CCN 445320 · Lincoln County, Tennessee
Elk River Health & Rehabilitation of Fayetteville
4081 Thornton Taylor Parkway, Fayetteville, TN 37334
Elk River Health & Rehabilitation of Fayetteville is a 79-bed nonprofit nursing home in Fayetteville, Tennessee, first certified for Medicare or Medicaid in 1993. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 56.1 residents a day, about 71% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 79
- Average residents per day
- 56.1 (71.0% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Elk River Health & Nursing Center of Fayetteville LLC
- Certified since
- Oct 1, 1993
- Chain or affiliated group
- Twin Rivers Health & Rehabilitation (11 facilities, chain average 3.9 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Tennessee median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 58 at 1, 53 at 2, 65 at 3, 68 at 4, 56 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.41 | 3.64 | 3.68 |
| RN hours per resident per day | 0.39 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 3.23 | ||
| Nursing staff turnover | 63.2% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 71.0% | 77.7% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 2 (Sep 10, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Elk River Health & Rehabilitation of Fayetteville meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Ocoee Foundation IncOrganization | Operational / Managerial Control | n/a | 04/01/2019 |
| Pioneer Consulting LLCOrganization | Operational / Managerial Control | n/a | 04/01/2019 |
| Twin Rivers Health & Rehabilitation LLCOrganization | Operational / Managerial Control | n/a | 04/01/2019 |
| Bradley, DonIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Burton, WilliamIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Davis, ClintonIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Holcombe, MichelleIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Kupchynsky, KathleenIndividual | Operational / Managerial Control | n/a | 02/07/2024 |
| Phillips, DorothyIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Sheehan, JohnIndividual | Operational / Managerial Control | n/a | 02/07/2024 |
| Sheehan, MargaretIndividual | Operational / Managerial Control | n/a | 04/01/2001 |
| Smith, FrankIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Veteto, LisaIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2019 | Elk River Health & Nursing Center of Fayetteville LLC | Fayetteville Healthcare, LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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