Home / Owners and chains / Twin Rivers Health & Rehabilitation
Twin Rivers Health & Rehabilitation nursing homes
11 nursing homes with 809 beds in Tennessee (11).
CMS affiliated entity 532 · data as of September 1, 2026
The group's record in brief
CMS links 11 certified nursing homes in 1 state to Twin Rivers Health & Rehabilitation: 3 for profit, 7 nonprofit, 1 government run. 10 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 90 health citations; 2 citations were rated actual harm or immediate jeopardy, 1 of them immediate jeopardy. At their latest standard inspections the homes averaged 1.9 health deficiencies (national average 9.2).
1 home in the group was fined in the last three years, $13,870 in all across 1 fine. Average nursing staff turnover across its homes was 49.4% (national 45.8%).
Staffing across the group
Daily payroll records from 11 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 15% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.64 | 3.75 |
| Registered nurses | 0.55 | 0.62 |
| Weekdays | 3.81 | 3.92 |
| Weekends | 3.23 | 3.33 |
| Share of nursing hours by contract staff | 3.9% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
11 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.9 overall, 4 health inspections, 2.5 staffing, 3.6 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 2 | |
| 4 of 5 | 6 | |
| 3 of 5 | 3 | |
| 2 of 5 | 0 | |
| 1 of 5 | 0 |
Across the group: 2 citations rated actual harm or immediate jeopardy, and an average of 3.67 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Elk River Health and Nursing Center of Ardmore, Ll | Ardmore | TN | 4 | 7 | |
| Celina Health and Rehabilitation Center | Celina | TN | 4 | 7 | |
| Hillview Health Center | Elizabethton | TN | 4 | 7 | |
| Hermitage Health Center | Elizabethton | TN | 5 | 5 | |
| Elk River Health & Rehabilitation of Fayetteville | Fayetteville | TN | 4 | 8 | |
| Ocoee Transitional Care Center LLC | Maryville | TN | 3 | 17 | |
| Hancock Manor Nursing Home | Sneedville | TN | 4 | 4 | |
| Wood Village | Sweetwater | TN | 4 | 4 | |
| Trenton Health and Rehabilitation Center, LLC | Trenton | TN | 5 | 8 | |
| Elk River Health & Nursing Center of Winchester | Winchester | TN | 3 | 9 | |
| Woodbury Health and Rehabilitation Center | Woodbury | TN | 3 | 14 | $13,870 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Staff pay reports
Staff pay at Twin Rivers Health & Rehabilitation homes
No staff pay figure at Twin Rivers Health & Rehabilitation homes has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.