Brentwood, TN

Somerfield At The Heritage

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

900 Heritage Way, Brentwood, TN

(615) 564-4900

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

62

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Services

Operator or chain grouping

Approved since

2007-06-26

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.13

Registered nurse staffing

LPN hours / resident day

0.69

Licensed practical nurse staffing

Aide hours / resident day

2.44

Nurse aide staffing

Weekend hours

3.69

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.6
0.3 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.0
1.6
1.4 pts worse
1.8
1.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.9%
10.1 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.5%
94.5%
About the same
95.5%
1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
3.6%
0.8 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.8%
11.8%
10 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.3%
6.2%
0.9 pts better
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.4%
32.2%
22.8 pts better
19.6%
10.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.9%
18.1%
9.2 pts better
16.7%
7.8 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 15.8%
19.9%
4.1 pts better
16.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.6%
15.3%
1.7 pts better
14.9%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.6%
0.9%
1.7 pts worse
1.0%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.9%
1.9 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.3%
20.2%
7.9 pts better
19.8%
7.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.5%
5.4%
2.9 pts better
5.1%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
79.6%
17.9 pts better
81.7%
15.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.1%
11.2%
0.9 pts worse
12.0%
0.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.6%
0.9 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.8%
79.8%
9 pts better
79.7%
9.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 34.1%
22.2%
11.9 pts worse
23.9%
10.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-04-20 · Fire 2022-04-20

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2019-12-18 · Fire 2019-12-18

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-01-29 · Fire 2019-01-29

4 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-04-20

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-04-19

D · Potential for more than minimal harm 2019-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-23

D · Potential for more than minimal harm 2019-12-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-19

D · Potential for more than minimal harm 2019-01-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-02-18

D · Potential for more than minimal harm 2019-01-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-02-18

D · Potential for more than minimal harm 2019-01-29

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-02-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2022-04-20

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-04-25

D · Potential for more than minimal harm 2022-04-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-05-03

D · Potential for more than minimal harm 2019-01-29

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-02-18

D · Potential for more than minimal harm 2019-01-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-02-18

D · Potential for more than minimal harm 2019-01-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2019-02-18

D · Potential for more than minimal harm 2019-01-29

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 2019-02-18

Penalties and ownership

What sits behind the stars

Ownership

Heritage Investment Partners LLC

5% Or Greater Direct Ownership Interest · Organization

70% 1 facilities 2016-01-07
Harpeth Green Properties, LLC

5% Or Greater Direct Ownership Interest · Organization

15% 1 facilities 2007-08-08
Lcs Tn LLC

5% Or Greater Direct Ownership Interest · Organization

15% 1 facilities 2007-08-08
Bird, John

Corporate Officer · Individual

0% 8 facilities 2024-02-15
Cooper, John

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2007-08-08
Cooper, John

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Harpeth Green Properties, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2007-08-08
Jordan, Dahlen

Operational/Managerial Control · Individual

0% 1 facilities 2010-08-05
Lahey, Daniel

Corporate Officer · Individual

0% 7 facilities 2024-02-15
Lcs Holding Company LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2021-12-27
Life Care Companies LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2010-07-01
Life Care Services Communities, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2007-08-08
Lowe, Whitson

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2016-01-07
Oak Investment Trust Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2021-12-28
Pinnacle Bank

5% Or Greater Security Interest · Organization

0% 1 facilities 2016-01-07
Pinnacle Bank

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2016-01-07
Rci Legacy Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2021-12-28
Redwood Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2021-12-28
Shaw, Gelynna

Corporate Officer · Individual

0% 7 facilities 2024-02-15
Sherman, Devin

Operational/Managerial Control · Individual

0% 1 facilities 2024-02-15
Tagatz, Jon

Operational/Managerial Control · Individual

0% 1 facilities 2007-08-08
Uhlemann, Bridgette

Corporate Officer · Individual

0% 8 facilities 2024-02-15
Victor, Jason

Corporate Officer · Individual

0% 13 facilities 2018-01-01

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