Cycle 1
Health 2022-03-23 · Fire 2022-03-23
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Nashville, TN
Woodcrest At Blakeford
5-star overall rating with 3-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
11 Burton Hills Blvd, Nashville, TN
(615) 665-2524
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
83
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-06-21
CMS approved date
Coverage
Medicare
Participation flags
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
0.72
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.40
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.70
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.12
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
5.13
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,490
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0034
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 15.82% · Performance 22.17% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.01
Baseline 4.24% · Performance 5.44% · Measure score 8.01 · Achievement 8.01 · Improvement 0
Total nurse turnover
4.63
Baseline 65.00% · Performance 44.74% · Measure score 4.63 · Achievement 4.63 · Improvement 4.55
Adjusted total nurse staffing
7.14
Baseline 5.10 hours · Performance 5.11 hours · Measure score 7.14 · Achievement 7.14 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.04% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 290 · Observed rate 9.31% · Lower 95% interval 8.68% |
| Discharge to community | 62.78% |
50.57%
12.2 pts better
|
Better than the National Rate · Eligible stays 298 · Observed rate 61.07% · Lower 95% interval 56.8% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.81% |
95.27%
1.5 pts better
|
Numerator 182 · Denominator 188 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 188 |
| Discharge self-care score | 81.25% |
53.69%
27.6 pts better
|
Numerator 130 · Denominator 160 |
| Discharge mobility score | 73.75% |
50.94%
22.8 pts better
|
Numerator 118 · Denominator 160 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 188 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.44% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 2.84% · Lower 95% interval 3.3% |
| Staff COVID-19 vaccination coverage | 3.85% |
8.2%
4.3 pts worse
|
Numerator 6 · Denominator 156 |
| Staff flu vaccination coverage | 53.19% |
42%
11.2 pts better
|
Numerator 50 · Denominator 94 |
| Discharge function score | 76.88% |
56.45%
20.4 pts better
|
Numerator 123 · Denominator 160 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 115 · Denominator 115 |
| Transfer of health information to patient | 98.18% |
96.28%
1.9 pts better
|
Numerator 54 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 13.95% |
25.2%
11.2 pts worse
|
Numerator 12 · Denominator 86 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.5%
2.6 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.6%
0.7 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.0% · Q3 2.9% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
11.8%
11 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
6.2%
3.2 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.5% · Q3 0.0% · Q4 0.0% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.3% |
32.2%
15.9 pts better
|
19.6%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 20.8% · Q3 16.0% · Q4 14.8% · 4Q avg 16.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.8% |
18.1%
1.3 pts better
|
16.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 14.3% · Q3 17.4% · Q4 16.0% · 4Q avg 16.8% · 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 | 30.9% |
19.9%
11 pts worse
|
16.3%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
15.3%
3.5 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 31.8% · Q3 4.3% · Q4 11.5% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.9%
0.8 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.1% · Q4 2.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.9%
0.4 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.3% |
20.2%
0.9 pts better
|
19.8%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 13.0% · Q3 14.5% · Q4 26.9% · 4Q avg 19.3% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
5.4%
2.7 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 4.6% · Q4 1.8% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
79.6%
15.1 pts better
|
81.7%
13 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 99.6% · Q3 90.4% · Q4 91.1% · 4Q avg 94.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
11.2%
4.2 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.0% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.6%
0.3 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.0% · Q3 0.6% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.6% |
79.8%
26.2 pts worse
|
79.7%
26.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
22.2%
0.6 pts worse
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 17.5% · Expected 18.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-04-16 · Fire 2019-04-16
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2018-04-04 · Fire 2018-04-04
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-03-23
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-22
F · Potential for more than minimal harm
2019-04-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-05-30
F · Potential for more than minimal harm
2019-04-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-16
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 2019-05-30
D · Potential for more than minimal harm
2019-04-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-05-30
D · Potential for more than minimal harm
2019-04-16
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-05-30
D · Potential for more than minimal harm
2018-04-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-04-17
D · Potential for more than minimal harm
2018-04-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-04-17
D · Potential for more than minimal harm
2018-04-04
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-04-17
Inspection history
Recent health citations
E · Potential for more than minimal harm
2022-03-23
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 2022-05-03
E · Potential for more than minimal harm
2022-03-23
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-05-03
D · Potential for more than minimal harm
2022-03-23
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 2022-05-03
D · Potential for more than minimal harm
2022-03-23
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-05-03
D · Potential for more than minimal harm
2022-03-23
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 2022-05-03
D · Potential for more than minimal harm
2022-03-23
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 2022-05-03
D · Potential for more than minimal harm
2022-03-23
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2022-05-03
D · Potential for more than minimal harm
2022-03-23
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 2022-05-03
F · Potential for more than minimal harm
2019-04-16
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 2019-05-30
D · Potential for more than minimal harm
2018-04-04
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2018-04-19
D · Potential for more than minimal harm
2018-04-04
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2018-04-19
D · Potential for more than minimal harm
2018-04-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-04-19
D · Potential for more than minimal harm
2018-04-04
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 2018-04-19
Penalties and ownership
What sits behind the stars
Ownership
Barnes, Brian
Corporate Officer · Individual
Griffin, Albert
Corporate Officer · Individual
Griffith, Allison
Corporate Officer · Individual
Harper, Lakecia
Operational/Managerial Control · Individual
Harper, Lakecia
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Green Hills Center For Rehabilitation And Healing
Nashville, TN
2-star overall rating with 1-star inspections with $16,801 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
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
#3
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
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