WOODBURY HEALTH AND REHABILITATION CENTER
119 WEST HIGH STREET, WOODBURY, TN 37190 · CCN 445435
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Other
- Certified beds
- 82
- Avg residents/day
- 76.1
- Phone
- 6155635939
Inspection history vs Tennessee & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Tennessee avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-25 | 3 | 5.8 | 9.5 | -2.8 better |
| 2 | 2022-02-16 | 10 | 4.6 | 9.8 | +5.4 worse |
| 3 | 2019-05-15 | 1 | 4.6 | 9.3 | -3.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nutrition and dietary | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.61 | 34.8% |
| RN staffing (reported) | 0.36 | 20.0% |
| Total nurse staffing (adjusted) | 3.49 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- TWIN RIVERS HEALTH & REHABILITATION
- Facilities in chain
- 11
- Chain avg overall
- 3.60 / 5
Inspection citations (14)1 immediate jeopardy
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-25 · Health · corrected 2025-01-08
Potential for more than minimal harm
- DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-11-25 · Health · corrected 2025-01-08
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-11-25 · Health · corrected 2025-01-08
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-02-16 · Health · corrected 2022-05-03
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-16 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-02-16 · Health · corrected 2022-03-10
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2022-02-16 · Health · corrected 2022-03-09
Immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-02-16 · Health · corrected 2022-03-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-02-16 · Health · corrected 2022-03-09
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-02-16 · Health · corrected 2022-03-09
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2022-02-16 · Health · corrected 2022-03-09
Potential for more than minimal harm
- DF0761Ensure 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.2022-02-16 · Health · corrected 2022-03-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-02-16 · Health · corrected 2022-03-09
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-05-15 · Health · corrected 2019-06-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OCOEE FOUNDATION INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-17 |
| PIONEER CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| TWIN RIVERS HEALTH & REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| BRADLEY, DON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-07 |
| BURTON, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-07 |
| DAVIS, CLINTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| HOLCOMBE, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| KUPCHYNSKY, KATHLEEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-07 |
| PHILLIPS, DOROTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-07 |
| SHEEHAN, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-07 |
| SHEEHAN, MARGARET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-09-01 |
| SMITH, FRANK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-07 |
| SPURLOCK, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-31 |
| WARD, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-23 |
Other facilities in WOODBURY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.