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Nursing HomeMedicaid

Overton County Health and Rehab Center

Strong Medicare quality ratings; families often praise attentive and knowledgeable nursing staff. Still worth an in-person visit.

318 Bilbrey Street, Livingston, TN 38570125 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 9 Google reviews

5
4
3
2
1
Overton County Health and Rehab Center Nursing Home in Livingston, TN — Street View
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What this means for your family

This facility receives praise for its physical therapy department and clean environment, which may be beneficial for short-term rehab. However, families should exercise caution and conduct thorough, unannounced visits to monitor the quality of care, as there have been serious reports regarding patient safety and staff accountability.

Google Reviews

Google Reviews

9 reviews on Google
Reviews for Overton County Health and Rehab Center are polarized, highlighting a stark contrast between positive experiences in physical therapy and severe concerns regarding patient safety. While some visitors appreciate the clean environment and attentive therapy staff, others have reported alarming incidents of unexplained injuries and perceived staff incompetence.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms2.0Value1.0

Strengths

  • Attentive and knowledgeable nursing staff
  • Highly skilled and personable physical therapy team
  • Clean and quiet facility environment

Concerns

  • Unexplained patient injuries and lack of staff accountability

Rating Trends

Tap a year to see what changed

2345.02017(2)1.02018(1)3.42022(5)4.02024(1)4.72025(3)5.02026(1)

Distribution · 13 analyzed

5
8
4
2
3
0
2
0
1
3

How They Respond to Reviews

22%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the facility has a strong reputation for physical therapy; could you walk us through how your team coordinates with nursing staff to ensure a resident's progress is tracked and communicated to the family?
  • 2We understand that transparency is vital; what is your current protocol for notifying families immediately if a resident experiences an unexpected fall or injury?
  • 3Given that communication is a top priority for us, what is the best way for families to receive regular, proactive updates on their loved one's daily well-being?
  • 4With a capacity of 125 residents, how do you foster a sense of community and ensure that residents stay engaged in daily activities that align with their personal interests?
  • 5I saw that you have responded to some feedback online; how do you use family input to make tangible improvements to the care experience here?
  • 6In the event of a medical emergency, what is your facility's process for escalating care and keeping the family informed throughout the situation?

Personalized based on this facility's data


Key Review Excerpts

The Nurses are very nice, and . experienced knowledge are sincerely involved and attentive concerning your needs Also Rachel with Physical Therapy is Experienced, and has the best personality

Rehab patient · 2022★★★★★

Elderly found with bruises on their face and the nurses don't even know how it happened. That's what is happening with my grandmother.

Long-term resident's family · 2022☆☆☆☆

My Grandma lives in the assisted living at this facility. She likes it. It's usually clean and quiet when I visit.

Long-term resident's family · 2025★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
41%
Registered nurses for medical care
Total Nursing
4.30hrs
OK
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.4%
Worse than Avg
Here
33.4%
US
15.3%
TN
18.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TN
12.9%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TN
89.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
19.4%
TN
20.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
14.4%
TN
14.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.5%
TN
16.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
TN
79.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.4%
Better than Avg
Here
96.4%
US
79.8%
TN
79.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
TN
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Near state avg (5.9)

This facility has a mixed record with 21 deficiencies across three surveys, all corrected by the provider. The most recurring issues involve fire safety systems, emergency preparedness, and building safety compliance. Recent 2025 deficiencies included problems with resident assessments, treatment rights, and multiple safety violations. While all issues were reportedly corrected, the pattern of recurring building safety violations across multiple years suggests ongoing maintenance challenges families should inquire about during visits.

May 14, 2025Routine
11
0578Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0037Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

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.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Nov 20, 2019Routine
6
0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Nov 28, 2018Routine
4
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0351Minimal · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0920Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Overton County Health and Rehab Center

Organization Type

government

Ownership & Management

Owners

Overton County Ambulance Service

Owner · Organization

100%

Key personnel

Boswell, RandallManaging Control - Governing BodyClark, DarwinManaging Control - Governing BodyMelton, RobbieManaging Control - Governing BodySavage, DonnaManaging Control - Governing BodyWalker, GeraldineManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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