Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Blossoms At Nashville Rehab And Nursing Center during CMS and state inspections, most recent first.
An LPN administered medications through a resident’s PEG tube while wearing gloves but not a gown, despite EBP orders, the care plan, and PPE available at the room entrance. The resident had stroke, dysphagia, critical illness myopathy, and moderate cognitive impairment. Interviews with staff and leadership confirmed that gloves and a gown were required for feeding tube care under EBP, and the facility policy stated gowns and gloves are required during high-contact care activities, including feeding tube care.
The facility did not develop or update comprehensive care plans for three residents, omitting key diagnoses such as substance abuse, psychiatric disorders, organ failure, and recent injuries. Despite documented incidents and active medical orders, care plans were incomplete and not revised to reflect changes in condition or treatment needs, as confirmed by staff interviews and policy review.
The facility failed to secure room deodorizer spray, disinfectant wipes, and medications, leaving them accessible in an empty room and on a nurse's station countertop. A medication cart was also found unlocked and unattended. The DON confirmed these items should be stored securely to prevent access by residents, especially those with severe cognitive impairment.
The facility failed to label and store food items properly, with several items lacking use by dates and a box of biscuits left open in the freezer. The Dietary Manager highlighted the importance of these practices to prevent potential health risks to residents.
A facility failed to ensure proper hand hygiene during peri-care and did not implement Enhanced Barrier Precautions for a resident with a wound. A CNA did not change gloves or perform hand hygiene after cleaning a resident's perineal area, and the DON confirmed the expected procedures were not followed. Additionally, a resident with a pressure ulcer lacked necessary signage for Enhanced Barrier Precautions, which the DON was unaware of, despite facility policies requiring such measures.
A resident with specific food dislikes, including carrots, was repeatedly served these items despite clear documentation of their preferences. The facility's policy required CNAs to check meal slips against served food, but this was not followed, leading to the resident receiving unwanted food.
A resident's personal information was exposed when an LPN left a computer screen unlocked and unattended on a medication cart, displaying sensitive details such as room number, date of birth, and medications. The facility's policy requires staff to lock and close screens to protect resident privacy, which was not followed in this case.
Controlled narcotics were improperly stored in the medication room refrigerator, with anti-anxiety medication found outside the locked narcotic box. An LPN confirmed the correct storage procedure, and the DON provided a policy indicating special storage requirements for controlled substances. However, an in-service did not address the specific requirement for storing narcotics in the locked, refrigerated narcotic box.
The facility failed to provide adequate nail care for two residents requiring extensive assistance with ADLs. One resident with moderate cognitive impairment and hemiplegia was found with long nails and a black substance underneath, despite requesting staff assistance. Another resident with severe cognitive impairment and dementia had long, jagged nails with a brown substance. Staff interviews revealed that nail care should be provided weekly and on bath days, but this was not adhered to, leading to the deficiency.
Failure to Use EBP PPE During Feeding Tube Medication Administration
Penalty
Summary
The facility failed to ensure staff followed Enhanced Barrier Precautions (EBP) and wore appropriate PPE during medication administration through a feeding tube for one resident. The resident had diagnoses including stroke, dysphagia, and critical illness myopathy, a BIMS score of 8 indicating moderate cognitive impairment, and a PEG feeding tube. The resident’s order summary showed EBP related to the PEG tube, and the care plan required gloves and a gown before providing high-contact care to devices such as feeding tubes. During observation, an LPN prepared and administered medications through the resident’s feeding tube while wearing gloves but not a gown, despite a sign at the room entrance and a cart with PPE including gowns. The LPN washed her hands, entered the room, checked tube patency and residual, flushed the tube, administered medications, and flushed again without donning a gown. In interviews, the LPN confirmed she should have worn a gown, and other staff including another LPN, the IP, the DON, and the Administrator stated that EBP for feeding tube medication administration required gloves and a gown. The facility policy titled Enhanced Barrier Precautions stated gowns and gloves are required during high-contact care activities, including care to a feeding tube.
