Elk River Health & Nursing Center of Winchester
32 Memorial Drive · Winchester, TN · 37398 · 9319670200
80 certified beds Non profit - Other Chain: Twin Rivers Health & Rehabilitation
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (9 in the current record)
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Potential for harm · D July 30, 2025
Ensure each resident receives an accurate assessment.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 3, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · D April 3, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · F April 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 3, 2024 · Nutrition and Dietary
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Potential for harm · D April 3, 2024
Dispose of garbage and refuse properly.
Corrected May 3, 2024 · Nutrition and Dietary
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Potential for harm · D December 14, 2021
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 January 5, 2022 · Quality of Life and Care
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445319 · certified since October 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.