Elk River Health & Nursing Center Of Winchester
Winchester, Franklin County, Tennessee · CCN 445319 · Non-profit (Other) · part of Twin Rivers Health & Rehabilitation (11 facilities, chain average 3.9 stars)
CMS rates Elk River Health & Nursing Center Of Winchester 3 of 5 overall as of August 2026. 80 certified beds, 52 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 1 of 5 |
Staffing
| Total nurse staffing | 3.70047 hours per resident per day |
|---|---|
| Registered nurses | 0.56463 hours per resident per day |
| Weekend total | 3.23715 hours per resident per day |
| Nursing staff turnover | 69.7% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-30 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-30 |
| 2025-07-30 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-30 |
| 2025-07-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-30 |
| 2024-04-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-05-03 |
| 2024-04-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-03 |
| 2024-04-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-03 |
| 2024-04-03 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-03 |
| 2024-04-03 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-03 |
| 2021-12-14 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-01-05 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ocoee Foundation Inc. Organization | adp of the snf | — | 2019-04-01 |
| Ocoee Winchester Property Investment LLC Organization | adp of the snf | — | 2019-04-01 |
| Pioneer Consulting LLC Organization | adp of the snf | — | 2025-04-14 |
| Twin Rivers Health & Rehabilitation LLC Organization | adp of the snf | — | 2025-04-14 |
| Ocoee Foundation Inc. Organization | operational/managerial control | — | 2019-04-01 |
| Pioneer Consulting LLC Organization | operational/managerial control | — | 2019-04-01 |
| Twin Rivers Health & Rehabilitation LLC Organization | operational/managerial control | — | 2019-04-01 |
| Davis, Clinton Individual | adp of the snf | — | 2019-04-01 |
| Gammada, Ephraim Individual | adp of the snf | — | 2024-02-28 |
| Holcombe, Michelle Individual | adp of the snf | — | 2019-04-01 |
| Malin, Douglas Individual | adp of the snf | — | 2024-02-28 |
| Sheehan, John Individual | adp of the snf | — | 2019-04-01 |
| Sheehan, John Individual | corporate officer | — | 2024-02-07 |
| Sheehan, Margaret Individual | corporate officer | — | 2022-12-15 |
| Bradley, Don Individual | managing control - governing body | — | 2024-02-07 |
| Burton, William Individual | managing control - governing body | — | 2024-02-07 |
| Kupchynsky, Kathleen Individual | managing control - governing body | — | 2024-02-07 |
| Phillips, Dorothy Individual | managing control - governing body | — | 2024-02-07 |
| Sheehan, John Individual | managing control - governing body | — | 2024-02-07 |
| Sheehan, Margaret Individual | managing control - governing body | — | 2022-12-15 |
| Smith, Frank Individual | managing control - governing body | — | 2024-02-07 |
| Bradley, Don Individual | operational/managerial control | — | 2024-02-07 |
| Burton, William Individual | operational/managerial control | — | 2024-02-07 |
| Davis, Clinton Individual | operational/managerial control | — | 2019-04-01 |
| Holcombe, Michelle Individual | operational/managerial control | — | 2019-04-01 |
| Kupchynsky, Kathleen Individual | operational/managerial control | — | 2024-02-07 |
| Malin, Douglas Individual | operational/managerial control | — | 2024-02-28 |
| Phillips, Dorothy Individual | operational/managerial control | — | 2024-02-07 |
| Sheehan, John Individual | operational/managerial control | — | 2024-02-07 |
| Sheehan, Margaret Individual | operational/managerial control | — | 2019-04-01 |
| Smith, Frank Individual | operational/managerial control | — | 2024-02-07 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Elk River Health & Nursing Center Of Winchester.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Franklin County.