Elk River Health & Nursing Center Of Winchester
32 Memorial Drive, Winchester, TN, 37398
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Other · Chain: Twin Rivers Health & Rehabilitation
- Certified beds
- 80 · avg 56 residents/day
- Total nursing staff turnover
- 60.7% — higher than most Tennessee nursing homesTennessee avg: 48.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 62.5% — higher than most Tennessee nursing homesTennessee avg: 43.0% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Tennessee averageTennessee avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 445319
- Certified beds
- 80 beds · avg 56 residents/day
- Ownership type
- Non profit - Other
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Elk River Health & Nursing Center Of Winchester, Llc
- Chain affiliation
- Twin Rivers Health & Rehabilitation
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Twin Rivers Health & Rehabilitation chain — 12 facilities. Chain-wide average overall rating 4.0 / 5.
Parent entity
Ocoee Foundation Inc
Disclosed owners (16 on record)
- Pioneer Consulting Llc
Adp of The Snf · since 2025
- Twin Rivers Health & Rehabilitation Llc
Adp of The Snf · since 2025
- Douglas Malin
Operational/managerial Control · since 2024
- Ephraim b Gammada
Adp of The Snf · since 2024
- Don Bradley
Operational/managerial Control · since 2024
- Dorothy c Phillips
Operational/managerial Control · since 2024
+ 10 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 9)
- D0609·Jul 30, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0657·Jul 30, 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0641·Jul 30, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0814·Apr 3, 2024
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- F0812·Apr 3, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0695·Apr 3, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0684·Apr 3, 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Apr 3, 2024
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Fire-safety citations
26 Life-Safety-Code citations on file. Most recent: Jul 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Elk River Health & Nursing Center Of Winchesterinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.