Trenton Health and Rehabilitation Center, LLC
2036 Highway 45 Bypass, Trenton, TN 38382 · Gibson County · (731) 855-4500
50 certified beds, about 42 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445308 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 8 health citations since November 2023 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 3.88 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
48.9% 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 8 health citations on file.
January 22, 2026Standard inspection · 0 citations
December 11, 2024Standard inspection · 4 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 policy review, observation, and interview, the facility failed to ensure food was properly stored and labeled, and failed to ensure the kitchen equipment was clean. The facility had a census of 49 with 48 of those residents receiving a food tray from the Kitchen.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure residents were free from fall accident hazards for 1 of 3 (Resident #42) sampled residents reviewed for falls. The staff failed to the ensure the foot pedals where on the wheelchair and the resident's feet could rest on the foot pedals during wheelchair mobility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to follow physician orders for oxygen and provide necessary respiratory care consistent with professional standards of practice for 2 of 3 (Resident #35 and #39) sampled residents reviewed for oxygen therapy.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when 1 of 2 staff (Licensed Practical Nurse (LPN A) failed to perform proper hand hygiene during medication administration, and when 1 of 1 staff (LPN B) failed to perform proper hand hygiene during wound care.
November 2, 2023Standard inspection · 4 citations
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure a medication administration rate of less than 5 percent (%) when 1 of 3 nurses (Licensed Practical Nurse (LPN) #2) failed to properly administer medications for 1 of 5 sampled residents (Resident #20) observed during medication administration. This resulted in a medication administration error rate of 51.52 %.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure proper infection control practices when 5 of 9 (Certified Nursing Assistants (CNA) #4, #5, #6, #7), and Licensed Practical Nurse (LPN #1) staff members failed to perform hand hygiene during meal pass, failed to clean reusable equipment after administering medications, and failed to place a clean barrier between medications and the surface under it.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on the medical record review, and interview, the facility failed to resubmit a Preadmission Screening and Resident Review (PASRR) after the resident had a new mental health diagnosis and new antipsychotic medication for 1 of 6 sampled residents (Resident #15) reviewed for PASRR.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly and securely stored when a medication was left in a resident's room for 2 of 6 (Resident #31 and #26) sampled residents.
Fire safety inspections
3 fire safety citations on file: 3 on December 11, 2024.
Every fire safety citation3 citations
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have proper medical gas storage and administration areas.
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) | 3.88 | 3.80 | 3.86 |
| Registered nurses | 0.50 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.31 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.15 | ||
| Nursing staff turnover (share who left in a year) | 48.9% | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.09 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 4.07 on weekdays and 3.40 on weekends, 16% 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 3.85 in April to June 2025 to 3.88 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 | 3.88 | 0.50 | 4.07 | 3.40 | 3.4% | 0 of 90 | 42 |
| Oct to Dec 2025 | 3.84 | 0.52 | 4.05 | 3.32 | 5.2% | 0 of 92 | 45 |
| Jul to Sep 2025 | 3.83 | 0.53 | 4.04 | 3.31 | 4.6% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.85 | 0.51 | 4.07 | 3.28 | 4.4% | 0 of 91 | 45 |
| 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.
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.
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 | 18.8 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 0.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.6 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 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 | 0.9 | 1.6 | 1.8 |
Owners and operators
Legal business name: TRENTON HEALTH AND REHABILITATION CENTER 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 |
|---|---|---|---|---|
| Hampton Worthington Properties, LLC | 5% or greater direct ownership interest | Organization | 30% | 01/01/2022 |
| J-M Investments, LLC | 5% or greater direct ownership interest | Organization | 70% | 10/01/2015 |
| Vernon, Wallis | 5% or greater indirect ownership interest | Individual | 30% | 01/01/2022 |
| Sheehan, John | Indirect ownership interest | Individual | 10/01/2015 | |
| Sheehan, Margaret | Indirect ownership interest | Individual | 10/01/2015 | |
| Lument Real Estate Capital LLC | 5% or greater mortgage interest | Organization | 07/12/2019 | |
| Sheehan, John | Corporate officer | Individual | 10/01/2015 | |
| J-M Investments, LLC | Operational/managerial control | Organization | 10/01/2015 | |
| Pioneer Consulting LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Twin Rivers Health & Rehabilitation LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Davis, Clinton | Operational/managerial control | Individual | 01/01/2019 | |
| Holcombe, Michelle | Operational/managerial control | Individual | 01/01/2019 | |
| Sheehan, John | Operational/managerial control | Individual | 10/01/2015 | |
| Vernon, Wallis | Operational/managerial control | Individual | 03/18/2013 | |
| Williams, James | Operational/managerial control | Individual | 12/13/2018 | |
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Adp of the SNF | Organization | 10/01/2015 | |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Adp of the SNF | Organization | 10/01/2015 | |
| J-M Investments, LLC | Adp of the SNF | Organization | 10/01/2015 | |
| Pioneer Consulting LLC | Adp of the SNF | Organization | 04/30/2025 | |
| Trenton Property Investments LLC | Adp of the SNF | Organization | 10/01/2015 | |
| Twin Rivers Health & Rehabilitation LLC | Adp of the SNF | Organization | 04/10/2025 | |
| Davis, Clinton | Adp of the SNF | Individual | 01/01/2019 | |
| Holcombe, Michelle | Adp of the SNF | Individual | 01/01/2019 | |
| Vernon, Wallis | Adp of the SNF | Individual | 03/18/2013 | |
| Williams, James | Adp of the SNF | Individual | 12/13/2018 |
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 December 11, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 December 11, 2024: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on November 2, 2023: "Ensure medication error rates are not 5 percent or greater."
- 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 December 11, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Dyer Nursing and Rehabilitation Center Dyer, 8.3 mi · 4 of 5 stars · 9 citations
- Avondale Health and Rehabilitation Center, LLC Humboldt, 9.2 mi · 2 of 5 stars · 19 citations
- W D Bill Manning Tennessee State Veterans Home Humboldt, 10.7 mi · 5 of 5 stars · 8 citations
- NHC Healthcare, Milan Milan, 10.9 mi · 4 of 5 stars · 13 citations
- Alamo Nursing and Rehabilitation Center Alamo, 16.4 mi · 4 of 5 stars · 17 citations
- Christian Care Center of Medina Medina, 16.6 mi · 1 of 5 stars · 28 citations
- Bells Nursing and Rehabilitation Center Bells, 18.3 mi · 3 of 5 stars · 13 citations
- Northbrooke Post Acute Jackson, 20.2 mi · 1 of 5 stars · 32 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 Trenton Health and Rehabilitation Center, LLC's Medicare star rating?
- CMS rates Trenton Health and Rehabilitation Center, LLC 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Trenton Health and Rehabilitation Center, LLC get at its last inspection?
- 0 health deficiencies at the standard inspection on January 22, 2026. The Tennessee average is 4.4.
- Has Trenton Health and Rehabilitation Center, LLC been fined?
- CMS lists no fines in the last three years.
- Does Trenton Health and Rehabilitation Center, LLC 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 Trenton Health and Rehabilitation Center, LLC?
- CMS lists 25 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: TRENTON HEALTH AND REHABILITATION CENTER 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.