ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER – WINCHESTER, TN

CMS Verified | 2026-03-01

Elk River Health & Nursing Center Of Winchester

32 MEMORIAL DRIVE, Winchester, TN 37398
(931) 967-0200
80 beds
All Winchester facilities
3.0*
Overall
4.0*
Health Inspection
1.0*
Quality Care
2.0*
Staffing
58.95
Score /100
#12359
National Rank

#12359
of 14703 facilities
National
15.9% position
#260
of 303 in TN
State Rank
#3
of 3 in Franklin
County Rank
#3
of 3 in Winchester
City Rank
#3
of 3 in ZIP 37398
ZIP Rank






About Elk River Health & Nursing Center Of WinchesterElk River Health & Nursing Center Of Winchester is located at 32 Memorial Drive, Winchester, TN, reachable at (931) 967-0200. This Non profit – Other facility operates 80.0 certified beds and serves an average of 55 residents per day. It is part of the Twin Rivers Health & Rehabilitation network (11 facilities nationwide). Medicare and Medicaid services have been provided since 1993-10-01. The facility currently holds a average (3-star) overall CMS rating.
Facility

Elk River Health & Nursing Center Of Winchester

Address

32 Memorial Drive, Winchester, TN 37398

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 80 Certified Beds
  • Ownership: Non profit – Other
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: TWIN RIVERS HEALTH & REHABILITATION

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
❌ Poor (1★) quality of care
Compliance
✅ Zero fines across all 5 years
5-Year Trend
➡️ Stable over 5 years
58.95
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12359 of 14703 nationally – #260 of 303 in Tennessee

Who Is This Facility Best For?

Elk River Health & Nursing Center Of Winchester offers a mid-range care option in Winchester, TN. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

4 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

1 / 5
Long-Stay QM Rating

1 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightElk River Health & Nursing Center Of Winchester currently provides 3 hours 56 minutes of total nurse staffing per resident per day, including 33 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 53.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 56 minutes
Nurse Aide Hours2 hours 9 minutes
Licensed Practical Nurse (LPN) Hours1 hour 15 minutes
Registered Nurse (RN) Hours33 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 23 minutes
Weekend Registered Nurse (RN) Hours14 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryElk River Health & Nursing Center Of Winchester has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 17.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,359
of 14,703
National
Bottom 16%
#260
of 303
TN State
Bottom 14% in TN
#3
of 3
️ Franklin County
#3 of 3
#3
of 3
️ Winchester
#3 of 3
#3
of 3
ZIP 37398
#3 of 3

Nationally, Elk River Health & Nursing Center Of Winchester ranks 12359th out of 14,703 facilities (composite score: 59.0/100), placing it in the bottom 25% nationwide. Within TN, it ranks 260th out of 303 nursing homes. In Winchester, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #5,241 nationally and RN hours rank #7,811 nationally (#147 in TN).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TN State Rank Note
2022 3.22 #10,179 / 14,703 #220 / 303 Below average
2023 3.52 #7,668 / 14,703 #168 / 303 Below average
2024 3.79 #5,691 / 14,703 #105 / 303 Above average
2025 4.04 #4,365 / 14,703 #73 / 303 Above average
2026 3.94 #5,241 / 14,703 #88 / 303 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TN State Rank Note
2022 0.52 #8,274 / 14,703 #147 / 303 Below average
2023 0.70 #4,567 / 14,703 #52 / 303 Above average
2024 0.46 #9,096 / 14,703 #176 / 303 Below average
2025 0.51 #8,294 / 14,703 #170 / 303 Below average
2026 0.54 #7,811 / 14,703 #147 / 303 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Elk River Health & Nursing Center Of Winchester is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (931) 967-0200 or your local Medicaid office to verify current eligibility.

Elk River Health & Nursing Center Of Winchester holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 59.0/100, placing it #12359 of 14703 facilities nationally and #260 of 303 in Tennessee. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Elk River Health & Nursing Center Of Winchester receives a reported average of 3 hours 56 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 33 minutes; Licensed Practical Nurse (LPN) — 1 hour 15 minutes; Nurse Aide — 2 hours 9 minutes. On weekends, total nurse staffing is 3 hours 23 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 53.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

Elk River Health & Nursing Center Of Winchester has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 17.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Elk River Health & Nursing Center Of Winchester ranks 12359th out of 14,703 facilities (composite score: 59.0/100), placing it in the bottom 25% nationwide. Within TN, it ranks 260th out of 303 nursing homes. In Winchester, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #5,241 nationally and RN hours rank #7,811 nationally (#147 in TN). Our composite quality score of 59.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Winchester, visit: https://nursinghomesnearme.org/tennessee/winchester/

Contact and Location

ADR
Address

32 MEMORIAL DRIVE, Winchester, TN 37398
Get directions on Google Maps

TEL
LLC
Legal Name

ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER, LLC

MAP
Browse by Location

All Tennessee ·
Franklin County ·
Winchester ·
ZIP 37398

Facility Details

Number of Certified Beds 80
Average Residents / Day 55 (69% occupancy)
Ownership Type Non profit – Other
Provider Type Medicare and Medicaid
County Franklin County, TN
City Winchester, TN
ZIP Code 37398
Approved Since October 1, 1993
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 445319
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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