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Nursing homeFAID #11887

Elk River Health & Nursing Center of Winchester

32 MEMORIAL DRIVE, WINCHESTER, TN, 37398
(931) 967-0200
80 licensed beds
★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
80
CMS facility ID
445319
Care type
Nursing home
County
Franklin
Facility name
Elk River Health & Nursing Center of Winchester
Street address
32 MEMORIAL DRIVE
City / state / ZIP
Winchester, TN 37398
Phone
(931) 967-0200

About this facility — Elk River Health & Nursing Center of Winchester

Elk River Health & Nursing Center of Winchester is a Medicare/Medicaid-certified skilled nursing facility in Winchester, Tennessee. It is licensed for 80 beds — below the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 8 senior care facilities in Winchester and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Elk River Health & Nursing Center of Winchester 35 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Twin Rivers Health & Rehabilitation
Ownership type
Non profit - Other

Registered owners & officers

Bradley, Don
Governing body · Operational control — since 2024
Burton, William
Governing body · Operational control — since 2024
Davis, Clinton
Operational control · Additional disclosable party — since 2019
Gammada, Ephraim
Additional disclosable party — since 2024
Holcombe, Michelle
Operational control · Additional disclosable party — since 2019
Kupchynsky, Kathleen
Governing body · Operational control — since 2024
Malin, Douglas
Operational control · Additional disclosable party — since 2024
Ocoee Foundation Inc
Operational control · Additional disclosable party — since 2019
Ocoee Winchester Property Investment Llc
Additional disclosable party — since 2019
Phillips, Dorothy
Governing body · Operational control — since 2024
Pioneer Consulting Llc
Operational control · Additional disclosable party — since 2019
Sheehan, John
Governing body · Officer · Operational control · Additional disclosable party — since 2019
Sheehan, Margaret
Governing body · Officer · Operational control — since 2019
Smith, Frank
Governing body · Operational control — since 2024
Twin Rivers Health & Rehabilitation Llc
Operational control · Additional disclosable party — since 2019

Regulatory standing

Licensed / certified since
1993-10-01
CMS overall rating
3 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-07-30
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$421 per day (≈ $12,800/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
60% Medicaid · 13% Medicare · 27% private/other
Occupancy
72% (fiscal year 2023)
Vs. state median
15% above the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
80
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-07-30Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-30
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-08-30
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-30
2024-04-03Health inspection5 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-03
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-03
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-05-03
4 earlier / fire-safety inspections (27 citations)
2021-12-14Health inspection1 citation
F-0693
D · No harm found
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.
Corrected 2022-01-05
2025-07-30Fire-safety inspection17 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-13
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-09-13
E-0015
D · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-09-13
E-0024
D · No harm found
Establish policies and procedures for volunteers.
Corrected 2025-09-13
E-0026
D · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2025-09-13
E-0032
D · No harm found
Provide primary/alternate means for communication.
Corrected 2025-09-13
E-0034
D · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2025-09-13
E-0035
D · No harm found
Provide family notifications of emergency plan.
Corrected 2025-09-13
E-0037
D · No harm found
Establish staff and initial training requirements.
Corrected 2025-09-13
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2025-09-13
K-0232
D · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-09-13
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-13
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-13
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-13
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-13
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-13
K-0921
D · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-09-13
2024-04-03Fire-safety inspection4 citations
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2024-04-26
E-0033
D · No harm found
Establish methods for sharing information.
Corrected 2024-04-26
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-04-26
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-04-26
2021-12-14Fire-safety inspection5 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-01-05
E-0020
D · No harm found
Establish policies and procedures including evacuation.
Corrected 2022-01-05
E-0026
D · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2022-01-05
E-0033
D · No harm found
Establish methods for sharing information.
Corrected 2022-01-05
E-0034
D · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2022-01-05
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445319.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered