Overton County Health and Rehab Center

Name: Overton County Health and Rehab Center
Address: 318 BILBREY STREET, Livingston, TN, 38570, US
Telephone: 9318236403

318 Bilbrey Street, Livingston, TN 38570 · Overton County · 125 certified beds · avg 79 residents/day · certified since Jul 1, 2000

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.07

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: 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 (5)

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
May 14, 2025	F · Potential for harm, facility-wide	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.
May 14, 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.
May 14, 2025	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.
Nov 28, 2018	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 28, 2018	D · Potential for harm, one-off	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.

Inspection trend by year

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)

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)	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, 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. Staffing rating: 4/5.

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: 3/5 · short-stay residents: 1/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Livingston →

Facility data as of CMS processing date 2026-08-01. CCN 445419.

The Care File

Visit checklist — Overton County Health and Rehab Center

318 Bilbrey Street, Livingston, TN 38570 · 9318236403

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

Questions for the administrator:

☐ "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?"
☐ "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 445419 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)