Nursing Care Index

Elk River Health & Rehabilitation Of Fayetteville

Fayetteville, Lincoln County, Tennessee · CCN 445320 · Non-profit (Corporation) · part of Twin Rivers Health & Rehabilitation (11 facilities, chain average 3.9 stars)

CMS rates Elk River Health & Rehabilitation Of Fayetteville 4 of 5 overall as of August 2026. 79 certified beds, 56 residents a day on average. 8 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★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.41059 hours per resident per day
Registered nurses0.39454 hours per resident per day
Weekend total3.2294 hours per resident per day
Nursing staff turnover63.2% (registered nurses 40%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2025-09-10 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
2025-10-15
2025-09-10 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
2025-09-19
2024-07-11 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
2024-08-20
2024-07-11
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-20
2022-04-20 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
2022-05-13
2022-04-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-13
2022-04-20 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
2022-05-13
2022-04-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-13

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.

NameRoleShareSince
Ocoee Foundation Inc.
Organization
adp of the snf2019-04-01
Pioneer Consulting LLC
Organization
adp of the snf2025-03-31
Twin Rivers Health & Rehabilitation LLC
Organization
adp of the snf2025-03-31
Ocoee Foundation Inc.
Organization
operational/managerial control2019-04-01
Pioneer Consulting LLC
Organization
operational/managerial control2019-04-01
Twin Rivers Health & Rehabilitation LLC
Organization
operational/managerial control2019-04-01
Davis, Clinton
Individual
adp of the snf2019-04-01
Holcombe, Michelle
Individual
adp of the snf2019-04-01
Sain, Paul
Individual
adp of the snf2019-04-01
Sheehan, John
Individual
adp of the snf2019-04-01
Veteto, Lisa
Individual
adp of the snf2019-04-01
Sheehan, John
Individual
corporate officer2024-02-07
Bradley, Don
Individual
managing control - governing body2019-04-01
Burton, William
Individual
managing control - governing body2019-04-01
Kupchynsky, Kathleen
Individual
managing control - governing body2024-02-07
Phillips, Dorothy
Individual
managing control - governing body2019-04-01
Sheehan, John
Individual
managing control - governing body2024-02-07
Sheehan, Margaret
Individual
managing control - governing body2019-04-01
Smith, Frank
Individual
managing control - governing body2019-04-01
Bradley, Don
Individual
operational/managerial control2019-04-01
Burton, William
Individual
operational/managerial control2019-04-01
Davis, Clinton
Individual
operational/managerial control2019-04-01
Holcombe, Michelle
Individual
operational/managerial control2019-04-01
Kupchynsky, Kathleen
Individual
operational/managerial control2024-02-07
Phillips, Dorothy
Individual
operational/managerial control2019-04-01
Sheehan, John
Individual
operational/managerial control2024-02-07
Sheehan, Margaret
Individual
operational/managerial control2001-04-01
Smith, Frank
Individual
operational/managerial control2019-04-01
Veteto, Lisa
Individual
operational/managerial control2019-04-01

What changed

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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 Lincoln County.