Nursing home
Overton County Health and Rehab Center
318 Bilbrey Street, Livingston, TN 38570 · Map
Government - County · 125 certified beds
Overton County Health and Rehab Center is a Medicare-certified nursing home in Livingston, Tennessee. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, above the Tennessee average of 3.85. Its most recent inspection on May 14, 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 Overton County Health and Rehab Center 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) | 3.92 | 3.85 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.30 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.53 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 31.0% | 48.7% | 46.4% | below 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 May 14, 2025 inspection was corrected by June 6, 2025
What inspectors found at Overton County Health and Rehab Center
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
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.
Resident Rights Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
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 · May 14, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Nov 28, 2018 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 28, 2018
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
- 318 Bilbrey Street
Livingston, TN 38570 - CMS certification #
- 445419
- Ownership
- Government - County
- Certified beds
- 125
- Avg residents/day
- 86.7
- Provider type
- Medicare and Medicaid
- First certified
- 2000-07-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Overton County Health and Rehab Center using Google Maps.
Other public records
- Website says Respite stays
- Workplace safety 1 OSHA workplace safety inspection since 2016, 8 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Overton County Health and Rehab Center 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.
In-Patient Respite
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 12, 2016: complaint inspection, partial (health). Case closed Oct 6, 2016. 8 violations cited (8 serious). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Overton County Health and Rehab.
Details
- Serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Eye and face protection (1910.133(a)(1)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Hand protection (1910.138(b)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Medical services and first aid (including eyewash stations) (1910.151(c)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Electrical wiring methods and equipment (1910.305(b)(1)(ii)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Electrical wiring methods and equipment (1910.305(g)(1)(iv)(a)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(f)(6)(ii)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
- Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(h)(1)). Penalty $0 proposed, $0 now. To be fixed by Oct 11, 2016.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Livingston Regional Hospital, Livingston. 0.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Celina Health and Rehabilitation Center, Celina. 14.6 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health, Livingston. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 38570 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Davita Livingston Tn Dialysis, Livingston, 0.2 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 38570.
Kindred Hospice, office in Cookeville, 17.8 miles away, straight line (CMS family survey rating 5 of 5 stars)
Quality Hospice, office in Jamestown, 22.0 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 18.0 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 moderate, wildfire very low, tornado relatively high, heat wave very low, earthquake relatively low. 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 | See above |
| 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 Overton County Health and Rehab Center a good nursing home?
CMS gives Overton County Health and Rehab Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Overton County Health and Rehab Center staffed?
Overton County Health and Rehab Center reports 3.92 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Overton County Health and Rehab Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Overton County Health and Rehab Center have?
Overton County Health and Rehab Center is certified for 125 beds.