Deficiency Index

Overton County Health and Rehab Center

Livingston, Tennessee · CCN 445419

12 surveys since 2010, 8 of them producing a finding at harm level or worse.

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

Citations on record
41
Surveys
12
Harm or worse
8
Immediate jeopardy
8
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/12

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

The facility

Certified beds
125
Ownership
Government - County
Chain
Independent
County
Overton · rural
Medicare-certified since
2000

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

May 14, 2025

544 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 day4.364.35
Registered-nurse hours per resident day0.32—
Annual nurse turnover35.1%49.0%

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 minimalD480.0%E—F120.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 5 of the 41 citations on record.

In the surveyor’s words

From the most serious findings on record at Overton County Health and Rehab Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF578May 14, 2025

    Based on facility policy review, medical record review, and interview, the facility failed to document advance directives education and resident advance directive decisions in the medical record for 7 residents (Residents #3, #20, #24, #43, #56, #66, and #81) of 7 residents reviewed for advanced directives. The findings include: Review of the facility's policy titled, Advance Directives, revised 9/2022, revealed .The resident has the right to formulate an advanced directive .The facility defines the following .Advance care planning .Advance Directive .Living Will .Durable power of attorney for Healthcare .Prior to or upon admission of a resident, the social services director or designee inquires .about the existence of any written advanced directives .the resident or representative is… […]

  • No harm, potential for more than minimal, isolatedF641May 14, 2025

    Based on review of the Resident Assessment Instrument (RAI) Manual 3.0, medical record review, and interview the facility failed to accurately assess the discharge status for 1 resident (Resident #83) of 3 residents reviewed. The findings include: Review of the RAI Manual dated 10/2024, revealed .The RAI process has multiple regulatory requirements .the assessment accurately reflects the resident's status .A2105: Discharge Status .This item documents the location to which the resident is being discharged at the time of discharge. […]

  • No harm, potential for more than minimal, isolatedF842May 14, 2025

    Based on facility policy review, medical record review, observation, and interview, the facility failed to secure resident identifiable information during medication administration for 3 residents (Residents #16, #52, and #23) of 4 residents observed for medication administration. The findings include: Review of the facility's policy titled, Electronic Medical Records, revised 3/2014, revealed .Electronic records are an acceptable form of medical record management .Only authorized persons who have been issued a password and user ID [identification] code will be permitted to access .The facility will make reasonable efforts to limit the use or disclosure of protected health information .Our electronic medical records system has safeguards to prevent unauthorized access of electronic… […]

Read 27 findings in full →The most serious and the most recent: 27 of 41 on record.

Every survey on record

FindingsAt actual harm or above

  • May 14, 2025Standard3 findings
  • Jun 26, 2019Complaint1 finding
  • Nov 28, 2018Standard2 findings
  • Dec 7, 2016Standard1 finding
  • Aug 18, 2016Complaint2 findings
  • Dec 16, 2015Standard2 findings
  • Oct 29, 2014Standard2 findings
  • Sep 18, 2013—6 findings
Show the 4 earlier surveys
  • Dec 4, 2012—10 findings · 8 harm
  • Jul 9, 2012—3 findings
  • Apr 11, 2012—5 findings
  • Dec 2, 2010—4 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.

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