Deficiency Index

Elk River Health and Nursing Center of Ardmore, LL

Ardmore, Tennessee · CCN 445321

15 surveys since 2011. The first finding at harm level was recorded in 2020.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
47
Surveys
15
Harm or worse
6
Immediate jeopardy
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
79
Ownership
Non profit - Corporation
Chain
TWIN RIVERS HEALTH & REHABILITATION
County
Giles · rural
Medicare-certified since
1993

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

Feb 20, 2026

262 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.893.67
Registered-nurse hours per resident day0.46—
Annual nurse turnover62.1%48.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD675.0%E112.5%F112.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 47 citations on record.

In the surveyor’s words

From the most serious findings on record at Elk River Health and Nursing Center of Ardmore, LL, in the surveyor’s own words.

  • Actual harm, isolatedF657Oct 12, 2022

    Based on facility policy review, medical record review, and interviews, the facility failed to update the Care Plan for 1 of 5 sampled residents (Resident #2) reviewed, which resulted in a fall with major injury. The findings include: Review of the facility's policy titled, Assessing Falls and Their Causes, revised 3/2018, revealed, .Review the resident's care plan to assess for any special needs of the resident .Residents must be assessed upon admission and regularly afterwards for potential risk for falls. […]

  • Actual harm, isolatedF689Oct 12, 2022

    Based on facility policy review, medical record review, observations, and interviews, the facility failed to protect 1 of 5 sampled residents (Resident #2) reviewed from a fall which resulted in harm. The findings include: Review of the facility's policy titled, Assessing Falls and Their Causes, revised 3/2018, revealed, .Review the resident's care plan to assess for any special needs of the resident .Residents must be assessed upon admission and regularly afterwards for potential risk for falls. […]

  • No harm, potential for more than minimal, isolatedF881Feb 20, 2026

    Based 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. Findings included: A facility policy titled, Antibiotic Stewardship - Review and Surveillance of Antibiotic Use and Outcomes, revised in December 2016, indicated, Antibiotic usage and outcome data will be collected and documented using a facility-approved antibiotic surveillance tracking form. The data will be used to guide decisions for improvement of individual resident antibiotic prescribing practices and facility-wide antibiotic stewardship. […]

  • No harm, potential for more than minimal, isolatedF600Aug 31, 2023

    Based on record review, interview, and facility policy review, the facility failed to ensure one resident (Resident (R)1) of 10 residents reviewed for abuse was free from verbal abuse from a staff member. Findings include: Review of the electronic medical record (EMR) under the Face Sheet tab revealed R1 was admitted to the facility on [DATE] with diagnoses including epilepsy, traumatic brain injury, and blindness. Review of the Quarterly Minimum Data Set (MDS) located in the EMR under the MDS tab with an Assessment Reference Date (ARD) of 01/24/23 revealed R1 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating no cognitive impairment. […]

Read 20 findings in full →The most serious and the most recent: 20 of 47 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 20, 2026Standard1 finding
  • Aug 31, 2023Complaint1 finding
  • Oct 12, 2022Complaint2 findings · 2 harm
  • Dec 14, 2020Complaint5 findings · 4 harm
  • Jan 23, 2020Standard2 findings
  • May 8, 2019Complaint1 finding
  • Feb 27, 2019Standard4 findings
  • Apr 17, 2018Standard4 findings
Show the 7 earlier surveys
  • Apr 5, 2017Standard and complaint4 findings
  • Jan 12, 2016Standard8 findings
  • Jul 10, 2015Complaint1 finding
  • Nov 6, 2014Standard4 findings
  • Aug 7, 2013—2 findings
  • Apr 3, 2012—1 finding
  • Aug 10, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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