Obion County Nursing Home
1084 East County Home Road, Union City, TN 38261
Obion County Nursing Home, a 56-bed government - county nursing facility in Union City, TN, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #214 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7318859065
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #214 of 300
- In-state rank among rated TN homes
- 3.78
- About average · nurse hrs/day · nat'l 3.86
- 22
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Obion County Nursing Home, a 56-bed government - county nursing facility in Union City, TN, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #214 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #214 of 300
- In-state rank among rated TN homes
- 3.78
- Nurse hrs/resident-day · national 3.86
- 22
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 303 TN nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 445508
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 56
- Residents
- 44
- In Hospital
- No
- County
- Obion
- Last Inspection
- Feb 19, 2026
Staffing Data
How the 3.78 total nursing hours per resident-day are staffed:
- RN Hours
- 0.50 (nat'l avg: 0.69)
- LPN Hours
- 1.25
- CNA Hours
- 2.03
- Total Nursing Hours
- 3.78 (nat'l avg: 3.86)
- PT Hours
- 0.08
- Nursing Turnover
- 47.1%
- RN Turnover
- 16.7%
What the CMS Record Reveals About Obion County Nursing Home
According to CMS Nursing Home Compare, Obion County Nursing Home ranks #214 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Obion County Nursing Home operates 56 certified beds in Union City, TN with approximately 44 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 2★).
The inspection file contains 22 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $24K. Reported nurse staffing runs 3.78 total hours per resident day (national average 3.86); RN hours specifically are 0.50 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Obion County Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 47.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (22 most recent)
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Category: Administration Deficiencies
Corrected: Feb 12, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Feb 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 15, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Mar 31, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 31, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 31, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 31, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 31, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 31, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 31, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 2, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 2, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 2, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 2, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 24, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 30, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 2, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 2, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Jan 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Feb 2, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 10, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 15.4% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 52.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 2 penalties totaling $24K
| Date | Type | Amount |
|---|---|---|
| Jun 26, 2025 | Fine | $9K |
| Jan 29, 2024 | Fine | $15K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Obion County Nursing Home, both outside TN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside TN (56 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside TN (4.15 here).
Nearby Nursing Homes in TN
302 other nursing homes are on record in TN; 6 are shown here.
Abundant Christian Living Community Rehabilitation
Johnson City, TN
Adamsplace, LLC
Murfreesboro, TN
Adamsville Healthcare and Rehabilitation Center
Adamsville, TN
Advanced Health Care of Nashville
Nashville, TN
Agape Rehabilitation & Nursing Center, a Waters Cm
Johnson City, TN
Ahava Healthcare of Clarksville
Clarksville, TN
Understanding Nursing Home Data
What the CMS records show for Obion County Nursing Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
- Peer homes near 56 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Obion County Nursing Home?
Where does Obion County Nursing Home rank among nursing homes in TN?
What are the staffing levels at Obion County Nursing Home?
How many beds does Obion County Nursing Home have?
Does Obion County Nursing Home have any deficiencies on record?
Has Obion County Nursing Home received any fines or penalties?
Who owns Obion County Nursing Home?
When was Obion County Nursing Home last inspected?
What quality measures are tracked for Obion County Nursing Home?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
