TWIN RIVERS HEALTH & REHABILITATION

Nurse hours

4.36 /day

Staff turnover

50%

Serious cites

0

Ocoee Transitional Care Center runs on better-than-average staffing, 4.36 nurse hours per resident day, roughly 13% above the national figure, and the federal staffing and quality ratings reflect that. The catch is consistency: weekends run about 15% thinner than weekdays, and half the staff turns over each year, a bit worse than the 45.8% national rate. The inspection record is the softer spot, a 2 out of 5 with 17 deficiencies, though none rose to harm or jeopardy and none involved abuse. The last survey was August 2023, so that picture is getting dated. Nonprofit ownership, solid care numbers, and turnover are the real story here.

Nurse hours

3.48 /day

Staff turnover

28%

Serious cites

0

Wood Village runs lean on daily nursing hours, 3.48 per resident, roughly 10 percent under the national average, and weekends dip another 9 percent below its own weekday pace. What stands out instead is retention: 27.9 percent turnover against a national average of 45.8 percent means the aides and nurses here tend to stay, which matters more for daily care than a staffing ratio on paper. The inspection record backs that up, with a 5/5 health inspection rating, only two deficiencies on file, none involving harm or abuse, and a recent May 2025 survey. Nonprofit ownership and a 4/5 quality measure rating round out a home that's stable rather than flush.

Nurse hours

4.13 /day

Staff turnover

37%

Serious cites

0

Hancock Manor runs on 4.13 nurse hours per resident per day, which puts it about 7 percent above the national average of 3.86. Staff turnover sits at 37 percent, better than the 45.8 percent national figure, though weekend coverage drops roughly 10 percent below what the home staffs on weekdays. The inspection record is clean where it counts: four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was August 2025. For a 50-bed for-profit corporation in Sneedville, that combination of steady staffing and a short, low-severity deficiency list is the main thing working in its favor.

Nurse hours

3.65 /day

Staff turnover

41%

Serious cites

0

Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.

Nurse hours

3.88 /day

Staff turnover

49%

Serious cites

0

Trenton Health and Rehabilitation Center runs 50 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and nothing abuse-related among its eight total citations. The catch is staffing. Total nurse coverage sits at 3.88 hours per resident day, essentially dead even with the national average, and weekends drop about 12% below what the home staffs on weekdays. Annual turnover of 48.9% tops the national rate of 45.8%, which means roughly half the nursing staff turns over each year. Quality measures score five stars, and the most recent inspection was in January 2026. Strong care outcomes, thin staffing cushion.

Nurse hours

3.89 /day

Staff turnover

62%

Serious cites

0

Elk River Health and Nursing Center in Ardmore runs a nonprofit operation with 79 certified beds, and its overall nurse staffing sits just a hair above the national average, 3.89 hours per resident day against 3.86. That margin is thin enough to disappear on weekends, when coverage drops about 16% below the home's own weekday level. The bigger number to sit with is turnover: 62.1% of staff leaving annually, well above the 45.8% national figure. Inspections look solid, with a four-star health inspection rating and no deficiencies at the harm level, though one of the eight cited is abuse-related.

Nurse hours

3.63 /day

Staff turnover

53%

Serious cites

0

Hermitage Health Center runs a tight ship on inspections, a five-star health inspection rating with just five deficiencies on record, none of them causing harm or involving abuse, and the most recent survey was this past May. That's a real strength, and it's not easy to earn. Staffing is where the picture gets murkier: 3.63 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 9% below the home's own weekday levels, and turnover runs 53.4% against a national 45.8%. So the care you'd see on a Tuesday may not match what's there on a Sunday. Quality measures land mid-range at three stars.

Nurse hours

3.35 /day

Staff turnover

41%

Serious cites

0

Woodbury Health And Rehabilitation Center runs on thinner nursing coverage than most homes, 3.35 nurse hours per resident day against a national average of 3.86, and weekends dip about 5% below its own weekday numbers. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which matters for consistency even if the raw hours don't impress. The inspection record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the last state visit was April 2026, so the picture is current. Quality measures score well, but a two-star staffing rating and that deficiency count are the real story here.

Nurse hours

3.41 /day

Staff turnover

63%

Serious cites

0

Elk River Health & Rehabilitation Of Fayetteville runs 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 63.2% against a national 45.8%, which is the number that most explains the 2/5 staffing rating even as inspections and quality measures both land at 4/5. The current record shows eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Nonprofit ownership and clean inspections are real strengths; the thin, churning direct-care hours are the tradeoff families should weigh.

Nurse hours

2.94 /day

Staff turnover

49%

Serious cites

0

Celina Health and Rehabilitation Center runs about 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday levels. That thin coverage shows up in its staffing rating of 2 out of 5, while its health inspection record is stronger, 4 out of 5, with seven deficiencies on file, none involving harm, jeopardy, or abuse, and a clean inspection as recent as September 2025. Annual turnover sits at 49.1%, above the 45.8% national figure. For-profit, LLC-owned, 78 beds. The pattern here is a home that inspects well but may leave your family member waiting on aide time.

Nurse hours

3.70 /day

Staff turnover

70%

Serious cites

0

Elk River Health & Nursing Center runs about 3.70 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin weekend coverage matters more when you consider turnover: nearly 70% of staff left last year, against a national average near 46%, and CMS gives the home its lowest mark on staffing. Inspections look better, a four-star health inspection rating, with nine deficiencies on record and none at the harm level, though one is abuse-related. The last inspection was July 30, 2025. Quality measures sit at two stars. Nonprofit ownership doesn't change the arithmetic: consistent hands are the hard part here.