Celina Health and Rehabilitation Center
120 Pitcock Lane, Celina, TN 38551 · Clay County · (931) 243-3139
78 certified beds, about 60 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445445 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 7 health citations since July 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.94 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
49.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Twin Rivers Health & Rehabilitation, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
September 4, 2025Standard inspection · 2 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to provide a clean and sanitary environment to ensure cleanliness of a stand-up personal fan for 1 resident (Resident #8) of 61 residents reviewed for a clean and sanitary environment.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to complete dialysis communication forms consistently for 1 resident (Resident #37) of 2 residents reviewed for dialysis.
August 24, 2022Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to transport and distribute meals in a safe sanitary manner for 2 of 2 meal observations.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on facility policy review, medical record reviews, observations, and interviews, the facility failed to ensure 1 of 22 sampled residents (Resident #1) received necessary treatment consistent with professional standards of practice, to promote healing of pressure ulcers.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to adequately monitor 2 of 9 residents (Resident #36 and #196) receiving anticoagulant therapy.
July 23, 2019Standard inspection · 2 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to develop a baseline care plan to address fall precautions for 1 resident (#5) of 4 residents reviewed for falls of 15 sampled residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, observation and interview the facility failed to reassess and revise the effectiveness of the care planned interventions for communication for 1 resident (#54) of 25 residents reviewed.
Fire safety inspections
9 fire safety citations on file: 5 on September 4, 2025, 2 on August 24, 2022, 2 on July 23, 2019.
Every fire safety citation9 citations
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.94 | 3.80 | 3.86 |
| Registered nurses | 0.45 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.72 | 3.31 | 3.42 |
| Nurse aides | 1.56 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 49.1% | 48.9% | 45.8% |
| Registered nurse turnover | 37.5% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.03 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.04 on weekdays and 2.72 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 2.94 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.94 | 0.45 | 3.04 | 2.72 | 0.0% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.04 | 0.39 | 3.17 | 2.69 | 0.0% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.16 | 0.51 | 3.25 | 2.91 | 1.7% | 0 of 92 | 58 |
| Apr to Jun 2025 | 3.12 | 0.58 | 3.25 | 2.80 | 2.4% | 0 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.0 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.5 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.5 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.6 | 1.8 |
Owners and operators
Legal business name: INTEGRITY HEALTHCARE OF CELINA, LLC. CMS links this home to Twin Rivers Health & Rehabilitation, a group of 11 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| J-M Investments, LLC | 5% or greater direct ownership interest | Organization | 100% | 10/01/2024 |
| Sheehan, John | Indirect ownership interest | Individual | 05/01/2006 | |
| Sheehan, Margaret | Indirect ownership interest | Individual | 05/01/2006 | |
| Copeland, Jessie | Corporate director | Individual | 12/20/2022 | |
| Tandy, Rebecca | Corporate director | Individual | 04/03/2017 | |
| Sheehan, John | Corporate officer | Individual | 05/01/2006 | |
| J-M Investments, LLC | Operational/managerial control | Organization | 05/01/2006 | |
| Pioneer Consulting LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Twin Rivers Health & Rehabilitation LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Copeland, Jessie | Operational/managerial control | Individual | 12/20/2022 | |
| Davis, Clinton | Operational/managerial control | Individual | 01/01/2019 | |
| Holcombe, Michelle | Operational/managerial control | Individual | 01/01/2019 | |
| Sheehan, John | Operational/managerial control | Individual | 05/01/2006 | |
| Tandy, Rebecca | Operational/managerial control | Individual | 04/03/2017 | |
| Celina Property Investments LLC | Adp of the SNF | Organization | 05/01/2006 | |
| J-M Investments, LLC | Adp of the SNF | Organization | 05/01/2006 | |
| Pioneer Consulting LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Twin Rivers Health & Rehabilitation LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Copeland, Jessie | Adp of the SNF | Individual | 12/20/2022 | |
| Davis, Clinton | Adp of the SNF | Individual | 01/01/2019 | |
| Holcombe, Michelle | Adp of the SNF | Individual | 01/01/2019 | |
| Tandy, Rebecca | Adp of the SNF | Individual | 04/03/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 4, 2025: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 23, 2019: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 24, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.72 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Overton County Health and Rehab Center Livingston, 14.6 mi · 4 of 5 stars · 5 citations
- Signature Healthcare of Monroe County Rehab and We Tompkinsville, 15 mi · 5 of 5 stars · 2 citations
- Mabry Health Care Gainesboro, 15.2 mi · 3 of 5 stars · 8 citations
- Cumberland Valley Nursing & Rehabilitation Center Burkesville, 18.5 mi · 1 of 5 stars · 7 citations
- Red Boiling Springs Tn Opco LLC Red Boiling Springs, 19.2 mi · 3 of 5 stars · 10 citations
- Pickett Care and Rehabilitation Center Byrdstown, 20.6 mi · 4 of 5 stars · 18 citations
- Clinton County Care and Rehabilitation Center Albany, 23 mi · 4 of 5 stars · 8 citations
- Signature Healthcare of Putnam County Cookeville, 24.9 mi · 2 of 5 stars · 15 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Celina Health and Rehabilitation Center's Medicare star rating?
- CMS rates Celina Health and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Celina Health and Rehabilitation Center get at its last inspection?
- 2 health deficiencies at the standard inspection on September 4, 2025. The Tennessee average is 4.4.
- Has Celina Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Celina Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Celina Health and Rehabilitation Center?
- CMS lists 22 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: INTEGRITY HEALTHCARE OF CELINA, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.