How to file a complaint about care →

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

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.65, RN 0.75, weekend 2.92.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.65 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Federal

Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Twin Rivers Health & Rehabilitation — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Ocoee Transitional Care Center LLC — Maryville, TN · overall 2/5
• Trenton Health and Rehabilitation Center, LLC — Trenton, TN · overall 5/5
• Wood Village — Sweetwater, TN · overall 5/5
• Woodbury Health and Rehabilitation Center — Woodbury, TN · overall 3/5
• Celina Health and Rehabilitation Center — Celina, TN · overall 4/5
• Elk River Health & Nursing Center of Winchester — Winchester, TN · overall 3/5
• Elk River Health & Rehabilitation of Fayetteville — Fayetteville, TN · overall 4/5
• Elk River Health and Nursing Center of Ardmore, LL — Ardmore, TN · overall 4/5

Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

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

• "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
• "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
• "Can you show me how medications are stored and secured on the units, including controlled drugs?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "Who completes resident assessments here, and how do you check them for accuracy?"
• "Can you show me an example care plan, and how are families included when it's created and updated?"
• "How do you keep residents' medical records accurate, complete, and secure?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Carter, TN — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• The Waters of Roan Highlands,llc — Roan Mountain, TN · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Elizabethton →