Tennessee ›Ardmore

Elk River Health and Nursing Center of Ardmore, LL

Costs & paymentPlan a visit

24623 Union Hill Road, Ardmore, TN 38449 (opens Google Maps) · Giles County · (931) 427-2143· 79 certified beds · avg 58 residents/day · certified since Oct 1, 1993 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5
Health inspection rating (on-site)
inspected Feb 20, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.96
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. F-0881

  2. D · Potential for more than minimal harm, isolated

    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 F-0600

  3. F · Potential for more than minimal harm, widespread

    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. F-0812

View all 8 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Feb 20, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0881
Aug 31, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0600
Jan 23, 2020F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 23, 2020E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 27, 2019D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622
Feb 27, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Feb 27, 2019D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Feb 27, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0880

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 4
Serious citations (G–L): 0
2020
All citations: 2
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201940D
202020F
202310D
202610D

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.96
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.46
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.33
Tennessee average: 3.15
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTennessee avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.963.623.95top 23% in Tennessee; top 41% in the U.S.
Registered Nurse hours0.460.570.69bottom 41% in Tennessee; bottom 32% in the U.S.
Weekend total nurse staffing3.333.153.50top 28% in Tennessee; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)0.280.390.48bottom 38% in Tennessee; bottom 29% in the U.S.
Total nursing staff turnover (%)62.148.945.8bottom 16% in Tennessee; bottom 13% in the U.S.
RN turnover (%)66.743.242.9bottom 16% in Tennessee; bottom 15% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Elk River Health and Nursing Center of Ardmore, LL. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Bradley, DonIndividualManaging Control - Governing BodyNOT APPLICABLE02/07/2024
Bradley, DonIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2022
Burton, WilliamIndividualManaging Control - Governing BodyNOT APPLICABLE02/07/2024
Burton, WilliamIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2024
Davis, ClintonIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2019
Davis, ClintonIndividualADP of the SNFNOT APPLICABLE01/01/2019
Holcombe, MichelleIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2019
Holcombe, MichelleIndividualADP of the SNFNOT APPLICABLE04/01/2019
Holm, KurtIndividualOperational/Managerial ControlNOT APPLICABLE02/08/2023
Holm, KurtIndividualADP of the SNFNOT APPLICABLE02/08/2023
Kupchynsky, KathleenIndividualManaging Control - Governing BodyNOT APPLICABLE02/07/2024
Kupchynsky, KathleenIndividualOperational/Managerial ControlNOT APPLICABLE02/04/2024
Ocoee Ardmore Property Investment LLCOrganizationADP of the SNFNOT APPLICABLE04/01/2019
Ocoee Foundation INCOrganizationOperational/Managerial ControlNOT APPLICABLE04/01/2019
Ocoee Foundation INCOrganizationADP of the SNFNOT APPLICABLE04/01/2019
Phillips, DorothyIndividualManaging Control - Governing BodyNOT APPLICABLE02/07/2024
Phillips, DorothyIndividualOperational/Managerial ControlNOT APPLICABLE02/07/2024
Pioneer Consulting LLCOrganizationOperational/Managerial ControlNOT APPLICABLE04/01/2019
Pioneer Consulting LLCOrganizationADP of the SNFNOT APPLICABLE03/27/2025
Sheehan, JohnIndividualManaging Control - Governing BodyNOT APPLICABLE02/07/2024

Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Twin Rivers Health & Rehabilitation — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 62% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 33 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Athens Health and Rehabilitation LLC15.1 miAthens, AL★★★★★4/5
Limestone Nursing and Rehabilitation Center, LLC15.4 miAthens, AL★★★☆☆3/5
Meadowbrook Healthcare and Rehabilitation Center15.4 miPulaski, TN★★★★☆5/5
NHC Healthcare, Pulaski15.7 miPulaski, TN★★★☆☆2/5
Valley View Health and Rehabilitation, LLC18.2 miMadison, 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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

Your research

Viewed & saved homes

Kept in this browser tab for this session. Choose to remember them only on a device you trust. Opening a record or comparison sends its usual page request.

Selected for comparison

Recently viewed

Prices entered in a cost worksheet stay on that page and are not saved. Privacy details