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Overton County Health and Rehab Center
318 Bilbrey Street, Livingston, TN 38570 (opens Google Maps) · Overton County · (931) 823-6403· 125 certified beds · avg 79 residents/day · certified since Jul 1, 2000 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected May 14, 2025
0
Serious findings on record
$0
Fines, last 3 years
5.07
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. F-0842
View all 5 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 14, 2025 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| May 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Nov 28, 2018 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 28, 2018 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
Inspection trend by year
All citationsSerious citations (G–L)
2018
All citations: 2
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 2 | 0 | D |
| 2025 | 3 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.07
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.37
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.96
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.07 | 3.62 | 3.95 | top 6% in Tennessee; top 12% in the U.S. |
| Registered Nurse hours | 0.37 | 0.57 | 0.69 | bottom 18% in Tennessee; bottom 18% in the U.S. |
| Weekend total nurse staffing | 4.96 | 3.15 | 3.50 | top 3% in Tennessee; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.39 | 0.48 | bottom 15% in Tennessee; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 48.9 | 45.8 | top 14% in Tennessee; top 24% in the U.S. |
| RN turnover (%) | 0.0 | 43.2 | 42.9 | top 1% in Tennessee; top 1% in the U.S. |
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 4.36, RN 0.32, weekend 4.26.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Overton County Health and Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Overton County Ambulance Service | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1966 |
| Boswell, Randall | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2011 |
| Bouldin, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/03/2007 |
| Bouldin, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2007 |
| Clark, Darwin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2011 |
| Cox, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Cox, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2026 |
| Jobe, Hasting & Associates Cpas, PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2004 |
| Melton, Robbie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2021 |
| Overton County Ambulance Service | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/1961 |
| Savage, Donna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2011 |
| Walker, Geraldine | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Zalewski, Charla | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/10/2008 |
| Zalewski, Charla | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2008 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 35% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Celina Health and Rehabilitation Center | 14.6 mi | Celina, TN | ★★★★☆ | 4/5 | |
| Signature Healthcare of Putnam County | 15.2 mi | Cookeville, TN | ★☆☆☆☆ | 1/5 | |
| Standing Stone Care and Rehab | 16.4 mi | Monterey, TN | ★★★★★ | 5/5 | |
| Pickett Care and Rehabilitation Center | 16.9 mi | Byrdstown, TN | ★★★☆☆ | 3/5 | |
| Grandview Post Acute | 17.8 mi | Cookeville, TN | ★☆☆☆☆ | 1/5 | |
| Mabry Health Care | 18.0 mi | Gainesboro, TN | ★★★☆☆ | 4/5 | |
| NHC Healthcare, Cookeville | 19.1 mi | Cookeville, TN | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 445419.