Elk River Health & Rehabilitation of Fayetteville
4081 Thornton Taylor Parkway, Fayetteville, TN 37334 · Lincoln County · 79 certified beds · avg 56 residents/day · certified since Oct 1, 1993
Part of chain: TWIN RIVERS HEALTH & REHABILITATION (11 facilities, chain avg rating 3.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (8)
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 |
|---|---|---|
| Sep 10, 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. |
| Sep 10, 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. |
| Jul 11, 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. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 20, 2022 | 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 20, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 20, 2022 | 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 20, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | F |
| 2024 | 2 | 0 | F |
| 2025 | 2 | 0 | 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) | 3.30 | 3.62 | 3.95 | bottom 34% in Tennessee; bottom 26% in the U.S. |
| Registered Nurse hours | 0.38 | 0.57 | 0.69 | bottom 20% in Tennessee; bottom 19% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.15 | 3.50 | top 42% in Tennessee; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.39 | 0.48 | top 37% in Tennessee; top 47% in the U.S. |
| Total nursing staff turnover (%) | 63.2 | 48.9 | 45.8 | bottom 14% in Tennessee; bottom 12% in the U.S. |
| RN turnover (%) | 40.0 | 43.2 | 42.9 | top 43% in Tennessee; top 46% 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 3.41, RN 0.39, weekend 3.23. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bradley, Don | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2019 |
| Bradley, Don | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Burton, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2019 |
| Burton, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Davis, Clinton | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Davis, Clinton | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| 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 |
| 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 |
| Phillips, Dorothy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2019 |
| Phillips, Dorothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Pioneer Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Pioneer Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Sain, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Sheehan, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/07/2024 |
| Sheehan, John | Individual | Corporate Officer | NOT APPLICABLE | 02/07/2024 |
| Sheehan, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 | Flags |
|---|---|---|---|---|---|
| Donalson Care Center | 2.0 mi | Fayetteville, TN | ★★★☆☆ | 3/5 | |
| Lynchburg Nursing Center | 14.6 mi | Lynchburg, TN | ★★★★★ | 4/5 |
Compare this facility with the 2 closest →
All facilities in Fayetteville →
Facility data as of CMS processing date 2026-08-01. CCN 445320.