Cycle 1
Health 2025-03-13 · Fire 2025-03-13
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Nashville, TN
Heartland
3-star overall rating with 2-star inspections with $7,901 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3025 Fernbrook Lane, Nashville, TN
(615) 885-2320
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
66
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
2016-09-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.55
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.73
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
3.81
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,012
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.12
Performance 20.91% · Measure score 1.12 · Achievement 1.12 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.68
Performance 6.44% · Measure score 4.68 · Achievement 4.68 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
1.36
Baseline 68.85% · Performance 60.66% · Measure score 1.36 · Achievement 0.74 · Improvement 1.36
Adjusted total nurse staffing
1.53
Baseline 3.41 hours · Performance 3.51 hours · Measure score 1.53 · Achievement 1.53 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.48% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 7.04% |
| Discharge to community | 53.63% |
50.57%
3.1 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 51.85% · Lower 95% interval 42.55% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 52 · Denominator 52 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 52 |
| Discharge self-care score | 56.41% |
53.69%
2.7 pts better
|
Numerator 22 · Denominator 39 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 26 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 1 · Denominator 52 · Adjusted rate 1.96% |
| Healthcare-associated infections requiring hospitalization | 6.44% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 2.56% · Lower 95% interval 3.49% |
| Staff COVID-19 vaccination coverage | 1.2% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 83 |
| Staff flu vaccination coverage | 15.38% |
42%
26.6 pts worse
|
Numerator 18 · Denominator 117 |
| Discharge function score | 71.79% |
56.45%
15.3 pts better
|
Numerator 28 · Denominator 39 |
| Transfer of health information to provider | 73.08% |
95.95%
22.9 pts worse
|
Numerator 19 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10.71% |
25.2%
14.5 pts worse
|
Numerator 3 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 63.2% |
89.9%
26.7 pts worse
|
93.4%
30.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 65.2% · Q3 64.4% · Q4 50.0% · 4Q avg 63.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 74.5% |
94.5%
20 pts worse
|
95.5%
21 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 74.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.6%
0.2 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.2% · Q3 4.4% · Q4 6.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.0% |
11.8%
6.8 pts better
|
11.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.8% · Q3 6.7% · Q4 2.0% · 4Q avg 5.0% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
6.2%
0.1 pts better
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.6% · Q3 5.6% · Q4 4.7% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
32.2%
14.3 pts better
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 22.2% · Q3 11.1% · Q4 17.8% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5% |
18.1%
7.6 pts better
|
16.7%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 11.1% · Q3 11.5% · Q4 13.8% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.2% |
19.9%
14.3 pts worse
|
16.3%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.0% |
15.3%
10.7 pts worse
|
14.9%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 4.5% · Q3 50.0% · Q4 35.5% · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.9%
0.6 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.9%
1.4 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% |
20.2%
0.9 pts worse
|
19.8%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 27.5% · Q3 18.9% · Q4 25.5% · 4Q avg 21.1% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.4%
2.4 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.7% · Q3 3.1% · Q4 3.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 32.1% |
79.6%
47.5 pts worse
|
81.7%
49.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 31.8% · Q3 32.1% · Q4 34.5% · 4Q avg 32.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
11.2%
3 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 8.1% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.6%
0.7 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.7% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 38.7% |
79.8%
41.1 pts worse
|
79.7%
41 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 38.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.1% |
22.2%
4.1 pts better
|
23.9%
5.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 16.2% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-22 · Fire 2022-06-22
9 health deficiencies
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2019-10-09 · Fire 2019-10-09
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-13
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-04-09
D · Potential for more than minimal harm
2025-03-13
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-04-09
D · Potential for more than minimal harm
2025-03-13
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-03-14
D · Potential for more than minimal harm
2025-03-13
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-04-09
D · Potential for more than minimal harm
2025-03-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-21
D · Potential for more than minimal harm
2022-06-22
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-08-05
D · Potential for more than minimal harm
2019-10-09
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-10-09
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-10-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-10-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-13
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-13
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-27
G · Actual harm
2023-09-28
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-10
D · Potential for more than minimal harm
2023-09-28
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-10
D · Potential for more than minimal harm
2023-09-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-10
D · Potential for more than minimal harm
2023-09-28
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-11-10
D · Potential for more than minimal harm
2023-09-28
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-11-10
E · Potential for more than minimal harm
2023-05-22
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-05
E · Potential for more than minimal harm
2023-05-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-05
E · Potential for more than minimal harm
2023-05-22
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-07-05
E · Potential for more than minimal harm
2023-05-22
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-07-05
D · Potential for more than minimal harm
2023-05-22
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-07-05
D · Potential for more than minimal harm
2022-06-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-06-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-05
F · Potential for more than minimal harm
2019-10-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-31
E · Potential for more than minimal harm
2019-10-09
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-10-09
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-10-31
D · Potential for more than minimal harm
2019-10-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-10-31
Penalties and ownership
What sits behind the stars
$7,901
2023-09-28
Fine
Fine · fine $7,901
Fine
$0
2023-09-28
Payment Denial
Payment Denial · denial start 2023-10-28 · 13 days
13 day denial
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Joyner, Jesica
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Shelly, Timothy
Operational/Managerial Control · Individual
Tempest, Tyler
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Vincent, Brandon
Operational/Managerial Control · Individual
Vincent, Brandon
Corporate Officer · Individual
Williams, John
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
The Mckendree Post Acute & Rehabilitation
Hermitage, TN
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $252,242 in total fines with 27 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Trevecca Center For Rehabilitation And Healing LLC
Nashville, TN
4-star overall rating with 3-star inspections with $9,325 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Old Hickory Village
Old Hickory, TN
3-star overall rating with 2-star inspections with $13,520 in total fines with 12 recent health deficiencies
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