Woodbury Health and Rehabilitation Center
119 West High Street, Woodbury, TN 37190
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Follow this homeWoodbury Health and Rehabilitation Center is a nursing home in Woodbury, 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 rating3 of 5
- Last standard health inspectionApril 22, 2026 (6 months ago)
- Health citations since February 16, 202214 (Tennessee average 14)
- Fines in the past three years1, $13,870 in total
- 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 staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of June 24, 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 2 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Health inspection on April 22, 2026
1 citationCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
9 of 303 Tennessee homes (3%) got a citation at the actual harm level in 2026.
CMS fine of $13,870 on April 22, 2026.
Show the 1 citation
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 13, 2026.
Fire safety inspection on April 22, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
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 May 4, 2026.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 4, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on May 7, 2026.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on May 4, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on November 25, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 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 January 8, 2025.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 8, 2025.
CMS has cited this home for F0880 2 times since 2022.
Citation F0851. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on January 8, 2025.
Fire safety inspection on November 25, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 23, 2024.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 16, 2022
10 citationsCMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
7 of 303 Tennessee homes (2%) got a citation at the immediate jeopardy level in 2022.
Show the 10 citations
Citation F0678. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS lists it as corrected on March 9, 2022.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on May 3, 2022.
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 March 10, 2022.
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 March 10, 2022.
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 March 9, 2022.
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 March 9, 2022.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on March 9, 2022.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on March 9, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on March 9, 2022.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 9, 2022.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (615) 563-5939
- Last standard health inspection
- April 22, 2026 (6 months ago)
- Certified beds
- 82
- Residents per day, on average
- 79.1
- Ownership type
- Non profit - Other
- Legal business name
- Ocoee Foundation-Cc LLC
- Chain
- Twin Rivers Health & Rehabilitation
- Takes part in
- Medicare and Medicaid
The same number of health citations as the Tennessee average (14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- OCOEE FOUNDATION INCDirect ownership interest · not applicable · since 01/17/2008
- OCOEE FOUNDATION INCOperational/managerial control · not applicable · since 01/17/2008
- PIONEER CONSULTING LLCOperational/managerial control · not applicable · since 01/01/2019
- TWIN RIVERS HEALTH & REHABILITATION LLCOperational/managerial control · not applicable · since 01/01/2019
- BRADLEY, DONOperational/managerial control · not applicable · since 02/07/2024
Show 10 more
- BURTON, WILLIAMOperational/managerial control · not applicable · since 02/07/2024
- DAVIS, CLINTONOperational/managerial control · not applicable · since 01/01/2019
- HOLCOMBE, MICHELLEOperational/managerial control · not applicable · since 01/01/2019
- KUPCHYNSKY, KATHLEENOperational/managerial control · not applicable · since 02/07/2024
- 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 09/01/2008
- SMITH, FRANKOperational/managerial control · not applicable · since 02/07/2024
- SPURLOCK, JAMESOperational/managerial control · not applicable · since 12/31/2018
- WARD, MICHAELOperational/managerial control · not applicable · since 02/23/2022
Questions
When was Woodbury Health and Rehabilitation Center last inspected?
CMS lists April 22, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Woodbury Health and Rehabilitation Center have?
CMS lists 14 health citations since February 16, 2022. CMS also calls these deficiencies.
Has Woodbury Health and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $13,870 in total.
What is the CMS star rating of Woodbury Health and Rehabilitation Center?
Its CMS overall star rating is 3 of 5.
Is Woodbury Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.