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Southern Tenn Medical Center SNF

629 Hospital Road, Winchester, TN 37398 · Franklin County · (931) 967-8249

46 certified beds, about 12 residents a day · For profit - Individual · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445222 · 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 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 11 health citations since May 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 4.42 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 1.21 of those hours.

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.

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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
4E
3F
Potential for minimal harm
0A
1B
0C
September 4, 2025Standard inspection · 6 citations
  1. 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) October 19, 2025
    Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to ensure 3 residents (Resident #4, Resident #11, and Resident #17) were offered the opportunity to formulate an advanced directive upon admission to the facility of 3 residents reviewed for advanced directives.
  2. F
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 19, 2025
    Inspectors wroteBased on medical record review and interviews the facility failed to provide the required Notice of Medicare Non-Coverage (NOMNC) and Advanced Beneficiary Notice (ABN) for 3 residents (Resident #3, Resident #5, and Resident #33) of 3 residents reviewed for beneficiary notification.
  3. E
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2025
    Inspectors wroteBased on job description review, facility policy review, medical record review, and interview, the facility failed to provide effective administrative leadership and oversight to ensure the required documentation was maintained or obtained related to Notice of Medicare Non Coverage (NOMNC) for 3 residents (Resident #3, Resident #5, and Resident #33), failed to maintain or obtain the required documentation related to Advanced Beneficiary Notices (ABN) for 3 residents (Resident #3, Resident #5, and Resident #33), failed to offer assistance with the formulation of Advanced Directives for 3 residents (Resident #4, Resident #11, and Resident #17), and had not documented staff or residents received education on COVID-19 vaccination for 5 residents (Resident #7, Resident #11, Resident #19, Resident #24, and Resident #32), and had not offered the COVID-19 vaccine to the staff since 2022.
  4. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2025
    Inspectors wroteBased on facility policy review, job description review, Quality Assurance Performance Improvement (QAPI) meeting minutes review, medical record review, and interview, the facility's leadership and QAPI Committee failed to identify, address and initiate corrective action plans for quality deficiencies to ensure the residents attained or maintained their highest practicable physical, functional, mental, and psychosocial well-being when the residents were not offered the opportunity to formulate advanced directives upon admission, were not provided Advance Beneficiary Notices (ABN) or Notice of Medicare Non-Coverage (NOMNC) documentation upon discharge, and had not documented the staff or residents received education on the COVID-19 vaccine for 5 residents (Resident #7, Resident #11, Resident #19, Resident #24, and Resident #32), and had not offered the COVID-19 vaccine to the facility's [...]
  5. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2025
    Inspectors wroteBased on medical record review , facility policy review, review of current Centers for Disease Control (CDC) recommendations and interviews the facility failed to document education was provided to residents and staff regarding COVID-19 vaccination, failed to document offering the COVID vaccine to residents and completing a declination form if the vaccine was declined, and failed to offer staff COVID-19 vaccines affecting all staff and 5 of 5 (Resident #7, #11, #19, #24 and #32) sampled residents reviewed.
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2025
    Inspectors wroteBased on facility policy review, medical record review, observation, and interviews, the facility failed to obtain a physician's order for the use of an indwelling urinary catheter [a tube inserted into the bladder that drains urine] for 1 resident (Resident #12) of 4 residents reviewed for the use of an indwelling catheter.
July 13, 2022Standard inspection · 4 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 25, 2022
    Inspectors wroteBased on facility policy review, Centers for Disease Control and Prevention (CDC) guidance, observation, and interview, the facility failed to properly prevent COVID-19 (an infectious disease caused by the SARS-CoV-2 virus) by failing to implement universal use of eye protection as part of Personal Protective Equipment (PPE) during resident care interactions in a community with high COVID-19 transmission which had the potential to result in COVID-19 transmission to all 11 residents in the facility.
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 25, 2022
    Inspectors wroteBased on review of the facility policy, medical record review, and interview, the facility failed to develop a comprehensive care plan that included person-centered interventions for 2 residents (Resident #8 and Resident #15) of 4 residents reviewed for comprehensive care plans.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 25, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to follow physician's orders for 1 resident (Resident #15) of 3 residents reviewed for insulin administration.
  4. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 25, 2022
    Inspectors wroteBased on Resident Assessment Instrument Manual 3.0 (RAI) record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 6 residents (Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7) of 16 residents reviewed for MDS assessments.
May 8, 2019Standard inspection · 1 citation
  1. 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) May 29, 2019
    Inspectors wroteBased on medical record review, and interview the facility failed to monitor behaviors and side effects for psychotropic medications for 1 resident (#116) of 5 residents reviewed for unnecessary medications.

Fire safety inspections

10 fire safety citations on file: 8 on September 4, 2025, 1 on July 13, 2022, 1 on May 8, 2019.

