Home›Tennessee›Lincoln County›ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE
C
Below Standard

ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE

4081 THORNTON TAYLOR PARKWAY · FAYETTEVILLE, TN 37334

9314339973 · Non profit - Corporation

79 beds51.2 residents132 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 & REHABILITATION OF FAYETTEVILLE receives an overall staffing grade of C (Below Standard). With 3.877 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4256 HPRD, below the recommended 0.75. It is 0.02 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.51% compared to weekdays. The facility relies heavily on temporary agency staff (21.58% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4256 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️21.58% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 9.51% drop-off
Total Nurse HPRD
3.877hrs/resident/day▼ 0.02
CMS benchmark: 3.48
RN HPRD
0.4256hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
9.51%
3.9841 weekday → 3.6051 weekend
Agency Staff
21.58%
30.85% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3664hrs/resident/day
Direct care aides
LPN HPRD
1.0394hrs/resident/day
Licensed practical nurses
Consistency
0.3921std 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. Lincoln County Average+0.13 HPRD
3.74
03.88 HPRD
vs. Tennessee State Average+0.01 HPRD
3.87
03.88 HPRD
vs. National Average-0.02 HPRD
3.90
03.88 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 & REHABILITATION OF FAYETTEVILLE ★
FAYETTEVILLE · This facility
—
C
3.8770.4256★★★★☆
DONALSON CARE CENTER
FAYETTEVILLE
2 mi
C
3.60810.4034★★★☆☆
LYNCHBURG NURSING CENTER
LYNCHBURG
14.6 mi
C
3.71110.4184★★★★★
ELK RIVER HEALTH AND NURSING CENTER OF ARDMORE, LL
ARDMORE
20.5 mi
D
3.86580.3703★★★★☆
THE WATERS OF SHELBYVILLE, LLC
SHELBYVILLE
23.8 mi
D
3.23740.3207★★★☆☆
LIFE CARE CENTER OF TULLAHOMA
TULLAHOMA
24 mi
D
3.73220.2768★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
8
Total Deficiencies
$0
Fines Assessed
Sep 10, 2025Health
2 deficiencies cited
▼
Jul 11, 2024Health
2 deficiencies cited
▼
Apr 20, 2022Health
4 deficiencies 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.