Elk River Health and Nursing Center of Ardmore, LL

Name: Elk River Health and Nursing Center of Ardmore, LL
Address: 24623 UNION HILL ROAD, Ardmore, TN, 38449, US
Telephone: 9314272143

24623 Union Hill Road, Ardmore, TN 38449 · Giles County · 79 certified beds · avg 58 residents/day · certified since Oct 1, 1993

Part of chain: TWIN RIVERS HEALTH & REHABILITATION (11 facilities, chain avg rating 3.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (8)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 20, 2026	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Aug 31, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 23, 2020	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 23, 2020	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 27, 2019	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Feb 27, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 27, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 27, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (2 → 1).

Year	Citations	Worst severity that year
2019	4	D
2020	2	F
2023	1	D
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.96	3.62	3.95	top 23% in Tennessee; top 41% in the U.S.
Registered Nurse hours	0.46	0.57	0.69	bottom 41% in Tennessee; bottom 32% in the U.S.
Weekend total nurse staffing	3.33	3.15	3.50	top 28% in Tennessee; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.39	0.48	bottom 38% in Tennessee; bottom 29% in the U.S.
Total nursing staff turnover (%)	62.1	48.9	45.8	bottom 16% in Tennessee; bottom 13% in the U.S.
RN turnover (%)	66.7	43.2	42.9	bottom 16% in Tennessee; bottom 15% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.89, RN 0.46, weekend 3.27. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bradley, Don	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Bradley, Don	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2022
Burton, William	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Burton, William	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2024
Davis, Clinton	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Davis, Clinton	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Holcombe, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Holcombe, Michelle	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
Holm, Kurt	Individual	Operational/Managerial Control	NOT APPLICABLE	02/08/2023
Holm, Kurt	Individual	ADP of the SNF	NOT APPLICABLE	02/08/2023
Kupchynsky, Kathleen	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Kupchynsky, Kathleen	Individual	Operational/Managerial Control	NOT APPLICABLE	02/04/2024
Ocoee Ardmore Property Investment LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2019
Ocoee Foundation INC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Ocoee Foundation INC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2019
Phillips, Dorothy	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024
Phillips, Dorothy	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2024
Pioneer Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Pioneer Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/27/2025
Sheehan, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Athens Health and Rehabilitation LLC	15.1 mi	Athens, AL	★★★★★	4/5
Limestone Nursing and Rehabilitation Center, LLC	15.4 mi	Athens, AL	★★★☆☆	3/5
Meadowbrook Healthcare and Rehabilitation Center	15.4 mi	Pulaski, TN	★★★★☆	5/5
NHC Healthcare, Pulaski	15.7 mi	Pulaski, TN	★★★☆☆	2/5
Valley View Health and Rehabilitation, LLC	18.2 mi	Madison, AL	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Ardmore →

Facility data as of CMS processing date 2026-08-01. CCN 445321.

The Care File

Visit checklist — Elk River Health and Nursing Center of Ardmore, LL

24623 Union Hill Road, Ardmore, TN 38449 · 9314272143

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445321 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)