ElderGrade
B

73.5/100

Above average

Elk River Health And Nursing Center Of Ardmore, Ll

24623 Union Hill Road, Ardmore, TN 38449

CMS 4/5 stars #2 of 3 in Giles County (931) 427-2143
Certified beds
79
Occupancy
73%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 62%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 16.5/30 Stability 5/15 Outcomes 12/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

16.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.96 total nurse hours per resident per day (national median 3.77)
  • 0.46 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 62% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.89 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.46 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.27 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 62.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: February 20, 2026 (6 months ago).

D Feb 20, 2026 F0881

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

No actual harm, potential for more than minimal harm

D Aug 31, 2023 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

F Jan 23, 2020 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Jan 23, 2020 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Feb 27, 2019 F0622

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Feb 27, 2019 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Feb 27, 2019 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Feb 27, 2019 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of TWIN RIVERS HEALTH & REHABILITATION, which operates 12 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BRADLEY, DON Individual MANAGING CONTROL - GOVERNING BODY
BURTON, WILLIAM Individual MANAGING CONTROL - GOVERNING BODY
KUPCHYNSKY, KATHLEEN Individual MANAGING CONTROL - GOVERNING BODY
PHILLIPS, DOROTHY Individual MANAGING CONTROL - GOVERNING BODY
SHEEHAN, JOHN Individual MANAGING CONTROL - GOVERNING BODY
SHEEHAN, MARGARET Individual MANAGING CONTROL - GOVERNING BODY
SMITH, FRANK Individual MANAGING CONTROL - GOVERNING BODY
SHEEHAN, JOHN Individual CORPORATE OFFICER
SHEEHAN, MARGARET Individual CORPORATE OFFICER
OCOEE FOUNDATION INC Organization OPERATIONAL/MANAGERIAL CONTROL
PIONEER CONSULTING LLC Organization OPERATIONAL/MANAGERIAL CONTROL
TWIN RIVERS HEALTH & REHABILITATION LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Elk River Health And Nursing Center Of Ardmore, Ll

What is the ElderGrade for Elk River Health And Nursing Center Of Ardmore, Ll? +

Elk River Health And Nursing Center Of Ardmore, Ll holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Elk River Health And Nursing Center Of Ardmore, Ll? +

Residents receive an average of 3.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Elk River Health And Nursing Center Of Ardmore, Ll been cited for harming residents? +

No. None of the 8 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Elk River Health And Nursing Center Of Ardmore, Ll accept Medicaid? +

Yes, Elk River Health And Nursing Center Of Ardmore, Ll is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.