Elk River Health and Nursing Center of Ardmore, Ll
A nursing home in Ardmore, Tennessee 38449
24623 Union Hill Road, Ardmore, Tennessee 38449. (931) 427-2143.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 1 health citation at the latest inspection cycle Tennessee average: 4.3
- 3.76 nurse hours per resident per day Tennessee average: 3.82
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
1 health citation at the latest inspection cycle
The Tennessee average is 4.3.
Last standard inspection Feb 20, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
1 citation in 1 month of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 1 citation in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 20, 2026: standard inspection1 citation
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Implement a program that monitors antibiotic use.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 1, 1993.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 79 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.76 nurse hours per resident per day
The Tennessee average is 3.82.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Tennessee average |
|---|---|---|
| Nurse hours per resident per day | 3.76 | 3.82 |
| Of which registered nurses | 0.47 | 0.60 |
| At weekends | 3.33 | 3.32 |
| Nursing staff turnover | 53.8% | 48.6% |
| Registered nurse turnover | 62.5% | 43.2% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ocoee Foundation Inc. owns 100% directly since Apr 1, 2019.
- Twin Rivers Health & Rehabilitation LLC and Pioneer Consulting LLC and Ocoee Foundation Inc. run it.
- 28 owners or officers are people: John J Sheehan (corporate officer, 100%); Clinton Davis (runs it (operational or managerial control), 100%); Margaret Sheehan (corporate officer, 100%); John J Sheehan (runs it (operational or managerial control)); John J Sheehan (on the governing body (managing control)); John J Sheehan (trustee); John Sheehan (runs it (operational or managerial control)); John Sheehan (on the governing body (managing control)); Kathleen S Kupchynsky (runs it (operational or managerial control)); Kathleen S Kupchynsky (on the governing body (managing control)); Michelle Holcombe (runs it (operational or managerial control)); Michelle Holcombe (additional disclosable party (controls, leases property to, or provides services to the home)); Clinton Davis (additional disclosable party (controls, leases property to, or provides services to the home)); Frank Alan Smith (runs it (operational or managerial control)); Frank Alan Smith (on the governing body (managing control)); Margaret Sheehan (runs it (operational or managerial control)); Margaret Sheehan (on the governing body (managing control)); Margaret Sheehan (trustee); Kurt Douglas Holm (runs it (operational or managerial control)); Kurt Douglas Holm (additional disclosable party (controls, leases property to, or provides services to the home)); Robyn F Wilson (runs it (operational or managerial control)); Robyn F Wilson (additional disclosable party (controls, leases property to, or provides services to the home)); Don Bradley (runs it (operational or managerial control)); Don Bradley (on the governing body (managing control)); Dorothy C Phillips (runs it (operational or managerial control)); Dorothy C Phillips (on the governing body (managing control)); William Burton (runs it (operational or managerial control)); William Burton (on the governing body (managing control)).
- Part of Twin Rivers Health & Rehabilitation (11 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ocoee Foundation Inc. | Owns 5% or more directly | 100% | Apr 1, 2019 |
| Twin Rivers Health & Rehabilitation LLC | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Twin Rivers Health & Rehabilitation LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| Pioneer Consulting LLC | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Pioneer Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Ocoee Foundation Inc. | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Ocoee Foundation Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2019 | |
| Ocoee Ardmore Property Investment LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2019 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Tennessee average 3.7).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 23.7 miles, this one had the 10th most health citations at the latest inspection cycle (1; the middle value was 3).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Elk River Health and Nursing Center of Ardmore, Ll This nursing home | 1 | |
| Athens Health and Rehabilitation LLC | 15.1 | 0 |
| Limestone Nursing and Rehabilitation Center, LLC | 15.4 | 3 |
| Meadowbrook Healthcare and Rehabilitation Center | 15.4 | 2 |
| Nhc Healthcare, Pulaski | 15.7 | 0 |
| Valley View Health and Rehabilitation, LLC | 18.2 | 5 |
| Elk River Health & Rehabilitation of Fayetteville | 20.5 | 2 |
| The Health Center at Research Park | 20.6 | 11 |
| Donalson Care Center | 22.4 | 8 |
| Regency Health Care and Rehabilitation Center | 22.7 | 14 |
| Madison Manor Nursing Home | 22.9 | 3 |
| Windsor House | 23.7 | 11 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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