The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 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 & REHABILITATION OF FAYETTEVILLE
FAYETTEVILLE, TN · Medicare-certified · 79 beds
In good standing
Non-profitChain member
4 of 5 overall
Overall rating: 4 of 5 stars. This facility has a lower staffing rating of 2 of 5 stars, with reported nurse staffing at 3.57 hours per resident per day versus the federal benchmark of 4.1; it had no fines in the last 24 months, and recent inspection citations included food safety, accurate assessment, and care plan timing.
Facility ratings
Health inspections
Staffing
3.5731 hrs/resident/day
Quality measures
Last inspection: September 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5731.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.00
- Nurse aides
- 2.25
- Weekend nursing
- 3.53
Hours per resident per day.
Total staff turnover: 56%
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
13.4%Improving
Residents with a fall causing major injury
10.1%Worsening
Residents with pressure ulcers (bedsores)
8.9%Worsening
Residents with a urinary tract infection
0.6%Worsening
Residents who lost too much weight
2.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.7%Improving
Residents whose ability to walk got worse
22.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21.1%Improving
Short-stay residents newly given an antipsychotic
3%Worsening
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
16.1%Steady
Residents with depressive symptoms
1.9%Worsening
Long-stay residents given the seasonal flu vaccine
85.7%Steady
Long-stay residents given the pneumonia vaccine
98.8%Worsening
Short-stay residents given the seasonal flu vaccine
89%Steady
Short-stay residents given the pneumonia vaccine
99.7%Worsening
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 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 September 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 safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited July 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of TWIN RIVERS HEALTH & REHABILITATION · 12 homes · 4 stars avg
- Occupancy
- 53.6 residents on an average day (68% of 79 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.