Failure to Develop and Update Comprehensive Care Plans
Penalty
Summary
The facility failed to develop, implement, and update comprehensive person-centered care plans for three out of four residents reviewed. For one resident with diagnoses including alcohol use, liver disease, psychoactive substance abuse, and PTSD, the care plan did not address these conditions despite the resident having intact cognition and documented incidents such as returning to the facility intoxicated and unable to stand. The care plan also did not reflect ongoing medical orders and interventions related to these diagnoses. Another resident, admitted with major depressive disorder, anxiety, kidney failure, and cholangitis, had a severely impaired cognitive status. The care plan for this resident did not address any of these significant medical and psychiatric conditions, even though there were active medication orders for their management. Similarly, a third resident with a recent urinary tract infection, left femur fracture, and artificial hip joint had a care plan that failed to address these diagnoses or the need for assistance with activities of daily living, despite therapy and pain management orders being in place. Interviews with facility staff, including the ADON, DON, CNAs, and the Administrator, revealed that care plans are relied upon for guiding resident care and should be updated promptly with any changes in condition or incidents. Staff acknowledged that the care plans were incomplete and not updated as required, particularly after significant events such as intoxication or changes in medical status. The facility's own policy emphasized the need for individualized care plans tailored to each resident's needs, which was not followed in these cases.
Medication and Hazardous Material Storage Deficiencies
Penalty
Summary
The facility failed to ensure that room deodorizer spray, disinfectant wipes, and medications were not stored at the bedside of an empty room, which could lead to diversion, accidents, and injuries. During an observation, various items including antifungal powder, ointments, and pain relievers were found on shelves in a room. The Director of Nursing (DON) confirmed that it was inappropriate for these items to be left at the bedside or in a former resident's room, as they could be accessed by other residents. The facility's policy on medication self-administration and storage was reviewed, revealing that medications must be maintained securely, and no residents currently had self-administration rights. Additionally, a medication cart was observed unlocked and unattended in a hallway, allowing potential access to medications. An LPN acknowledged the requirement to lock the cart when unattended. Furthermore, a bottle of wound cleanser was found on the nurse's station countertop, accessible to two residents with low Brief Interview for Mental Status (BIMS) scores, indicating severe cognitive impairment. The DON and an LPN confirmed that the wound cleanser should have been stored in a locked treatment cart, as it posed a safety risk if accessed by residents.
Deficiency in Food Labeling and Storage
Penalty
Summary
The facility failed to ensure proper labeling and storage of food items in accordance with professional standards of food service safety. During an observation, it was noted that three bags of coleslaw mix and two bags of lettuce in the kitchen refrigerator did not have a use by date, despite being dated from previous weeks. Additionally, a box of biscuits in the freezer was found with the bag opened, exposing the biscuits to the elements. The Dietary Manager acknowledged the importance of labeling food items with a use by date to prevent the use of expired items, which could potentially make residents sick. Furthermore, the manager emphasized the need for proper sealing of food items to avoid freezer burn, which could also pose a health risk to residents.
Inadequate Hand Hygiene and Infection Control Measures
Penalty
Summary
The facility failed to ensure appropriate hand hygiene during peri-care for a resident, which was observed by a surveyor. A Certified Nursing Assistant (CNA) performed hand hygiene initially but did not change gloves or perform hand hygiene after cleaning the resident's perineal area and before assisting with clean clothing. The CNA acknowledged the lapse in procedure when questioned by the surveyor. The Director of Nursing (DON) confirmed that staff are expected to wash hands and change gloves between dirty and clean tasks to prevent the spread of germs and reduce the risk of urinary tract infections. Facility policies on Perineal Care and Hand Hygiene were provided, which outlined the expected procedures to prevent cross-contamination and infection. Additionally, the facility did not implement proper infection control measures for a resident with a pressure ulcer. The surveyor noted the absence of Enhanced Barrier Precaution signage on the resident's door, despite the resident having a wound that required such precautions. The DON was unaware of the need for Enhanced Barrier Precautions for this resident, as there were no orders or signage indicating the requirement. The facility's Isolation Policy and Procedure, which includes Enhanced Barrier Precautions for residents with wounds, was provided, but it was not followed in this instance.
