Home / Tennessee / Fayetteville
4081 Thornton Taylor Parkway, Fayetteville, TN 37334 · Lincoln County · (931) 433-9973
79 certified beds, about 56 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445320 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 10, 2025, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 8 health citations since April 2022 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 3.41 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
63.2% 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.
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.
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 8 health citations on file.
Inspectors wroteBased on review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for two residents (Resident #1 and Resident #29) related to anticoagulant use and two residents (Resident #6 and Resident #28) related to Level II PASARR (Pre-admission Screening and Resident Review) of 15 MDS assessments reviewed.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to revise the care plan for 1 resident (Resident #27) of 15 residents reviewed for care plans.
Inspectors wroteBased on facility policy review, temperature log review, facility documentation review, observation, and interview, the facility failed to minimize the potential for foodborne illness transmission by not properly cleaning and sanitizing the inner components of the ice machine for residents in the facility. The facility failed to store milk at the appropriate temperature at or below 41 degrees Fahrenheit (F) for residents who consume milk.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to maintain a complete and accurate medical record for 1 (Resident #9) of 4 residents reviewed for administration of controlled drugs.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure food was handled in a sanitary manner in the kitchen on 4 of 4 observations, having the potential to affect all residents.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 7 sampled residents (Resident #13 and Resident #22) were treated in a dignified manner during the lunch meal on 4/18/2022.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to develop and implement a person-centered care plan for 1 of 25 sampled residents (Resident #7) for care plan development and implementation.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control procedures when performing wound care for 1 of 2 sampled residents (Resident #5) observed for wound care.
14 fire safety citations on file: 7 on September 10, 2025, 6 on July 11, 2024, 1 on April 20, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.41 | 3.80 | 3.86 |
| Registered nurses | 0.39 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.31 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 63.2% | 48.9% | 45.8% |
| Registered nurse turnover | 40.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.96 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.48 on weekdays and 3.23 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.41 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 | 3.41 | 0.39 | 3.48 | 3.23 | 13.5% | 0 of 90 | 56 |
| Oct to Dec 2025 | 3.57 | 0.33 | 3.59 | 3.53 | 11.9% | 0 of 92 | 54 |
| Jul to Sep 2025 | 3.87 | 0.43 | 3.98 | 3.60 | 21.6% | 0 of 92 | 51 |
| Apr to Jun 2025 | 3.76 | 0.41 | 3.92 | 3.35 | 13.8% | 0 of 91 | 50 |
| 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.
Staff pay reports
No staff pay figure for this home 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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, 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 |
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. These are survey estimates for whole occupations, not figures for any one home.
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 | 11.0 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.4 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.3 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Elk River Health & Rehabilitation of Fayetteville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.9% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 60 eligible stays.
11.8% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 79 eligible stays.
8.9% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 56 eligible stays.
79.2% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 48 residents counted.
1.6% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 62 residents counted.
0.0% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 62 residents counted.
97.4% this home
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 38 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ELK RIVER HEALTH & NURSING CENTER OF FAYETTEVILLE 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 |
|---|---|---|---|---|
| Bradley, Don | Managing control - governing body | Individual | 04/01/2019 | |
| Burton, William | Managing control - governing body | Individual | 04/01/2019 | |
| Kupchynsky, Kathleen | Managing control - governing body | Individual | 02/07/2024 | |
| Phillips, Dorothy | Managing control - governing body | Individual | 04/01/2019 | |
| Sheehan, John | Managing control - governing body | Individual | 02/07/2024 | |
| Sheehan, Margaret | Managing control - governing body | Individual | 04/01/2019 | |
| Smith, Frank | Managing control - governing body | Individual | 04/01/2019 | |
| Sheehan, John | Corporate officer | Individual | 02/07/2024 | |
| Ocoee Foundation Inc | Operational/managerial control | Organization | 04/01/2019 | |
| Pioneer Consulting LLC | Operational/managerial control | Organization | 04/01/2019 | |
| Twin Rivers Health & Rehabilitation LLC | Operational/managerial control | Organization | 04/01/2019 | |
| Bradley, Don | Operational/managerial control | Individual | 04/01/2019 | |
| Burton, William | Operational/managerial control | Individual | 04/01/2019 | |
| Davis, Clinton | Operational/managerial control | Individual | 04/01/2019 | |
| Holcombe, Michelle | Operational/managerial control | Individual | 04/01/2019 | |
| Kupchynsky, Kathleen | Operational/managerial control | Individual | 02/07/2024 | |
| Phillips, Dorothy | Operational/managerial control | Individual | 04/01/2019 | |
| Sheehan, John | Operational/managerial control | Individual | 02/07/2024 | |
| Sheehan, Margaret | Operational/managerial control | Individual | 04/01/2001 | |
| Smith, Frank | Operational/managerial control | Individual | 04/01/2019 | |
| Veteto, Lisa | Operational/managerial control | Individual | 04/01/2019 | |
| Ocoee Foundation Inc | Adp of the SNF | Organization | 04/01/2019 | |
| Pioneer Consulting LLC | Adp of the SNF | Organization | 03/31/2025 | |
| Twin Rivers Health & Rehabilitation LLC | Adp of the SNF | Organization | 03/31/2025 | |
| Davis, Clinton | Adp of the SNF | Individual | 04/01/2019 | |
| Holcombe, Michelle | Adp of the SNF | Individual | 04/01/2019 | |
| Sain, Paul | Adp of the SNF | Individual | 04/01/2019 | |
| Sheehan, John | Adp of the SNF | Individual | 04/01/2019 | |
| Veteto, Lisa | Adp of the SNF | Individual | 04/01/2019 |
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.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.