Cycle 1
Health 2023-06-21 · Fire 2023-06-21
10 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Nashville, TN
Trevecca Center For Rehabilitation And Healing LLC
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
329 Murfreesboro Rd, Nashville, TN
(615) 244-6900
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
240
Certified beds
Average residents
212
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1976-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 3 health / 2 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
0.47
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.10
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
2.93
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,841
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.85
Composite VBP score used to determine payment impact.
Payment multiplier
0.9887
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.74
Baseline 19.31% · Performance 18.77% · Measure score 5.74 · Achievement 5.74 · Improvement 1.86
Healthcare-associated infections
3.94
Baseline 4.69% · Performance 6.66% · Measure score 3.94 · Achievement 3.94 · Improvement 0
Total nurse turnover
4.27
Baseline 83.62% · Performance 55.61% · Measure score 4.27 · Achievement 1.97 · Improvement 4.27
Adjusted total nurse staffing
0
Baseline 3.08 hours · Performance 2.83 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.91% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 182 · Observed rate 9.89% · Lower 95% interval 7.22% |
| Discharge to community | 51.88% |
50.57%
1.3 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 42.86% · Lower 95% interval 43.79% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 205 · Denominator 205 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 205 |
| Discharge self-care score | 47.8% |
53.69%
5.9 pts worse
|
Numerator 76 · Denominator 159 |
| Discharge mobility score | 37.11% |
50.94%
13.8 pts worse
|
Numerator 59 · Denominator 159 |
| Pressure ulcers or injuries, new or worsened | 2.44% |
2.29%
0.1 pts worse
|
Numerator 5 · Denominator 205 · Adjusted rate 2.38% |
| Healthcare-associated infections requiring hospitalization | 6.66% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 93 · Observed rate 6.45% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 1.37% |
8.2%
6.8 pts worse
|
Numerator 4 · Denominator 292 |
| Staff flu vaccination coverage | 38.94% |
42%
3.1 pts worse
|
Numerator 118 · Denominator 303 |
| Discharge function score | 52.83% |
56.45%
3.6 pts worse
|
Numerator 84 · Denominator 159 |
| Transfer of health information to provider | 99.02% |
95.95%
3.1 pts better
|
Numerator 101 · Denominator 102 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 14.04% |
25.2%
11.2 pts worse
|
Numerator 16 · Denominator 114 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 58.2% |
89.9%
31.7 pts worse
|
93.4%
35.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 67.6% · Q2 60.4% · Q3 51.4% · Q4 53.3% · 4Q avg 58.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.7% |
94.5%
8.8 pts worse
|
95.5%
9.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.6%
1.4 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.7% · Q3 2.2% · Q4 1.6% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.9% |
11.8%
4.1 pts worse
|
11.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 33.3% · Q3 13.3% · Q4 9.9% · 4Q avg 15.9% |
| Percentage of long-stay residents who lose too much weight | 6.3% |
6.2%
0.1 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 8.2% · Q3 6.8% · Q4 5.6% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.3% |
32.2%
7.9 pts better
|
19.6%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 25.1% · Q3 23.5% · Q4 24.2% · 4Q avg 24.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
18.1%
11.8 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.4% · Q3 4.2% · Q4 6.3% · 4Q avg 6.3% · 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 | 19.5% |
19.9%
0.4 pts better
|
16.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 18.5% · Q3 19.8% · Q4 27.3% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.2% |
15.3%
3.9 pts worse
|
14.9%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 26.0% · Q3 20.5% · Q4 18.7% · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.9%
0.8 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · 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 1.1% · Q3 0.6% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
20.2%
1.2 pts worse
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 20.5% · Q3 22.6% · Q4 17.3% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
5.4%
0.1 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.7% · Q3 5.3% · Q4 5.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.1% |
79.6%
51.5 pts worse
|
81.7%
53.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 30.8% · Q3 30.8% · Q4 21.0% · 4Q avg 28.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
11.2%
7.1 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 4.1% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.0% |
79.8%
31.8 pts worse
|
79.7%
31.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
22.2%
2.3 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 19.5% · Expected 23.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-04-10 · Fire 2019-04-10
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2018-03-14 · Fire 2018-03-14
3 health deficiencies
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-06-21
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-08-01
D · Potential for more than minimal harm
2023-06-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-01
D · Potential for more than minimal harm
2023-06-21
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 2023-08-01
F · Potential for more than minimal harm
2019-04-10
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-04-23
F · Potential for more than minimal harm
2019-04-10
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2019-04-30
D · Potential for more than minimal harm
2019-04-10
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 2019-04-12
D · Potential for more than minimal harm
2019-04-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-22
D · Potential for more than minimal harm
2019-04-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-04-09
D · Potential for more than minimal harm
2019-04-10
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-25
D · Potential for more than minimal harm
2019-04-10
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-09
D · Potential for more than minimal harm
2019-04-10
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-05-13
F · Potential for more than minimal harm
2018-03-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-03-29
D · Potential for more than minimal harm
2018-03-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-04-10
D · Potential for more than minimal harm
2018-03-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-03-22
D · Potential for more than minimal harm
2018-03-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-03-29
D · Potential for more than minimal harm
2018-03-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-03-23
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-06-21
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
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 2023-07-27
D · Potential for more than minimal harm
2023-06-21
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 2023-07-27
D · Potential for more than minimal harm
2023-06-21
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 2023-07-27
D · Potential for more than minimal harm
2023-06-21
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-07-27
D · Potential for more than minimal harm
2023-06-21
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 2023-07-27
D · Potential for more than minimal harm
2019-04-10
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 2019-04-25
D · Potential for more than minimal harm
2019-04-10
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 2019-04-25
D · Potential for more than minimal harm
2018-03-14
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2018-04-10
D · Potential for more than minimal harm
2018-03-14
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 2018-04-10
Penalties and ownership
What sits behind the stars
$3,728
2023-06-21
Fine
Fine · fine $3,728
Fine
$5,597
2023-06-21
Fine
Fine · fine $5,597
Fine
Ownership
Trevecca Ventures Tn LLC
5% Or Greater Direct Ownership Interest · Organization
Einhorn, Neal
5% Or Greater Indirect Ownership Interest · Individual
Friedman, Mark
5% Or Greater Indirect Ownership Interest · Individual
Schwartz, Eliezer
5% Or Greater Indirect Ownership Interest · Individual
Zucker, Yossie
5% Or Greater Indirect Ownership Interest · Individual
Friedman, Mark
Operational/Managerial Control · Individual
Friedman, Mark
Corporate Officer · Individual
Morrison, Barbara
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Nashville Center For Rehabilitation And Healing Ll
Nashville, TN
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#2
Advanced Health Care Of Nashville
Nashville, TN
0-star overall rating with 0-star inspections with $125,508 in total fines
#3
The Health Center At Richland Place
Nashville, TN
3-star overall rating with 2-star inspections with $56,378 in total fines with 9 recent health deficiencies
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