Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WOODBURY HEALTH AND REHABILITATION CENTER

WOODBURY, TN · 82 certified beds · Last Life Safety survey April 22, 2026

CMS Certification Number 445435 · first certified January 2002

Ownership

Operated by TWIN RIVERS HEALTH & REHABILITATION · Non profit - Other

No change of ownership on CMS record since January 1, 2016, when the records begin.

5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TN

5 citations — more than 27% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was April 2026. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 5 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility5TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-0212024-1142026-04
Citations at each Life Safety survey
Survey dateCitations
February 16, 20220
November 25, 20241
April 22, 20264

Most-cited tags

Most-cited tags at this facility
K-03532E-00261K-03631K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-22
E-0026Establish roles under a Waiver declared by secretary.12026-04-22
K-0363Install corridor and hallway doors that block smoke.12026-04-22
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12026-04-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 22, 2026 — 4 citations

Citations issued on April 22, 2026
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (May 4, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 4, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 7, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 4, 2026)

November 25, 2024 — 1 citation

Citations issued on November 25, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 23, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.