Elk River Health & Nursing Center of Winchester
Strong Medicare quality ratings; families often praise compassionate end-of-life care. Still worth an in-person visit.
based on 10 Google reviews
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What this means for your family
While some families have experienced compassionate end-of-life support, the most recent feedback indicates serious concerns regarding facility cleanliness and staff responsiveness. We strongly recommend conducting an unannounced tour to personally verify the current state of the facility and observing how quickly staff respond to call lights.
Google Reviews
Google Reviews
10 reviews on Google“Elk River Health & Nursing Center receives polarized feedback, with some families praising the compassionate support during end-of-life transitions, while others report severe concerns regarding facility cleanliness and responsiveness. Recent negative reviews highlight significant issues with staff availability and the physical condition of the building.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate end-of-life care
- Attentive staff during transitions
Concerns
- Poor facility cleanliness and maintenance
- Unresponsive staff and ignored call lights
Rating Trends
Tap a year to see what changed
Distribution · 12 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your team makes an effort to engage with feedback online; how do you use that family input to improve the day-to-day experience for residents?
- 2With the current staffing levels, what specific protocols do you have in place to ensure that call lights are answered promptly and residents aren't left waiting?
- 3Could you walk me through your current housekeeping schedule and how you maintain the facility's environment to ensure it stays clean and comfortable for everyone?
- 4Given the facility's focus on compassionate end-of-life care, how does that philosophy of support translate into the daily activities and social engagement for residents who are more active?
- 5What is your process for managing medical emergencies or sudden changes in health, and how do you keep families informed during those critical moments?
- 6Since maintaining a well-kept facility is a priority for our family, can you show us a few common areas and a resident room so we can see your current maintenance standards?
Personalized based on this facility's data
Key Review Excerpts
“Every single person I have met has been so attentive to my mother’s needs and helping us as we start the transition to home hospice.”
“It was so nasty. If my mom or my grandparent were there, they'd be out in no time. It's not fit for a dog.”
“This place is not good mom stayed here and she was not treated the best hit call lights no nurses come help”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
8
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows recurring deficiencies across multiple surveys, with families filing at least one complaint that triggered an investigation into abuse and neglect reporting failures. The most persistent problem areas are emergency preparedness, care planning and assessments, and fire safety systems. While the provider has correction dates for all deficiencies, the pattern of repeated violations in emergency preparedness and safety systems across 2021, 2024, and 2025 surveys suggests ongoing compliance challenges that families should discuss during visits.
Jul 30, 2025Routine19
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Jul 30, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 3, 2024Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Establish methods for sharing information.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Dec 14, 2021Routine6
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Establish methods for sharing information.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Ownership & Operations
Who Operates This Facility
Elk River Health & Nursing Center of Winchester
nonprofit
Chain Affiliation
Twin Rivers Health & Rehabilitation
12 facilities nationwide
Chain avg rating: 3.6/5 · Rank 9 of 11
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit elkriverhrofwinchester.com
Medicare data downloads
Original nursing home datasets
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