What is Elk River Health and Nursing Center of Ardmore, Ll's Medicare star rating?

CMS rates Elk River Health and Nursing Center of Ardmore, Ll 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

Has Elk River Health and Nursing Center of Ardmore, Ll been fined?

CMS lists no fines in the last three years.

Does Elk River Health and Nursing Center of Ardmore, Ll accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Elk River Health and Nursing Center of Ardmore, Ll?

CMS lists 33 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: ELK RIVER HEALTH & NURSING CENTER OF ARDMORE LLC.

Elk River Health and Nursing Center of Ardmore, Ll

The record in brief

At its most recent standard inspection, on February 20, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).

None of its 7 health citations since February 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.89 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

62.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Twin Rivers Health & Rehabilitation, an affiliated group of 11 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

402/19

201/20

102/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 20, 2026Standard inspection · 1 citation

D

Implement a program that monitors antibiotic use.

F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2026

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure the prolonged use of prophylactic antibiotics was reviewed and tracked as a part of the facility's antibiotic stewardship program for 1 (Resident #9) of 5 residents sampled for medication regimen review.

January 23, 2020Standard inspection · 2 citations

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 27, 2020

Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when [NAME] #1 touched food with a contaminated glove. The facility had a census of 37 residents with 33 of those residents receiving a tray from the kitchen.
E

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2020

Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure physician's orders were obtained for hospice services for 2 of 2 sampled residents (Resident #10 and #43) reviewed for hospice.

February 27, 2019Standard inspection · 4 citations

D

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.

F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2019

Inspectors wroteBased on policy review, medical record review and interview, the facility failed to have required discharge and transfer documentation for 1 of 1 (Resident #3) sampled residents reviewed for hospitalization.
D

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

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019

Inspectors wroteBased on policy review, review of the interdisciplinary care plan meeting sign in sheets, medical record review, and interview, the facility failed to ensure residents were involved in developing the care plan and making decisions about his or her care and failed to include direct care staff in Interdisciplinary Care Planning for 2 of 2 (Residents #3 and 11) residents reviewed for care plans.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2019

Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure safe practices were maintained when using a mechanical lift for 1 of 3 (Resident #31) residents reviewed for accident hazards.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 12, 2019

Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were followed when 1 of 3 (Licensed Practical Nurse (LPN) #2) nurses failed to perform hand hygiene between glove use during medication administration observations.

Fire safety inspections

20 fire safety citations on file: 10 on February 20, 2026, 4 on January 23, 2020, 6 on February 27, 2019.

Every fire safety citation20 citations

D
Establish policies and procedures including evacuation.

E 20 · February 20, 2026 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 20, 2026 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 20, 2026 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · February 20, 2026 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · February 20, 2026 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · February 20, 2026 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 20, 2026 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · February 20, 2026 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · February 20, 2026 · Corrected (the home has a date of correction)
D
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · February 20, 2026 · Corrected (the home has a date of correction)
D
Address subsistence needs for staff and patients.

E 15 · January 23, 2020 · Corrected (the home has a date of correction)
D
Establish roles under a Waiver declared by secretary.

E 26 · January 23, 2020 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · January 23, 2020 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · January 23, 2020 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 27, 2019 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · February 27, 2019 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 27, 2019 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 27, 2019 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · February 27, 2019 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · February 27, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.89	3.80	3.86
Registered nurses	0.46	0.60	0.69
All nursing staff on weekends	3.27	3.31	3.42
Nurse aides	2.12
Licensed practical nurses	1.31
Nursing staff turnover (share who left in a year)	62.1%	48.9%	45.8%
Registered nurse turnover	66.7%	43.2%	42.9%
Administrators who left	0

CMS expects 3.77 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.14 on weekdays and 3.27 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.89 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.89	0.46	4.14	3.27	16.8%	0 of 90	58
Oct to Dec 2025	3.87	0.39	4.08	3.34	9.0%	0 of 92	54
Jul to Sep 2025	3.85	0.37	4.03	3.40	13.7%	0 of 92	56
Apr to Jun 2025	3.75	0.44	3.90	3.37	20.0%	0 of 91	62
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Tennessee

Job	Median	Middle half	Employed
Tennessee, all employers
CNAs (nursing assistants)	$18.27	$17.09 to $19.66	27,040
LPNs and LVNs	$28.31	$23.64 to $30.12	20,830
Registered nurses	$39.18	$36.28 to $45.79	72,200
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.5	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.2	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.8	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	4.1	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.2	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.5	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	16.3	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.7	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.1	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.6	1.8

Owners and operators

Legal business name: ELK RIVER HEALTH & NURSING CENTER OF ARDMORE LLC. CMS links this home to Twin Rivers Health & Rehabilitation, a group of 11 nursing homes averaging 3.9 stars overall.

