Elk River Health and Nursing Center of Ardmore, Ll

24623 Union Hill Road · Ardmore, TN · 38449 · 9314272143

79 certified beds Non profit - Corporation Chain: Twin Rivers Health & Rehabilitation

  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 83
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 100
Trend 10% 91
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.34≈ weekday level
Nursing turnover / year60%median 45%
Fines (3-yr window)none

Inspection citations (8 in the current record)

  • Potential for harm · D February 20, 2026

    Implement a program that monitors antibiotic use.

    Corrected March 22, 2026 · Infection Control

  • Potential for harm · D August 31, 2023 · found via complaint

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

    Corrected September 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 23, 2020

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

    Corrected February 27, 2020 · Quality of Life and Care

  • Potential for harm · F January 23, 2020

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

    Corrected February 27, 2020 · Nutrition and Dietary

  • Potential for harm · D 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.

    Corrected March 12, 2019 · Resident Rights

  • Potential for harm · D February 27, 2019

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

    Corrected March 7, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2019

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

    Corrected March 12, 2019 · Quality of Life and Care

  • Potential for harm · D February 27, 2019

    Provide and implement an infection prevention and control program.

    Corrected March 12, 2019 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445321 · certified since October 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.