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Nursing HomeMedicaid

Elk River Health & Rehabilitation of Fayetteville

Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy teams. Still worth an in-person visit.

4081 Thornton Taylor Parkway, Fayetteville, TN 3733479 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 21 Google reviews

5
4
3
2
1
Elk River Health & Rehabilitation of Fayetteville Nursing Home in Fayetteville, TN — Street View
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What this means for your family

The facility has shown a strong trend of improvement, with recent families consistently praising the therapy team and staff engagement. While the facility is well-regarded now, we recommend that families conduct a thorough tour to verify current cleanliness standards and ask about their specific protocols for medication administration to ensure peace of mind.

Google Reviews

Google Reviews

21 reviews on Google
Elk River Health & Rehabilitation of Fayetteville receives high praise for its therapy department and compassionate nursing staff, with many families reporting excellent care for both short-term rehab and long-term residents. While recent reviews are overwhelmingly positive, the facility has a history of isolated, severe complaints regarding cleanliness and medication management that date back several years.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean7.0Activities10.0Meds5.0Memory8.0Comms9.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy teams
  • Compassionate and attentive nursing staff
  • Engaging activities and events
  • Clean and well-maintained facility

Rating Trends

Tap a year to see what changed

2342.52016(2)3.02023(3)3.72024(3)5.02025(10)3.72026(3)

Distribution · 21 analyzed

5
15
4
1
3
1
2
0
1
4

How They Respond to Reviews

67%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given your facility's strong reputation for physical and occupational therapy, how do you tailor these rehabilitation programs to meet the specific recovery goals of new residents?
  • 2I noticed your team is active in responding to feedback online; how do you incorporate that family input into your day-to-day operations?
  • 3With a 3-star staffing rating, what steps are you currently taking to ensure that residents receive consistent, one-on-one attention throughout the day?
  • 4Could you walk me through how you manage medical emergencies or urgent care needs, especially during overnight hours?
  • 5I’ve heard great things about your activity schedule; what are some of the most popular events that help residents stay engaged and connected with one another?
  • 6Regarding the recent state violations, what specific improvements or policy changes have been implemented to ensure those issues do not recur?

Personalized based on this facility's data


Key Review Excerpts

My mother has only been here since Saturday evening of June 21st but the team here has been phenomenal. 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.

Hospice transition family member · 2025★★★★★

My father is currently in this facility long term and he absolutely loves it. He enjoys the activities throughout the week — the happy hour and smokes breaks they offer, not many facilities do that anymore!

Long-term resident's family · 2025★★★★★

I spent 3 weeks at this facility after I experienced a fall and surgery. The staff is great. PT and OT are great and got me to where I could go home!

Rehab patient · 2025★★★★★
Source: 21 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both 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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
TN
12.9%
Lincoln
4.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.1%
Mixed vs Avgs
Here
21.1%
US
19.5%
TN
31.9%
Lincoln
21.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.7%
Worse than Avg
Here
85.7%
US
95.5%
TN
94.5%
Lincoln
96.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
TN
89.5%
Lincoln
94.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
14.4%
TN
14.6%
Lincoln
19.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.2%
Worse than Avg
Here
22.2%
US
15.3%
TN
18.5%
Lincoln
20.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
TN
79.4%
Lincoln
83.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.0%
Better than Avg
Here
89.0%
US
79.8%
TN
79.8%
Lincoln
82.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.0%
Worse than Avg
Here
3.0%
US
1.6%
TN
1.6%
Lincoln
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (5.9)
1 complaint-triggered

This facility has recurring issues across care planning, fire safety, and emergency preparedness, with families filing at least one complaint that led to inspection findings regarding medical records management. The facility repeatedly struggles with resident assessment and care planning deficiencies, appearing in all three surveys, alongside persistent problems with food safety and building safety systems. While all identified deficiencies show correction dates, the pattern of recurring issues in core care areas suggests ongoing operational challenges that families should discuss during visits.

Sep 10, 2025Routine
9
0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

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.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0032Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0037Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Jul 11, 2024Routine
7
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 11, 2024Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Apr 20, 2022Routine
5
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Elk River Health & Rehabilitation of Fayetteville

Organization Type

nonprofit

Chain Affiliation

Chain Name

Twin Rivers Health & Rehabilitation

Chain Size

12 facilities nationwide

Chain avg rating: 3.6/5 · Rank 6 of 11

Ownership & Management

Key personnel

Bradley, DonManaging Control - Governing BodyBurton, WilliamManaging Control - Governing BodyKupchynsky, KathleenManaging Control - Governing BodyPhillips, DorothyManaging Control - Governing BodySheehan, JohnManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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