Deficiency Index

Celina Health and Rehabilitation Center

Celina, Tennessee · CCN 445445

10 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
25
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
78
Ownership
For profit - Limited Liability company
Chain
TWIN RIVERS HEALTH & REHABILITATION
County
Clay · rural
Medicare-certified since
2002

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=7, floor 20).

Last survey on record

Sep 4, 2025

431 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.943.49
Registered-nurse hours per resident day0.45—
Annual nurse turnover49.1%52.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD685.7%E114.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 25 citations on record.

In the surveyor’s words

From the most serious findings on record at Celina Health and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Aug 24, 2022

    Based on facility policy review, observations, and interviews, the facility failed to transport and distribute meals in a safe sanitary manner for 2 of 2 meal observations. The findings include: Review of the facility's policy titled, Food Preparation and Service, dated 4/2019 revealed, .Food and nutrition services employees prepare and serve food in a manner that complies with safe food handling practices .Food preparation staff adhere to proper .sanitary practices to prevent the spread of food borne illness . Observation on the 100 and 300 halls on 8/22/2022, during the noon meal, at 11:58 AM to 12:25 PM, revealed the dietary staff plated 21 plates of food without a cover. […]

  • No harm, potential for more than minimal, isolatedF584Sep 4, 2025

    Based on facility policy review, observation, and interview, the facility failed to provide a clean and sanitary environment to ensure cleanliness of a stand-up personal fan for 1 resident (Resident #8) of 61 residents reviewed for a clean and sanitary environment. The findings include: Review of the facility's policy titled, Cleaning and Disinfecting Residents' Rooms, revised 8/2013, revealed .environmental services will be disinfected (or cleaned) on a regular basis .and when surfaces are visibly soiled . Review of the medical record revealed Resident #8 was admitted to the facility on [DATE], with diagnoses including Diabetes, History of a Stroke with Hemiplegia, Pulmonary Edema, and Dysphagia. […]

  • No harm, potential for more than minimal, isolatedF698Sep 4, 2025

    Based on facility policy review, medical record review, and interview, the facility failed to complete dialysis communication forms consistently for 1 resident (Resident #37) of 2 residents reviewed for dialysis.The findings include: Review of the facility's policy titled, End-Stage Renal Disease, Care of a Resident with, dated September 2010, revealed .Agreements between the facility and the contracted ESRD (end stage renal disease) facility include all aspects of how the resident's care will be managed, including .How information will be exchanged between the facilities . Medical record review revealed Resident #37 was admitted to the facility on [DATE] with diagnoses including End Stage Renal Disease, Chronic Obstructive Pulmonary Disease, and Metabolic Encephalopathy. […]

  • No harm, potential for more than minimal, isolatedF686Aug 24, 2022

    Based on facility policy review, medical record reviews, observations, and interviews, the facility failed to ensure 1 of 22 sampled residents (Resident #1) received necessary treatment consistent with professional standards of practice, to promote healing of pressure ulcers. The findings include: Review of the facility's undated policy titled, Wound Management, revealed, .The Wound Management Program is committed to the assessment, prevention, identification and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • No harm, potential for more than minimal, isolatedF757Aug 24, 2022

    Based on facility policy review, medical record review, and interview, the facility failed to adequately monitor 2 of 9 residents (Resident #36 and #196) receiving anticoagulant therapy. The Findings include: Review of the facility's policy titled, Medication Monitoring and Management, dated 1/1/2018 revealed, .In order to optimize the therapeutic benefit of medication therapy and minimize or prevent potential adverse consequences, facility staff, the attending physician/prescriber, and the consultant pharmacist perform ongoing monitoring for appropriate, effective, and safe medication use .The interdisciplinary team reviews the resident's medication regimen for efficacy and actual or potential medication-related problems on an ongoing basis . […]

Read 20 findings in full →The most serious and the most recent: 20 of 25 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 4, 2025Standard2 findings
  • Aug 24, 2022Standard3 findings
  • Feb 3, 2022Complaint2 findings
  • Jul 23, 2019Standard2 findings
  • Aug 1, 2018Standard2 findings
  • Sep 20, 2017Standard and complaint1 finding
  • Sep 28, 2016Standard1 finding
  • Jul 9, 2014Standard2 findings
Show the 2 earlier surveys
  • Jul 10, 2013—5 findings
  • Dec 1, 2011—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction