Tennessee › Obion County › Union City
Obion County Nursing Home
1084 East County Home Road, Union City, TN 38261
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Obion County Nursing Home, in Union City, Tennessee, is certified for 56 beds under government, county ownership.
CMS gives it 2 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (2, 8, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 39.3 per 100 beds, more than the state median of 12.2.
CMS lists 2 penalties in the period covered: fines totalling $24K.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the Tennessee median of 3.6; nursing staff turnover is 47.1%.
Compared with county, state and nation
| Measure | This facility | Obion Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 10 | 13 | 28.7 |
| Citations per 100 beds | 39.3 | 11.3 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 47.1% | 42.6% | 50.0% | 45.8% |
| Fines listed | $23,963 | $10,348 | $0 | — |
County and state figures are medians across facilities (3 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Feb 2026, 19 Mar 2025.
Severity mix: K ×1 G ×1 D ×19 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Jan 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 12 Feb 2026 |
| 20 Jan 2026 | F0837 | 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. | D | Complaint investigation | 12 Feb 2026 |
| 26 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Jul 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Mar 2025 |
| 19 Mar 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 31 Mar 2025 |
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Mar 2025 |
| 19 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 31 Mar 2025 |
| 19 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 31 Mar 2025 |
| 19 Mar 2025 | F0732 | Post nurse staffing information every day. | D | Standard survey | 31 Mar 2025 |
| 19 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 31 Mar 2025 |
| 29 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 10 Feb 2024 |
| 29 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Feb 2024 |
| 29 Jan 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 Jan 2024 |
| 29 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Feb 2024 |
| 29 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 2 Feb 2024 |
| 29 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 Jan 2024 |
| 29 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 31 Jan 2024 |
| 29 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 24 Feb 2024 |
| 29 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Feb 2024 |
| 29 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Feb 2024 |
| 29 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 2 Feb 2024 |
| 29 Jan 2024 | F0761 | 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. | D | Standard survey | 2 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Jun 2025 | Fine | $9,110 | |
| 29 Jan 2024 | Fine | $14,853 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 47.1%, RNs 16.7%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.7% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 15.4% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.2% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: County Of Obion.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Obion | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 06/01/2011 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Obion County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Waters of Union City , LLC | Union City | 80 | 5 | 5 | 2 | 9 | 11.3 | — | 18 Mar 2026 |
| Union City Health and Rehabilitation | Union City | 115 | 1 | 1 | 3 | 10 | 8.7 | $10K | 21 Aug 2025 |
All 3 facilities in Obion County
Questions and answers
How many deficiencies has Obion County Nursing Home been cited for?
22 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Obion County Nursing Home been fined?
Yes. CMS lists fines totalling $24K in the period covered.
How does staffing at Obion County Nursing Home compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Obion County Nursing Home?
Ownership type is government, county. Organisations in the CMS ownership record include County of Obion. Individual owners and managers are not listed on this site.
When was Obion County Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 20 Jan 2026; the most recent standard health survey was 19 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.