The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
WINCHESTER, TN · Medicare-certified · 80 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
3 of 5 overall
3 out of 5 stars overall. Health inspections are relatively strong at 4 stars, but staffing is very low at 1 star with 3.70 nurse hours per resident per day below the 4.1 federal benchmark, quality measures are 2 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7005 hrs/resident/day
Quality measures
Last inspection: July 30, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7005.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 1.27
- Nurse aides
- 1.86
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%8.8%Improving
Residents with a fall causing major injury
6.8%2.3%Improving
Residents with pressure ulcers (bedsores)
8.4%2.9%Improving
Residents with a urinary tract infection
2.3%7%Worsening
Residents who lost too much weight
12.8%13.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
30.3%3.1%Improving
Residents whose ability to walk got worse
—17.1%—
Long-stay residents on antianxiety or sleep medication
33.3%36.8%Worsening
Short-stay residents newly given an antipsychotic
0%7.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.2%27.9%Worsening
Residents with depressive symptoms
2.4%5.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.7%—
Long-stay residents given the pneumonia vaccine
93.2%97.7%Improving
Short-stay residents given the seasonal flu vaccine
—87.4%—
Short-stay residents given the pneumonia vaccine
92.1%84.8%Worsening
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Apr 1, 2019
Now operated by Elk River Health & Nursing Center of Winchester, LLC, previously Winchester Healthcare, LLC.
- Ownership
- Non profit - Other
- Chain
- Part of TWIN RIVERS HEALTH & REHABILITATION · 12 homes · 3.9 stars avg
- Occupancy
- 52 residents on an average day (65% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.