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C
Below Standard

ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER

32 MEMORIAL DRIVE · WINCHESTER, TN 37398

9319670200 · Non profit - Other

80 beds55.4 residents159 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER receives an overall staffing grade of C (Below Standard). With 3.9381 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5429 HPRD, below the recommended 0.75. It is 0.04 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.69% compared to weekdays. The facility uses a moderate level of agency staff (12.6% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.5429 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.9381hrs/resident/day▲ 0.04
CMS benchmark: 3.48
RN HPRD
0.5429hrs/resident/day▼ 0.14
Recommended: 0.75
Weekend Drop-off
18.69%
4.1576 weekday → 3.3807 weekend
Agency Staff
12.6%
16.69% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.998hrs/resident/day
Direct care aides
LPN HPRD
1.2436hrs/resident/day
Licensed practical nurses
Consistency
0.5123std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Franklin County Average-1.25 HPRD
5.19
03.94 HPRD
vs. Tennessee State Average+0.07 HPRD
3.87
03.94 HPRD
vs. National Average+0.04 HPRD
3.90
03.94 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER ★
WINCHESTER · This facility
—
C
3.93810.5429★★★☆☆
SOUTHERN TENN MEDICAL CENTER SNF
WINCHESTER
0.3 mi
A+
7.83822.4673★★★☆☆
THE WATERS OF WINCHESTER, LLC
WINCHESTER
0.7 mi
D
3.79010.3342★★★★☆
SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS
MONTEAGLE
15.7 mi
F
3.36760.237★★☆☆☆
LIFE CARE CENTER OF TULLAHOMA
TULLAHOMA
16 mi
D
3.73220.2768★★★★★
LYNCHBURG NURSING CENTER
LYNCHBURG
17.5 mi
C
3.71110.4184★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$0
Fines Assessed
Jul 30, 2025Health
3 deficiencies cited
▼
Apr 3, 2024Health
5 deficiencies cited
▼
Dec 14, 2021Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.