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
4 of 5 overall
Overall 4 out of 5 stars. Health inspections are also 4 stars, but staffing is 2 stars and reported nurse staffing is below the federal benchmark (3.82 vs 4.1 hours per resident per day); quality measures are 2 stars, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8188 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 3.8188.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 1.27
- Nurse aides
- 1.99
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.1%Worsening
Residents with a fall causing major injury
4.6%Improving
Residents with pressure ulcers (bedsores)
7.9%Improving
Residents with a urinary tract infection
2.3%Worsening
Residents who lost too much weight
10.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
36.3%Improving
Short-stay residents newly given an antipsychotic
0.7%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
24.1%Worsening
Residents with depressive symptoms
5.5%Worsening
Long-stay residents given the seasonal flu vaccine
95.7%Steady
Long-stay residents given the pneumonia vaccine
95.4%Worsening
Short-stay residents given the seasonal flu vaccine
87.4%Steady
Short-stay residents given the pneumonia vaccine
88.4%Worsening
What the inspectors found
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 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 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
- Ownership
- Non profit - Other
- Chain
- Part of TWIN RIVERS HEALTH & REHABILITATION · 12 homes · 4 stars avg
- Occupancy
- 56 residents on an average day (70% 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.