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Nursing homeFAID #11941

Overton County Health and Rehab Center

318 BILBREY STREET, LIVINGSTON, TN, 38570
(931) 823-6403
125 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of OVERTON COUNTY HEALTH AND REHAB CENTER
Photo via Google · Overton County Health & Rehab Center
What we can show you for free.
Bed capacity
125
CMS facility ID
445419
Care type
Nursing home
County
Overton
Facility name
Overton County Health and Rehab Center
Street address
318 BILBREY STREET
City / state / ZIP
Livingston, TN 38570
Phone
(931) 823-6403

Overton County Health and Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Livingston, Tennessee. It is licensed for 125 beds — close to the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 1 senior care facility in Livingston 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 Overton County Health and Rehab Center 21 times across 6 inspections in the last three years; 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.

What the public record shows.

Ownership & operator

Ownership type
Government - County

Registered owners & officers

Overton County Ambulance Service
Direct owner · Additional disclosable party — 100% stake — since 1961
Boswell, Randall
Governing body — since 2011
Bouldin, Jennifer
Operational control · Additional disclosable party — since 2007
Clark, Darwin
Governing body — since 2011
Cox, Michael
Operational control · Additional disclosable party — since 2024
Jobe, Hasting & Associates Cpas, Pllc
Additional disclosable party — since 2004
Melton, Robbie
Governing body — since 2021
Savage, Donna
Governing body — since 2011
Walker, Geraldine
Governing body — since 2022
Zalewski, Charla
Operational control · Additional disclosable party — since 2008

Regulatory standing

Licensed / certified since
2000-07-01
CMS overall rating
4 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-05-14
Nurse staffing
4.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$441 per day (≈ $13,410/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
26% Medicaid · 15% Medicare · 59% private/other
Occupancy
63% (fiscal year 2024)
Vs. state median
20% above the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
125
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Monday: 8:00 AM – 4:30 PM · Tuesday: 8:00 AM – 4:30 PM · Wednesday: 8:00 AM – 4:30 PM · Thursday: 8:00 AM – 4:30 PM · Friday: 8:00 AM – 4:30 PM · Saturday: Closed · Sunday: Closed
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-05-14Health inspection3 citations
F-0578
F · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-06-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-23
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-23
2018-11-28Health inspection2 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-12-28
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2018-12-28
3 earlier / fire-safety inspections (16 citations)
2025-05-14Fire-safety inspection8 citations
E-0015
D · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-06-30
E-0037
D · No harm found
Establish staff and initial training requirements.
Corrected 2025-06-30
K-0232
D · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-06-30
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-30
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-30
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 2025-06-30
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-30
K-0914
D · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-30
2019-11-20Fire-safety inspection6 citations
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2019-12-31
K-0232
D · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-12-31
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 2019-12-31
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2019-12-31
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-12-31
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2019-12-31
2018-11-28Fire-safety inspection2 citations
K-0351
C · No harm found
Install an approved automatic sprinkler system.
Corrected 2018-12-28
K-0920
C · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2018-12-05
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 445419.
What people say on Google.
3.411 ratings on Google
★Pat Comstock · 2026-07-08 · via Google

“My son and I both tried numerous times to get in touch with someone at the Overton County Health and Rehab Center. When I called (several times) no one answered the phones. My son left two messages for information and NO one bothered to call him back. I suggested that my family check into Livingston’s Nursing Home never expecting the response we received. I am proud to live in Overton County. …”

★Not of this world · 2022-07-30 · via Google

“The Cottage is okay, but the livingston nursing home itself is terrible. Elderly found with bruises on their face and the nurses don't even know how it happened. That's what is happening with my grandmother. There's one nurse in particular that's terrible. Paying this greedy nursing home, a person's loved ones should get better care. How about some ambition and love for the patients instead of la…”

★★★★★Sisco Kidd · 2022-09-17 · via Google

“I Would not have expected a more comfortable experience ; being in such a trying time as can be , in an accident at home , resulting in 27-30 days at Vanderbilt with a broken neck, several fractured vertebrae of the spine and more . The Nurses are very nice, and . experienced knowledge are sincerely involved and attentive concerning your needs Also Rachel with Physical Therapy is Expe…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 21 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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