Nursing home
Elk River Health & Nursing Center of Winchester
32 Memorial Drive, Winchester, TN 37398 · Map
Non profit - Other · Part of Twin Rivers Health & Rehabilitation (11 facilities) · 80 certified beds
Elk River Health & Nursing Center of Winchester is a Medicare-certified nursing home in Winchester, Tennessee. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.94 hours per resident per day, above the Tennessee average of 3.85. Its most recent inspection on Jul 30, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Elk River Health & Nursing Center of Winchester compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.94 | 3.85 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.54 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.15 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 53.4% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 30, 2025 inspection was corrected by August 30, 2025
What inspectors found at Elk River Health & Nursing Center of Winchester
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
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 · Jul 30, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 3, 2024 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Apr 3, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 3, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 3, 2024 · Full report (PDF) - Potential for harm
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 · Apr 3, 2024 · Full report (PDF) - Potential for harm
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 · Dec 14, 2021
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 32 Memorial Drive
Winchester, TN 37398 - CMS certification #
- 445319
- Ownership
- Non profit - Other
- Certified beds
- 80
- Avg residents/day
- 55.4
- Provider type
- Medicare and Medicaid
- First certified
- 1993-10-01
- Chain
- Twin Rivers Health & Rehabilitation (11 facilities)
- Setting
- Rural
Part of Twin Rivers Health & Rehabilitation
Twin Rivers Health & Rehabilitation operates 11 nursing facilities across the United States. View all Twin Rivers Health & Rehabilitation facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Elk River Health & Nursing Center of Winchester using Google Maps.
Other public records
- Website says Respite stays
Full public records, with dates and sources
Care and services
From the community’s website
What Elk River Health & Nursing Center of Winchester says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Elk River Health and Nursing Center of Winchester provides skilled nursing care, rehabilitation, and respite care all at one location in the heart of Tennessee.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Southern Tennessee Regional Health System Winchest, Winchester. 0.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Southern Tenn Medical Center SNF, Winchester. 0.3 miles away, straight line.
- Nearest home health agency office
- Enhabit Home Health, Winchester. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 14.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37398 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Rcg Winchester, Winchester, 0.9 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 37398.
Hospice Compassus - The Highland Rim, office in Tullahoma, 16.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Integrated Senior Care PC, Manchester. 20.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Elk River Health & Nursing Center of Winchester a good nursing home?
CMS gives Elk River Health & Nursing Center of Winchester an overall rating of 3 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Elk River Health & Nursing Center of Winchester staffed?
Elk River Health & Nursing Center of Winchester reports 3.94 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Elk River Health & Nursing Center of Winchester had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Elk River Health & Nursing Center of Winchester have?
Elk River Health & Nursing Center of Winchester is certified for 80 beds.