# Elk River Health and Nursing Center of Ardmore, Ll Elk River Health and Nursing Center of Ardmore, Ll is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Ardmore, TN, CMS Certification Number 445321, with 79 certified beds and about 62 residents per day. CMS rates it 4/5 overall (health inspections 4/5, staffing 2/5, quality measures 4/5). ## Key facts - Status: Active CMS certification - Address: 24623 Union Hill Road, Ardmore, TN 38449 (Giles County) - Ownership type: Non profit - Corporation - Operator (legal business name): [Elk River Health & Nursing Center of Ardmore LLC](https://carefield.site/operator/op-elk-river-health-and-nursing-center-of-ardmore-llc) - CMS chain: [Twin Rivers Health & Rehabilitation](https://carefield.site/chain/cms-chain-532) — 11 facilities - Phone: 9314272143 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445321 ## Inspection record 6 inspections in the CMS window (latest 2026-02-20); 27 citations (7 health, 20 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-02-20 — [E-0020](https://carefield.site/deficiency/cms-e0020) Establish policies and procedures including evacuation. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0521](https://carefield.site/deficiency/cms-k0521) Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0712](https://carefield.site/deficiency/cms-k0712) Have simulated fire drills held at unexpected times. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-02-20 — [F-0881](https://carefield.site/deficiency/cms-f0881) Implement a program that monitors antibiotic use. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2020-01-23 — [E-0015](https://carefield.site/deficiency/cms-e0015) Address subsistence needs for staff and patients. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2020-01-23 — [E-0026](https://carefield.site/deficiency/cms-e0026) Establish roles under a Waiver declared by secretary. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2020-01-23 — [K-0232](https://carefield.site/deficiency/cms-k0232) Have corridors or aisles that are unobstructed and are at least 8 feet in width. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2020-01-23 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2020-01-23 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2020-01-23 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2019-02-27 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-02-27 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-02-27 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 7 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.76036 (state avg 3.81924, US 3.90085) - RN: 0.4741 - Nursing staff turnover: 53.8% ## Owners and managers of record (CMS disclosures) - Don Bradley — Operational / managerial control, since 2024-02-07 - William Burton — Operational / managerial control, since 2024-02-07 - Kathleen Kupchynsky — Operational / managerial control, since 2024-02-07 - Dorothy Phillips — Operational / managerial control, since 2024-02-07 - John Sheehan — Operational / managerial control, since 2024-02-07 - Margaret Sheehan — Operational / managerial control, since 2008-09-01 - Frank Smith — Operational / managerial control, since 2024-02-07 - [Ocoee Foundation Inc](https://carefield.site/owner/org-ocoee-foundation-inc) — Operational / managerial control, since 2019-04-01 - [Pioneer Consulting LLC](https://carefield.site/owner/org-pioneer-consulting-llc) — Operational / managerial control, since 2019-04-01 - [Twin Rivers Health & Rehabilitation LLC](https://carefield.site/owner/org-twin-rivers-health-and-rehabilitation-llc) — Operational / managerial control, since 2019-04-01 - Don Bradley — Operational / managerial control, since 2022-02-07 - William Burton — Operational / managerial control, since 2024-02-07 - Clinton Davis — Operational / managerial control, since 2019-04-01 - Michelle Holcombe — Operational / managerial control, since 2019-04-01 - Kurt Holm — Operational / managerial control, since 2023-02-08 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445321&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445321&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445321&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445321&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445321&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445321&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-445321 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.