How many deficiencies did Overton County Health and Rehab Center get at its last inspection?

3 health deficiencies at the standard inspection on May 14, 2025. The Tennessee average is 4.4.

Has Overton County Health and Rehab Center been fined?

CMS lists no fines in the last three years.

Does Overton County Health and Rehab 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 Overton County Health and Rehab Center?

CMS lists 14 owners and managers. Legal business name: OVERTON COUNTY HEALTH AND REHAB CENTER.

Overton County Health and Rehab Center: Inspections

The record in brief

At its most recent standard inspection, on May 14, 2025, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 5 health citations since November 2018 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 4.36 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.

35.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

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.

211/18

011/19

305/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 5 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 14, 2025Standard inspection · 3 citations

F

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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 6, 2025

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to document advance directives education and resident advance directive decisions in the medical record for 7 residents (Residents #3, #20, #24, #43, #56, #66, and #81) of 7 residents reviewed for advanced directives.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2025

Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Manual 3.0, medical record review, and interview the facility failed to accurately assess the discharge status for 1 resident (Resident #83) of 3 residents reviewed.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2025

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to secure resident identifiable information during medication administration for 3 residents (Residents #16, #52, and #23) of 4 residents observed for medication administration.

November 20, 2019Standard inspection · 0 citations

November 28, 2018Standard inspection · 2 citations

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2018

Inspectors wroteBased on facility policy review, medical record review, review of a facility investigation, and interview, the facility failed to ensure the safety for 1 resident (#59) of 5 residents reviewed for accidents of 23 residents sampled.
D

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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2018

Inspectors wroteBased on review of the facility policy, medical record review, and interview, the facility failed to ensure a stop date was in place for as needed psychotropic medication orders for 1 resident (#41) of 5 residents reviewed for unnecessary medications of 23 residents sampled.

Fire safety inspections

16 fire safety citations on file: 8 on May 14, 2025, 6 on November 20, 2019, 2 on November 28, 2018.

Every fire safety citation16 citations

D
Address subsistence needs for staff and patients.

E 15 · May 14, 2025 · Corrected (the home has a date of correction)
D
Establish staff and initial training requirements.

E 37 · May 14, 2025 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · May 14, 2025 · Corrected (the home has a date of correction)
D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · May 14, 2025 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 14, 2025 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · May 14, 2025 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · May 14, 2025 · Corrected (the home has a date of correction)
D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · May 14, 2025 · Corrected (the home has a date of correction)
D
Conduct risk assessment and an All-Hazards approach.

E 6 · November 20, 2019 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · November 20, 2019 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · November 20, 2019 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · November 20, 2019 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · November 20, 2019 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · November 20, 2019 · Corrected (the home has a date of correction)
C
Install an approved automatic sprinkler system.

K 351 · November 28, 2018 · Corrected (the home has a date of correction)
C
Ensure proper usage of power strips and extension cords.

K 920 · November 28, 2018 · Corrected (the home has a date of correction)

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)	4.36	3.80	3.86
Registered nurses	0.32	0.60	0.69
All nursing staff on weekends	4.26	3.31	3.42
Nurse aides	2.74
Licensed practical nurses	1.30
Nursing staff turnover (share who left in a year)	35.1%	48.9%	45.8%
Registered nurse turnover	0.0%	43.2%	42.9%
Administrators who left	0

CMS expects 3.30 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 4.40 on weekdays and 4.26 on weekends, 3% 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 4.02 in April to June 2025 to 4.36 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	4.36	0.32	4.40	4.26	0.0%	0 of 90	79
Oct to Dec 2025	4.30	0.31	4.38	4.09	0.0%	0 of 92	81
Jul to Sep 2025	3.92	0.30	4.07	3.52	0.0%	1 of 92	87
Apr to Jun 2025	4.02	0.31	4.25	3.44	0.0%	1 of 91	86
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

Staff pay at this home

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. If you work here, your report helps start one.

Official wage estimates for Tennessee

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.

How staff pay reports work · CNA pay by state

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	22.8	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.6	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.5	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.2	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	29.7	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.0	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	6.6	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	34.0	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	16.4	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.8	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Overton County Health and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.3% 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. 200 eligible stays.

Potentially preventable readmissions

10.0% 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. 198 eligible stays.

Infections that led to a hospital stay

9.2% 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. 132 eligible stays.

Self-care and mobility at discharge

34.0% 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. 94 residents counted.

Falls with major injury

0.0% 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. 142 residents counted.

New or worsened pressure ulcers

1.9% 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. 141 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 10 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.

Owners and operators

Legal business name: OVERTON COUNTY HEALTH AND REHAB CENTER.

Name	Role	Type	Share	Since
Overton County Ambulance Service	5% or greater direct ownership interest	Organization	100%	01/01/1966
Boswell, Randall	Managing control - governing body	Individual		08/01/2011
Clark, Darwin	Managing control - governing body	Individual		08/01/2011
Melton, Robbie	Managing control - governing body	Individual		09/01/2021
Savage, Donna	Managing control - governing body	Individual		08/01/2011
Walker, Geraldine	Managing control - governing body	Individual		10/01/2022
Bouldin, Jennifer	Operational/managerial control	Individual		06/03/2007
Cox, Michael	Operational/managerial control	Individual		01/01/2024
Zalewski, Charla	Operational/managerial control	Individual		02/10/2008
Jobe, Hasting & Associates Cpas, PLLC	Adp of the SNF	Organization		05/13/2004
Overton County Ambulance Service	Adp of the SNF	Organization		07/01/1961
Bouldin, Jennifer	Adp of the SNF	Individual		02/26/2007
Cox, Michael	Adp of the SNF	Individual		03/25/2026
Zalewski, Charla	Adp of the SNF	Individual		02/10/2008

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.

When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 14, 2025: "Ensure each resident receives an accurate assessment."
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 May 14, 2025: "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."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on November 28, 2018: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 28, 2018: "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."

Other nursing homes nearby

Celina Health and Rehabilitation Center
Celina, 14.6 mi · 4 of 5 stars · 7 citations
Signature Healthcare of Putnam County
Cookeville, 15.2 mi · 2 of 5 stars · 15 citations
Standing Stone Care and Rehab
Monterey, 16.4 mi · 5 of 5 stars · 9 citations
Pickett Care and Rehabilitation Center
Byrdstown, 16.9 mi · 4 of 5 stars · 18 citations
Grandview Post Acute
Cookeville, 17.8 mi · 1 of 5 stars · 37 citations
Mabry Health Care
Gainesboro, 18 mi · 3 of 5 stars · 8 citations
NHC Healthcare, Cookeville
Cookeville, 19.1 mi · 5 of 5 stars · 5 citations
Signature Healthcare of Fentress County
Jamestown, 21.8 mi · 2 of 5 stars · 23 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 Overton County Health and Rehab Center's Medicare star rating?: CMS rates Overton County Health and Rehab Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Overton County Health and Rehab Center get at its last inspection?: 3 health deficiencies at the standard inspection on May 14, 2025. The Tennessee average is 4.4.
Has Overton County Health and Rehab Center been fined?: CMS lists no fines in the last three years.
Does Overton County Health and Rehab 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 Overton County Health and Rehab Center?: CMS lists 14 owners and managers. Legal business name: OVERTON COUNTY HEALTH AND REHAB CENTER.

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.