nursing home in Ardmore, TN
Elk River Health and Nursing Center of Ardmore, Ll
24623 Union Hill Road, Ardmore, TN 38449 · (931) 427-2143
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Elk River Health and Nursing Center of Ardmore, Ll at a glance
Elk River Health and Nursing Center of Ardmore, Ll is a 79-bed non-profit nursing home in Ardmore, Tennessee (Giles County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Tennessee average of 3.
Residents receive about 3.9 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (February 20, 2026) found 1 health citation. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 62.1% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 79
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Twin Rivers Health & Rehabilitation
- Medicare-certified since
- October 1, 1993
- Resident/family council
- Resident
- County
- Giles County
- CMS Certification Number
- 445321
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.89 hrs | 3.80 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.12 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.31 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 62.1% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 9 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 79 | 114 | 107 | |
| Average residents per day | 58 | 84 | 86 | |
| Occupancy | 73% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.8% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.5% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.3% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.5% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.2% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 8% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.8% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.8% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 12.8% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 91.8% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.1% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 85.4% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.2% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 20, 2026 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 20, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | D Potential harm, isolated | Corrected March 19, 2026 |
| February 20, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 20, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected April 6, 2026 |
| February 20, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected February 28, 2026 |
| February 20, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 20, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected April 6, 2026 |
| February 20, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 5, 2026 |
| February 20, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 25, 2026 |
| February 20, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 24, 2026 |
| February 20, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected March 22, 2026 |
| January 23, 2020 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected February 27, 2020 |
| January 23, 2020 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected February 27, 2020 |
| January 23, 2020 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | D Potential harm, isolated | Corrected February 27, 2020 |
| January 23, 2020 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected February 27, 2020 |
| January 23, 2020 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 27, 2020 |
| January 23, 2020 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected February 27, 2020 |
| February 27, 2019 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected March 31, 2019 |
| February 27, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 31, 2019 |
| February 27, 2019 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected March 31, 2019 |
| February 27, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 31, 2019 |
| February 27, 2019 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 31, 2019 |
| February 27, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected March 31, 2019 |
| February 27, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 12, 2019 |
| February 27, 2019 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 12, 2019 |
| February 27, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 7, 2019 |
| February 27, 2019 Standard | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected March 12, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DAVIS, CLINTON Individual | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| HOLCOMBE, MICHELLE Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| HOLM, KURT Individual | adp of the snf | NOT APPLICABLE | 02/08/2023 |
| OCOEE ARDMORE PROPERTY INVESTMENT LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| OCOEE FOUNDATION INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| PIONEER CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 03/27/2025 |
| TWIN RIVERS HEALTH & REHABILITATION LLC Organization | adp of the snf | NOT APPLICABLE | 07/08/2025 |
| WILSON, ROBYN Individual | adp of the snf | NOT APPLICABLE | 05/08/2024 |
| SHEEHAN, JOHN Individual | corporate officer | NOT APPLICABLE | 02/22/2019 |
| SHEEHAN, MARGARET Individual | corporate officer | NOT APPLICABLE | 09/01/2008 |
| BRADLEY, DON Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| BURTON, WILLIAM Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| KUPCHYNSKY, KATHLEEN Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| PHILLIPS, DOROTHY Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, JOHN Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, MARGARET Individual | managing control - governing body | NOT APPLICABLE | 09/01/2008 |
| SMITH, FRANK Individual | managing control - governing body | NOT APPLICABLE | 02/07/2024 |
| BRADLEY, DON Individual | operational/managerial control | NOT APPLICABLE | 02/07/2022 |
| BURTON, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| DAVIS, CLINTON Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| HOLCOMBE, MICHELLE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| HOLM, KURT Individual | operational/managerial control | NOT APPLICABLE | 02/08/2023 |
| KUPCHYNSKY, KATHLEEN Individual | operational/managerial control | NOT APPLICABLE | 02/04/2024 |
| OCOEE FOUNDATION INC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| PHILLIPS, DOROTHY Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| PIONEER CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| SHEEHAN, JOHN Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| SHEEHAN, MARGARET Individual | operational/managerial control | NOT APPLICABLE | 06/18/2008 |
| SMITH, FRANK Individual | operational/managerial control | NOT APPLICABLE | 02/07/2024 |
| TWIN RIVERS HEALTH & REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| WILSON, ROBYN Individual | operational/managerial control | NOT APPLICABLE | 05/08/2024 |
| SHEEHAN, JOHN Individual | trustee of the snf | NOT APPLICABLE | 06/19/2008 |
| SHEEHAN, MARGARET Individual | trustee of the snf | NOT APPLICABLE | 04/01/2019 |
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★★★★★3AverageValley View Health and Rehabilitation, LLC
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★★★★★4Above averageElk River Health & Rehabilitation of Fayetteville
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Frequently asked questions
What is Elk River Health and Nursing Center of Ardmore, Ll's rating?
Elk River Health and Nursing Center of Ardmore, Ll has 4 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Elk River Health and Nursing Center of Ardmore, Ll receive?
Its most recent standard health inspection found 1 citation, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Elk River Health and Nursing Center of Ardmore, Ll accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Elk River Health and Nursing Center of Ardmore, Ll?
It is non profit - corporation and part of Twin Rivers Health & Rehabilitation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Elk River Health and Nursing Center of Ardmore, Ll and how do I contact it?
Elk River Health and Nursing Center of Ardmore, Ll is at 24623 Union Hill Road, Ardmore, TN 38449. Phone: (931) 427-2143.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.