019-11-20 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2018-11-28 | Standard | 020 | 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.
F578Honor 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 directive.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 445419-20250514-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 445419-20250514-F641
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 445419-20250514-F842
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-28Record 445419-20181128-F689
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-28Record 445419-20181128-F758
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.32
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day4.36
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours4.26
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover35%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover0%
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 | 2.0% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.6% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.5% | 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 | 22.8% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 29.8% | 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 |
|---|---|---|---|---|
| Overton County Ambulance Service Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bouldin, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cox, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zalewski, Charla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boswell, Randall Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bouldin, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clark, Darwin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cox, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jobe, Hasting & Associates Cpas, Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Melton, Robbie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Overton County Ambulance Service Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Savage, Donna Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Walker, Geraldine Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Zalewski, Charla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 Overton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Signature Healthcare Of Putnam County Cookeville | 15.2 mi | 2025-04-03 | 030 |
| Celina Health And Rehabilitation Center Celina | 14.6 mi | 2025-09-04 | 020 |
| Standing Stone Care And Rehab Monterey | 16.4 mi | 2026-05-14 | 060 |
| Grandview Post Acute Cookeville | 17.8 mi | 2026-04-01 | 0140 |
| Pickett Care And Rehabilitation Center Byrdstown | 16.9 mi | 2025-04-09 | 080 |
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 |