Elk River Health & Nursing Center of Winchester: Staffing, Turnover, and Inspection Record
Elk River Health & Nursing Center of Winchester is a 80-bed nonprofit nursing home in Winchester, Tennessee, part of Twin Rivers Health & Rehabilitation. In the CMS August 2026 release it reported 1.86 nurse aide hours per resident per day, 12% below the Tennessee average of 2.12, and 69.7% nursing staff turnover (Tennessee average 48.9%).
Elk River Health & Nursing Center of Winchester
32 Memorial DriveWinchester, TN 37398
Franklin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Elk River Health & Nursing Center of Winchester, nurse aides logged 1.86 hours per resident per day, 12% below the Tennessee average. With about 52 residents a day, that works out to roughly 97 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.86 | 2.12 | 2.32 |
| Licensed practical nurses | 1.27 | 1.09 | 0.86 |
| Registered nurses | 0.56 | 0.60 | 0.69 |
| All nursing staff | 3.70 | 3.80 | 3.86 |
| All nursing staff, weekends | 3.24 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
69.7% of nursing staff at Elk River Health & Nursing Center of Winchester left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 30, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Elk River Health & Nursing Center of Winchester holds 3 of 5 overall; the Tennessee average is 3.0.
About Elk River Health & Nursing Center of Winchester
- Ownership: Non profit - Other
- Chain: Twin Rivers Health & Rehabilitation, 11 homes
- Legal name: Elk River Health & Nursing Center of Winchester, LLC
- Medicare and Medicaid certified since: Oct 1, 1993
- Councils: resident council
- Area: rural
Nursing homes near Elk River Health & Nursing Center of Winchester
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Southern Tenn Medical Center SNF Winchester · many days without an RN | 0.3 | 46 | 1.12 | 4.42 | — | 1 | None |
| Heritage Place Care & Rehabilitation LLC Winchester | 0.7 | 132 | 1.61 | 3.17 | 54.8% | 1 | None |
| Signature Healthcare of Monteagle Rehab & Wellness Monteagle | 15.7 | 150 | 1.97 | 3.54 | 53.2% | 3 | $31,902 |
| NHC Healthcare, Tullahoma Tullahoma | 15.8 | 90 | 2.15 | 4.00 | 52.6% | 3 | None |
| Life Care Center of Tullahoma Tullahoma | 16.0 | 169 | 1.96 | 3.56 | 44.4% | 2 | None |
| Lynchburg Nursing Center Lynchburg | 17.5 | 88 | 1.87 | 3.75 | 24.2% | 5 | None |
| Legacy Health and Rehab Manchester | 20.1 | 72 | 1.65 | 3.51 | 35.4% | 2 | None |
| Manchester Center for Rehabilitation and Healing L Manchester | 22.2 | 120 | 2.41 | 4.27 | 52.9% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.