Elk River Health & Nursing Center of Winchester

Name: Elk River Health & Nursing Center of Winchester
Address: 32 MEMORIAL DRIVE, Winchester, TN, 37398, US
Telephone: 9319670200

32 Memorial Drive, Winchester, TN 37398 · Franklin County · 80 certified beds · avg 52 residents/day · certified since Oct 1, 1993

Part of chain: TWIN RIVERS HEALTH & REHABILITATION (11 facilities, chain avg rating 3.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.27

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 30, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 30, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 3, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 3, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 3, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 3, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 3, 2024	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Dec 14, 2021	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2021	1	D
2024	5	F
2025	3	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.27	3.62	3.95	bottom 32% in Tennessee; bottom 25% in the U.S.
Registered Nurse hours	0.50	0.57	0.69	bottom 47% in Tennessee; bottom 38% in the U.S.
Weekend total nurse staffing	2.86	3.15	3.50	bottom 38% in Tennessee; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.39	0.48	bottom 37% in Tennessee; bottom 28% in the U.S.
Total nursing staff turnover (%)	69.7	48.9	45.8	bottom 4% in Tennessee; bottom 6% in the U.S.
RN turnover (%)	50.0	43.2	42.9	bottom 37% in Tennessee; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.70, RN 0.56, weekend 3.24. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Bradley, Don	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Bradley, Don	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2024
Burton, William	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Burton, William	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2024
Davis, Clinton	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Davis, Clinton	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
Gammada, Ephraim	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2024
Holcombe, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Holcombe, Michelle	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
Kupchynsky, Kathleen	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Kupchynsky, Kathleen	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2024
Malin, Douglas	Individual	Operational/Managerial Control	NOT APPLICABLE	02/28/2024
Malin, Douglas	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2024
Ocoee Foundation INC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Ocoee Foundation INC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2019
Ocoee Winchester Property Investment LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2019
Phillips, Dorothy	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Phillips, Dorothy	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2024
Pioneer Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Pioneer Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/14/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can I see where garbage is stored and how often it's removed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Southern Tenn Medical Center SNF	0.3 mi	Winchester, TN	★☆☆☆☆	2/5
Heritage Place Care & Rehabilitation LLC	0.7 mi	Winchester, TN	★☆☆☆☆	2/5
Signature Healthcare of Monteagle Rehab & Wellness	15.7 mi	Monteagle, TN	★★★☆☆	2/5
NHC Healthcare, Tullahoma	15.8 mi	Tullahoma, TN	★★★☆☆	3/5
Life Care Center of Tullahoma	16.0 mi	Tullahoma, TN	★★☆☆☆	3/5
Lynchburg Nursing Center	17.5 mi	Lynchburg, TN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Winchester →

Facility data as of CMS processing date 2026-08-01. CCN 445319.

The Care File

Visit checklist — Elk River Health & Nursing Center of Winchester

32 Memorial Drive, Winchester, TN 37398 · 9319670200

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445319 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)