Trenton Health and Rehabilitation Center, LLC
2036 Highway 45 Bypass, Trenton, TN 38382 · Gibson County · 50 certified beds · avg 42 residents/day · certified since Oct 9, 1992
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: ★★★★★5/5 · CMS overall rating: 5/5
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 |
|---|---|---|
| Dec 11, 2024 | E · Potential for harm, repeated | 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. |
| Dec 11, 2024 | 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. |
| Dec 11, 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. |
| Dec 11, 2024 | 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. |
| Nov 2, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 2, 2023 | E · Potential for harm, repeated | 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. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 4 | 0 | E |
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) | 3.64 | 3.62 | 3.95 | top 37% in Tennessee; bottom 44% in the U.S. |
| Registered Nurse hours | 0.47 | 0.57 | 0.69 | bottom 41% in Tennessee; bottom 33% in the U.S. |
| Weekend total nurse staffing | 3.19 | 3.15 | 3.50 | top 37% in Tennessee; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.39 | 0.48 | bottom 29% in Tennessee; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 48.9 | 48.9 | 45.8 | top 47% in Tennessee; bottom 40% in the U.S. |
| RN turnover (%) | 0.0 | 43.2 | 42.9 | — |
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 3.88, RN 0.50, weekend 3.40. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hampton Worthington Properties, LLC | Organization | 5% or Greater Direct Ownership Interest | 30% | 01/01/2022 |
| J-M Investments, LLC | Organization | 5% or Greater Direct Ownership Interest | 70% | 10/01/2015 |
| Sheehan, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2015 |
| Sheehan, Margaret | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2015 |
| Vernon, Wallis | Individual | 5% or Greater Indirect Ownership Interest | 30% | 01/01/2022 |
| Davis, Clinton | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Davis, Clinton | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| Holcombe, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Holcombe, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2015 |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2015 |
| J-M Investments, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2015 |
| J-M Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2015 |
| Lument Real Estate Capital LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/12/2019 |
| Pioneer Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Pioneer Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| Sheehan, John | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2015 |
| Sheehan, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2015 |
| Trenton Property Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2015 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Dyer Nursing and Rehabilitation Center | 8.3 mi | Dyer, TN | ★★★★☆ | 5/5 | |
| Avondale Health and Rehabilitation Center, LLC | 9.2 mi | Humboldt, TN | ★★☆☆☆ | 2/5 | |
| W D Bill Manning Tennessee State Veterans Home | 10.7 mi | Humboldt, TN | ★★★★★ | 5/5 | |
| NHC Healthcare, Milan | 10.9 mi | Milan, TN | ★★★★☆ | 3/5 | |
| Alamo Nursing and Rehabilitation Center | 16.4 mi | Alamo, TN | ★★★★☆ | 4/5 | |
| Christian Care Center of Medina | 16.6 mi | Medina, TN | ★☆☆☆☆ | 1/5 | |
| Bells Nursing and Rehabilitation Center | 18.3 mi | Bells, TN | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445308.