OVERTON COUNTY HEALTH AND REHAB CENTER – LIVINGSTON, TN

CMS Verified | 2026-03-01

Overton County Health And Rehab Center

318 BILBREY STREET, Livingston, TN 38570
(931) 823-6403
125 beds
All Livingston facilities
4.0*
Overall
4.0*
Health Inspection
3.0*
Quality Care
4.0*
Staffing
70.55
Score /100
#8045
National Rank

#8045
of 14703 facilities
National
45.3% position
#170
of 303 in TN
State Rank
#1
of 1 in Overton
County Rank
#1
of 1 in Livingston
City Rank
#1
of 1 in ZIP 38570
ZIP Rank






About Overton County Health And Rehab CenterOverton County Health And Rehab Center is located at 318 Bilbrey Street, Livingston, TN, reachable at (931) 823-6403. This Government – County facility operates 125.0 certified beds and serves an average of 86 residents per day. Medicare and Medicaid services have been provided since 2000-07-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Overton County Health And Rehab Center

Address

318 Bilbrey Street, Livingston, TN 38570

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 125 Certified Beds
  • Ownership: Government – County
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Declining over 5 years
70.55
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#8045 of 14703 nationally – #170 of 303 in Tennessee

Who Is This Facility Best For?

Overton County Health And Rehab Center is a strong choice for families in the Livingston, TN area seeking a well-inspected, high-quality care environment. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightOverton County Health And Rehab Center currently provides 3 hours 55 minutes of total nurse staffing per resident per day, including 18 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is 31.0%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 55 minutes
Nurse Aide Hours2 hours 32 minutes
Licensed Practical Nurse (LPN) Hours1 hour 5 minutes
Registered Nurse (RN) Hours18 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 31 minutes
Weekend Registered Nurse (RN) Hours6 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 SummaryThe facility has received 3 fine(s) over the 5-year period, totaling $1,973. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
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 18.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#8,045
of 14,703
National
Bottom 45%
#170
of 303
TN State
Bottom 44% in TN
#1
of 1
️ Overton County
Best in county
#1
of 1
️ Livingston
Best in city
#1
of 1
ZIP 38570
Best in ZIP

Nationally, Overton County Health And Rehab Center ranks 8045th out of 14,703 facilities (composite score: 70.5/100), placing it in the below average nationwide. Within TN, it ranks 170th out of 303 nursing homes. For 2026 staffing: total nurse hours rank #5,400 nationally and RN hours rank #12,652 nationally (#281 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 3.98 #4,459 / 14,703 #76 / 303 Above average
2023 4.42 #2,352 / 14,703 #36 / 303 Top 25%
2024 4.04 #3,991 / 14,703 #61 / 303 Above average
2025 3.92 #5,101 / 14,703 #88 / 303 Above average
2026 3.92 #5,400 / 14,703 #90 / 303 Above average

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

Year Hours/Day National Rank TN State Rank Note
2022 0.33 #12,003 / 14,703 #264 / 303 ⚠️ Bottom 25%
2023 0.36 #10,965 / 14,703 #229 / 303 Below average
2024 0.29 #12,511 / 14,703 #272 / 303 ⚠️ Bottom 25%
2025 0.34 #11,992 / 14,703 #259 / 303 ⚠️ Bottom 25%
2026 0.30 #12,652 / 14,703 #281 / 303 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Overton County Health And Rehab Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2000-07-01. 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) 823-6403 or your local Medicaid office to verify current eligibility.

Overton County Health And Rehab Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 70.5/100, placing it #8045 of 14703 facilities nationally and #170 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 Overton County Health And Rehab Center receives a reported average of 3 hours 55 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 18 minutes; Licensed Practical Nurse (LPN) — 1 hour 5 minutes; Nurse Aide — 2 hours 32 minutes. On weekends, total nurse staffing is 3 hours 31 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 31.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 3 fine(s) over the 5-year period, totaling $1,973. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. 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 18.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Overton County Health And Rehab Center ranks 8045th out of 14,703 facilities (composite score: 70.5/100), placing it in the below average nationwide. Within TN, it ranks 170th out of 303 nursing homes. For 2026 staffing: total nurse hours rank #5,400 nationally and RN hours rank #12,652 nationally (#281 in TN). Our composite quality score of 70.5/100 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 Livingston, visit: https://nursinghomesnearme.org/tennessee/livingston/

Contact and Location

ADR
Address

318 BILBREY STREET, Livingston, TN 38570
Get directions on Google Maps

TEL
LLC
Legal Name

OVERTON COUNTY HEALTH AND REHAB CENTER

MAP
Browse by Location

All Tennessee ·
Overton County ·
Livingston ·
ZIP 38570

Facility Details

Number of Certified Beds 125
Average Residents / Day 86 (69% occupancy)
Ownership Type Government – County
Provider Type Medicare and Medicaid
County Overton County, TN
City Livingston, TN
ZIP Code 38570
Approved Since July 1, 2000
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 445419
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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