C70

WOODBURY HEALTH AND REHABILITATION CENTER

Grade C 70/100 composite score

Non profit - Other

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

82

Ownership

Non profit - Other

Total Fines

None

Last Survey

N/A

119 WEST HIGH STREET, WOODBURY, TN 37190
6155635939

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.35h
LPN
1.18h
CNA
1.96h
Total
3.49h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

OCOEE FOUNDATION INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2008

PIONEER CONSULTING LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

TWIN RIVERS HEALTH & REHABILITATION LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

BRADLEY, DON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

BURTON, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

DAVIS, CLINTON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

HOLCOMBE, MICHELLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

KUPCHYNSKY, KATHLEEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

PHILLIPS, DOROTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

SHEEHAN, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

SHEEHAN, MARGARET

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2008

SMITH, FRANK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

SPURLOCK, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2018

WARD, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

November 25, 2024Health3 deficiencies
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jan 8, 2025
0851DMinimal harm, Isolated

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Jan 8, 2025
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 8, 2025
February 16, 2022Health10 deficiencies1 severe
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Mar 9, 2022
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected May 3, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 10, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 10, 2022
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Mar 9, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 9, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 9, 2022
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 9, 2022
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Mar 9, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 9, 2022
May 15, 2019Health1 deficiency
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jun 21, 2019

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Frequently Asked Questions

What is the CareGrader rating for WOODBURY HEALTH AND REHABILITATION CENTER?

WOODBURY HEALTH AND REHABILITATION CENTER in WOODBURY, Tennessee has a CareGrader grade of C (Average), with a composite score of 70 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WOODBURY HEALTH AND REHABILITATION CENTER?

WOODBURY HEALTH AND REHABILITATION CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WOODBURY HEALTH AND REHABILITATION CENTER have?

WOODBURY HEALTH AND REHABILITATION CENTER has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does WOODBURY HEALTH AND REHABILITATION CENTER have?

WOODBURY HEALTH AND REHABILITATION CENTER has 82 certified beds with approximately 76 current residents (93% occupancy). The facility is located at 119 WEST HIGH STREET, WOODBURY, Tennessee 37190. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.