Name	Role	Type	Since
Bradley, Don	Managing control - governing body	Individual	02/07/2024
Burton, William	Managing control - governing body	Individual	02/07/2024
Kupchynsky, Kathleen	Managing control - governing body	Individual	02/07/2024
Phillips, Dorothy	Managing control - governing body	Individual	02/07/2024
Sheehan, John	Managing control - governing body	Individual	02/07/2024
Sheehan, Margaret	Managing control - governing body	Individual	09/01/2008
Smith, Frank	Managing control - governing body	Individual	02/07/2024
Sheehan, John	Corporate officer	Individual	02/22/2019
Sheehan, Margaret	Corporate officer	Individual	09/01/2008
Ocoee Foundation Inc	Operational/managerial control	Organization	04/01/2019
Pioneer Consulting LLC	Operational/managerial control	Organization	04/01/2019
Twin Rivers Health & Rehabilitation LLC	Operational/managerial control	Organization	04/01/2019
Bradley, Don	Operational/managerial control	Individual	02/07/2022
Burton, William	Operational/managerial control	Individual	02/07/2024
Davis, Clinton	Operational/managerial control	Individual	04/01/2019
Holcombe, Michelle	Operational/managerial control	Individual	04/01/2019
Holm, Kurt	Operational/managerial control	Individual	02/08/2023
Kupchynsky, Kathleen	Operational/managerial control	Individual	02/04/2024
Phillips, Dorothy	Operational/managerial control	Individual	02/07/2024
Sheehan, John	Operational/managerial control	Individual	02/07/2024
Sheehan, Margaret	Operational/managerial control	Individual	06/18/2008
Smith, Frank	Operational/managerial control	Individual	02/07/2024
Wilson, Robyn	Operational/managerial control	Individual	05/08/2024
Sheehan, John	Trustee of the SNF	Individual	06/19/2008
Sheehan, Margaret	Trustee of the SNF	Individual	04/01/2019
Ocoee Ardmore Property Investment LLC	Adp of the SNF	Organization	04/01/2019
Ocoee Foundation Inc	Adp of the SNF	Organization	04/01/2019
Pioneer Consulting LLC	Adp of the SNF	Organization	03/27/2025
Twin Rivers Health & Rehabilitation LLC	Adp of the SNF	Organization	07/08/2025
Davis, Clinton	Adp of the SNF	Individual	01/01/2019
Holcombe, Michelle	Adp of the SNF	Individual	04/01/2019
Holm, Kurt	Adp of the SNF	Individual	02/08/2023
Wilson, Robyn	Adp of the SNF	Individual	05/08/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Implement a program that monitors antibiotic use."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 23, 2020: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 23, 2020: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 27, 2019: "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."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Athens Health and Rehabilitation LLC
Athens, 15.1 mi · 5 of 5 stars · 10 citations
Limestone Nursing and Rehabilitation Center, LLC
Athens, 15.4 mi · 3 of 5 stars · 10 citations
Meadowbrook Healthcare and Rehabilitation Center
Pulaski, 15.4 mi · 4 of 5 stars · 6 citations
NHC Healthcare, Pulaski
Pulaski, 15.7 mi · 3 of 5 stars · 7 citations
Valley View Health and Rehabilitation, LLC
Madison, 18.2 mi · 4 of 5 stars · 10 citations
Elk River Health & Rehabilitation of Fayetteville
Fayetteville, 20.5 mi · 4 of 5 stars · 8 citations
The Health Center at Research Park
Huntsville, 20.6 mi · 1 of 5 stars · 20 citations
Donalson Care Center
Fayetteville, 22.4 mi · 3 of 5 stars · 24 citations

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Elk River Health and Nursing Center of Ardmore, Ll's Medicare star rating?: CMS rates Elk River Health and Nursing Center of Ardmore, Ll 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Elk River Health and Nursing Center of Ardmore, Ll get at its last inspection?: 1 health deficiency at the standard inspection on February 20, 2026. The Tennessee average is 4.4.
Has Elk River Health and Nursing Center of Ardmore, Ll been fined?: CMS lists no fines in the last three years.
Does Elk River Health and Nursing Center of Ardmore, Ll accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Elk River Health and Nursing Center of Ardmore, Ll?: CMS lists 33 owners and managers, and links the home to Twin Rivers Health & Rehabilitation. Legal business name: ELK RIVER HEALTH & NURSING CENTER OF ARDMORE LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.