Elk River Health & Nursing Center of Winchester
32 Memorial Drive, Winchester, TN 37398
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Follow this homeElk River Health & Nursing Center of Winchester is a nursing home in Winchester, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionJuly 30, 2025 (1 year ago)
- Health citations since December 14, 20219 (Tennessee average 14)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on July 30, 2025
3 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 3 citations
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 30, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on August 30, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 30, 2025.
Fire safety inspection on July 30, 2025
17 citationsCMS lists this as a standard inspection.
Show the 17 citations
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on September 13, 2025.
CMS has cited this home for E0004 2 times since 2021.
Citation E0006. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on September 13, 2025.
Citation E0015. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on September 13, 2025.
Citation E0024. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for volunteers.
CMS lists it as corrected on September 13, 2025.
Citation E0026. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on September 13, 2025.
CMS has cited this home for E0026 2 times since 2021.
Citation E0032. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide primary/alternate means for communication.
CMS lists it as corrected on September 13, 2025.
Citation E0034. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on September 13, 2025.
CMS has cited this home for E0034 2 times since 2021.
Citation E0035. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on September 13, 2025.
Citation E0037. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on September 13, 2025.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on September 13, 2025.
Citation K0232. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on September 13, 2025.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on September 13, 2025.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on September 13, 2025.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on September 13, 2025.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on September 13, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 13, 2025.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on September 13, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on April 3, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 3, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 3, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 3, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on May 3, 2024.
Citation F0814. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on May 3, 2024.
Fire safety inspection on April 3, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0030. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on April 26, 2024.
Citation E0033. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish methods for sharing information.
CMS lists it as corrected on April 26, 2024.
CMS has cited this home for E0033 2 times since 2021.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 26, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 26, 2024.
Health inspection on December 14, 2021
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS lists it as corrected on January 5, 2022.
Fire safety inspection on December 14, 2021
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on January 5, 2022.
Citation E0020. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures including evacuation.
CMS lists it as corrected on January 5, 2022.
Citation E0026. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on January 5, 2022.
Citation E0033. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish methods for sharing information.
CMS lists it as corrected on January 5, 2022.
Citation E0034. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on January 5, 2022.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (931) 967-0200
- Last standard health inspection
- July 30, 2025 (1 year ago)
- Certified beds
- 80
- Residents per day, on average
- 56.1
- Ownership type
- Non profit - Other
- Legal business name
- Elk River Health & Nursing Center of Winchester, LLC
- Chain
- Twin Rivers Health & Rehabilitation
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Tennessee average (9 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- OCOEE FOUNDATION INCOperational/managerial control · not applicable · since 04/01/2019
- PIONEER CONSULTING LLCOperational/managerial control · not applicable · since 04/01/2019
- TWIN RIVERS HEALTH & REHABILITATION LLCOperational/managerial control · not applicable · since 04/01/2019
- BRADLEY, DONOperational/managerial control · not applicable · since 02/07/2024
- BURTON, WILLIAMOperational/managerial control · not applicable · since 02/07/2024
Show 8 more
- DAVIS, CLINTONOperational/managerial control · not applicable · since 04/01/2019
- HOLCOMBE, MICHELLEOperational/managerial control · not applicable · since 04/01/2019
- KUPCHYNSKY, KATHLEENOperational/managerial control · not applicable · since 02/07/2024
- MALIN, DOUGLASOperational/managerial control · not applicable · since 02/28/2024
- PHILLIPS, DOROTHYOperational/managerial control · not applicable · since 02/07/2024
- SHEEHAN, JOHNOperational/managerial control · not applicable · since 02/07/2024
- SHEEHAN, MARGARETOperational/managerial control · not applicable · since 04/01/2019
- SMITH, FRANKOperational/managerial control · not applicable · since 02/07/2024
Questions
When was Elk River Health & Nursing Center of Winchester last inspected?
CMS lists July 30, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Elk River Health & Nursing Center of Winchester have?
CMS lists 9 health citations since December 14, 2021. CMS also calls these deficiencies.
Has Elk River Health & Nursing Center of Winchester been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Elk River Health & Nursing Center of Winchester?
Its CMS overall star rating is 4 of 5.
Is Elk River Health & Nursing Center of Winchester a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.