How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Trenton Health and Rehabilitation Center, LLC
2036 Highway 45 Bypass, Trenton, TN 38382 (opens Google Maps) · Gibson County · (731) 855-4500· 50 certified beds · avg 42 residents/day · certified since Oct 9, 1992 · 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 →
Part of chain: TWIN RIVERS HEALTH & REHABILITATION (11 facilities, chain avg rating 3.9★)
5/5
Health inspection rating (on-site)
inspected Jan 22, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.64
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: ★★★★★5/5 · CMS overall rating: 5/5 · 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 8 inspection findings. Open the full record below to read every finding.
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. F-0812
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
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. F-0695
View all 8 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 |
|---|---|---|
| Dec 11, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Dec 11, 2024 | 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 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Dec 11, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Nov 2, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Nov 2, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 4
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 |
|---|---|---|---|
| 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)
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: 3.64
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.47
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.19
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) | 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 (%) | — | 43.2 | 42.9 | — |
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 3.88, RN 0.50, weekend 3.40.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.88 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Trenton Health and Rehabilitation Center, LLC. 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 →
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 |
Showing 20 of 25 parties CMS has on file for this facility; 5 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.
- 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
- Hancock Manor Nursing Home — Sneedville, TN · overall 4/5
- Hermitage Health Center — Elizabethton, TN · overall 5/5
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.
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?"
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 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 25 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 |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 445308.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).