Every fire safety citation10 citations
  1. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 4, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide emergency officials' contact information.
    E 31 · September 4, 2025 · Corrected (the home has a date of correction)
  3. D
    Provide family notifications of emergency plan.
    E 35 · September 4, 2025 · Corrected (the home has a date of correction)
  4. D
    Establish staff and initial training requirements.
    E 37 · September 4, 2025 · Corrected (the home has a date of correction)
  5. D
    Meet the requirements of an integrated health system.
    E 42 · September 4, 2025 · Corrected (the home has a date of correction)
  6. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · September 4, 2025 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 4, 2025 · Corrected (the home has a date of correction)
  8. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 4, 2025 · Corrected (the home has a date of correction)
  9. 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.
    K 222 · July 13, 2022 · Corrected (the home has a date of correction)
  10. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 8, 2019 · 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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.423.803.86
Registered nurses1.210.600.69
All nursing staff on weekends2.963.313.42
Nurse aides1.12
Licensed practical nurses2.10
Nursing staff turnover (share who left in a year)not reported48.9%45.8%
Registered nurse turnovernot reported43.2%42.9%
Administrators who leftnot reported

CMS expects 3.76 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 4.98 on weekdays and 2.96 on weekends, 41% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 7.73 in July to September 2025 to 4.42 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.421.214.982.96 3.4%24 of 9012
Oct to Dec 20253.981.344.333.04 6.6%2 of 9215
Jul to Sep 20257.732.408.176.57 5.1%1 of 9217
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Southern Tenn Medical Center SNF. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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.

MeasureThis homeTennesseeUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.71.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.811.212.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Southern Tenn Medical Center SNF's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (70.5% 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

70.5% this home

Better than 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. 153 eligible stays.

Potentially preventable readmissions

10.4% 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. 167 eligible stays.

Infections that led to a hospital stay

7.0% 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. 113 eligible stays.

Self-care and mobility at discharge

58.5% 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. 82 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. 129 residents counted.

New or worsened pressure ulcers

2.0% 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. 129 residents counted.

Medication list given at discharge

97.7% 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. 44 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: SOUTHERN TENNESSEE MEDICAL CENTER LLC.

NameRoleTypeShareSince
Highpoint Healthcare, LLC5% or greater direct ownership interestOrganization100%03/01/2025
Ascension Health5% or greater indirect ownership interestOrganization03/01/2025
Baptist Health Care Affiliates Inc5% or greater indirect ownership interestOrganization03/01/2025
Highpoint Partner, LLC5% or greater indirect ownership interestOrganization03/01/2025
Historic Lifepoint Hospitals, LLC5% or greater indirect ownership interestOrganization01/01/2014
Legacy Lifepoint Health LLC5% or greater indirect ownership interestOrganization02/24/2022
Lifepoint Holdings 2 LLC5% or greater indirect ownership interestOrganization03/01/2025
Lifepoint Hospitals Holdings LLC5% or greater indirect ownership interestOrganization12/31/2015
Saint Thomas Health5% or greater indirect ownership interestOrganization03/01/2025
Saint Thomas Network5% or greater indirect ownership interestOrganization03/01/2025
Davis, DanielCorporate officerIndividual06/24/2019
Grooms, JohnCorporate officerIndividual11/01/2016
Haugh, WilliamCorporate officerIndividual01/25/2022
Lawrence, CharlotteCorporate officerIndividual01/25/2022
Monte, ChristopherCorporate officerIndividual08/01/2009
Poppell, MarcusCorporate officerIndividual11/02/2009
Edwards, DannyOperational/managerial controlIndividual01/04/2023
Martin, AdamOperational/managerial controlIndividual08/22/2022
Selbe, JamieOperational/managerial controlIndividual05/26/2025
Wofford, JodyOperational/managerial controlIndividual04/14/2025
Zaharcu, AlexandruOperational/managerial controlIndividual09/26/2019
Lifepoint Corporate Services General PartnershipGeneral partnership interestOrganization01/01/2015
Edwards, DannyAdp of the SNFIndividual01/04/2023
Selbe, JamieAdp of the SNFIndividual08/01/2025
Wofford, JodyAdp of the SNFIndividual04/14/2025
Zaharcu, AlexandruAdp of the SNFIndividual08/01/2025

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 4, 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."
  2. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on September 4, 2025: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 4, 2025: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
  4. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

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Common questions

What is Southern Tenn Medical Center SNF's Medicare star rating?
CMS rates Southern Tenn Medical Center SNF 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Southern Tenn Medical Center SNF get at its last inspection?
6 health deficiencies at the standard inspection on September 4, 2025. The Tennessee average is 4.4.
Has Southern Tenn Medical Center SNF been fined?
CMS lists no fines in the last three years.
Does Southern Tenn Medical Center SNF 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 Southern Tenn Medical Center SNF?
CMS lists 26 owners and managers. Legal business name: SOUTHERN TENNESSEE MEDICAL CENTER LLC.

Sources

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