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Elk River Health & Rehabilitation of Fayetteville

All states › Tennessee › Fayetteville › Elk River Health & Rehabilitation of Fayetteville

4081 Thornton Taylor Parkway Fayetteville, TN 37334 · Lincoln County

(931) 433-9973

All 2 nursing homes in Fayetteville, TN (2 take Medicaid)

Accepts Medicare Accepts Medicaid 79 certified beds Non profit

CMS certification number 445320 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Elk River Health & Rehabilitation of Fayetteville a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Elk River Health & Rehabilitation of Fayetteville as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1. Inspectors issued 8 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.47 hours per resident per day at Elk River Health & Rehabilitation of Fayetteville, below the Tennessee median of 3.66 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 7% below its all-week average. 70.4% of nursing staff left within a year (Tennessee median 48.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.47 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.22 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 70.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds79
Residents per day 56 About 71% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1993
Part of a chainTwin Rivers Health & Rehabilitation
Legal business nameELK RIVER HEALTH & NURSING CENTER OF FAYETTEVILLE LLC

Paying for care at Elk River Health & Rehabilitation of Fayetteville: Medicare and Medicaid

Elk River Health & Rehabilitation of Fayetteville is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 10, 2025 and found 2 deficiencies. In total, inspectors issued 8 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 8 citations at Elk River Health & Rehabilitation of Fayetteville across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 8 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (4) and nutrition and dietary (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, July 11, 2024).

September 10, 2025 · 2 citations

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Oct 15, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Sep 19, 2025)

July 11, 2024 · 2 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 20, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Aug 20, 2024)

April 20, 2022 · 4 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 13, 2022)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 13, 2022)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 13, 2022)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 13, 2022)

Questions to ask on a tour of Elk River Health & Rehabilitation of Fayetteville

  1. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Nursing staff turnover was 70.4% a year. How many of the staff come from agencies?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 4/5 1/5 4/5
August 2026 4/5 4/5 2/5 4/5
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Location

Hospitals near Elk River Health & Rehabilitation of Fayetteville

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.5 mi
    Lincoln Medical Center Fayetteville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 10m for patients treated and sent home
  • 24.0 mi
    Harton Regional Medical Center Tullahoma
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 48m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Donalson Care Center Fayetteville · 2.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 168 beds · Medicaid
Lynchburg Nursing Center Lynchburg · 14.6 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 88 beds · Medicaid
Elk River Health and Nursing Center of Ardmore Ardmore · 20.5 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 79 beds · Medicaid
NHC Healthcare, Tullahoma Tullahoma · 23.7 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 90 beds · Medicaid
The Waters of Shelbyville Shelbyville · 23.9 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 96 beds · Medicaid

More nursing homes near Elk River Health & Rehabilitation of Fayetteville ›   All nursing homes in Fayetteville ›

Compare Elk River Health & Rehabilitation of Fayetteville with the 3 closest homes side by side ›

Other Twin Rivers Health & Rehabilitation nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 11 Twin Rivers Health & Rehabilitation nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/fayetteville/elk-river-health-and-rehabilitation-of-fayetteville/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.