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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E1 | F1 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Sep 10, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 10, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Aug 13, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 8, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 8, 2022 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Aug 7, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E1 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 10, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 25, 2026 | |
| Sep 10, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 25, 2026 | |
| Aug 13, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
11 facilities in 1 states. CMS chain ID 532.
Chain average overall rating (CMS): 3.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sneedville Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| J-M Investments, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| John Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Margaret Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sneedville Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Irrevocable Grantor Trust Agreement of John J Sheehan, Jr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Irrevocable Grantor Trust Agreement of Margaret Phillips Sheehan | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| J-M Investments, LLC | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Trenton Health and Rehabilitation Center, LLC 2036 Highway 45 Bypass, Trenton, TN 38382 CCN 445308 | 50 | Jan 22, 2026 | 11 | — | |
| Elk River Health & Nursing Center of Winchester 32 Memorial Drive, Winchester, TN 37398 CCN 445319 | 80 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445459 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445459 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| F-0657 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Sep 15, 2025 |
| Aug 13, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 15, 2025 |
| Aug 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 15, 2025 |
| Sep 8, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 22, 2022 |
| Sep 8, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 22, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.91 (case-mix index 1.35).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Apr 30, 2009 |
| John Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| Margaret Sheehan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2009 |
| J-M Investments, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 30, 2009 |
| Pioneer Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| George Brewer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 16, 2007 |
| Clinton Davis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| John Sheehan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Rual Swanson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 18, 2023 |
| Pioneer Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| Twin Rivers Health & Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| George Brewer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 16, 2007 |
| Michelle Holcombe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2019 |
| Rual Swanson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 18, 2023 |
| Jul 30, 2025 |
35 |
| — |
| Elk River Health & Rehabilitation of Fayetteville 4081 Thornton Taylor Parkway, Fayetteville, TN 37334 CCN 445320 | 79 | Sep 10, 2025 | 22 | — |
| Elk River Health and Nursing Center of Ardmore, Ll 24623 Union Hill Road, Ardmore, TN 38449 CCN 445321 | 79 | Feb 20, 2026 | 27 | — |
| Wood Village 520 Old Highway 68, Sweetwater, TN 37874 CCN 445322 | 89 | Jun 3, 2026 | 11 | — |
| Ocoee Transitional Care Center LLC 2320 East Lamar Alexander Pkwy, Maryville, TN 37804 CCN 445404 | 76 | Jul 15, 2026 | 29 | — |
| Woodbury Health and Rehabilitation Center 119 West High Street, Woodbury, TN 37190 CCN 445435 | 82 | Apr 22, 2026 | 191 IJ1 harm | $14k |
| Celina Health and Rehabilitation Center 120 Pitcock Lane, Celina, TN 38551 CCN 445445 | 78 | Sep 4, 2025 | 16 | — |