Failure to Honor Resident's Food Preferences
Penalty
Summary
The facility failed to honor a resident's food preferences, leading to a deficiency in promoting and facilitating resident self-determination. Resident #16, who has medical diagnoses including left-sided weakness, type II diabetes, and depressive disorders, was served carrots despite having them listed as a dislike. The resident's Minimum Data Set (MDS) indicated no special diet, and their care plan required staff assistance during meal service. Despite these documented preferences, the resident reported to the surveyor that carrots were repeatedly served, and the surveyor observed carrots on the resident's plate. The Dietary Manager confirmed that the facility's policy required Certified Nursing Assistants (CNAs) to compare the food served to the meal slip and return any incorrect plates to the kitchen. However, this procedure was not followed, resulting in the resident being served a disliked food item. The facility's policy on Meal Identification and Preference Cards/Tickets was intended to ensure residents received the correct diet and that their food preferences were honored, but this was not adhered to in the case of Resident #16.
Resident Privacy Breach Due to Unattended Computer Screen
Penalty
Summary
The facility failed to protect the personal information of a resident, identified as Resident #4, as per their privacy policy. The resident had diagnoses of lung disease, type II diabetes, and osteoarthritis, and was noted to have severe cognitive impairment with a BIMS score of 04. During an observation, a computer screen on a medication cart was left open and unattended in a hallway, displaying Resident #4's room number, date of birth, age, code status, vitals, weight, and medications. This information was visible to anyone passing by, which is a violation of the facility's privacy policy. The incident occurred when an LPN left the computer screen unlocked and unattended, acknowledging the mistake upon returning. The Director of Nursing confirmed that the expectation is for nursing staff to lock and close computer screens when not in use to prevent unauthorized access to residents' private information. The facility's policy on Resident Privacy and Confidentiality emphasizes the right of residents to have their personal and clinical information kept confidential to maintain dignity, which was not adhered to in this instance.
Improper Storage of Controlled Narcotics in Medication Room Refrigerator
Penalty
Summary
The facility failed to ensure that controlled narcotics were properly stored in the medication room refrigerator. During an observation, two 30ml vials of anti-anxiety medication were found outside the locked narcotic box in the refrigerator. An LPN confirmed that narcotics should be stored in a cool place and locked in the black narcotic box located in the medication room refrigerator. The LPN also mentioned that she had counted the refrigerated narcotics earlier that day and informed the Director of Nursing (DON) that another nurse had placed the anti-anxiety medication back in the refrigerator improperly. The DON confirmed that the expected process for storing refrigerated narcotics involved keeping them in a locked refrigerator and within a locked narcotic box to prevent discrepancies and diversion. A policy titled 'Medication, Controlled Substances' was provided, indicating that controlled substances are subject to special storage requirements. However, an in-service titled 'Narcotic Count, Incoming/outgoing' did not address the specific requirement for storing narcotics in the locked, refrigerated narcotic box.
Failure to Provide Adequate Nail Care for Residents
Penalty
Summary
The facility failed to ensure proper personal hygiene for two residents who required extensive assistance with activities of daily living, specifically nail care. Resident #1, who had moderate cognitive impairment and a diagnosis of hemiplegia and hemiparesis following a cerebral infarction, was observed with excessively long fingernails and a black substance under them. Despite the resident's attempts to have staff cut and clean their nails, no assistance was provided. Similarly, Resident #2, who had severe cognitive impairment and diagnoses of unspecified dementia and Alzheimer's disease, was found with long, jagged nails and a brown substance underneath. The resident expressed dissatisfaction with the lack of nail care provided. Interviews with facility staff revealed that nail care was supposed to be provided by bath aides and other staff members, with daily observations for nail care needs. The Certified Nursing Assistant (CNA) stated that if a resident refused nail care, the Administrator and the Director of Nursing (DON) should be notified. The DON confirmed that nurses were responsible for ensuring nail care was provided at least weekly and on the resident's bath day. However, there was a failure to adhere to these procedures, resulting in the observed deficiencies in nail care for the residents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Nashville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Mine Creek | 0.7 mi | ★★★★★ | 1 | 0 |
| Murfreesboro Rehab And Nursing, Inc | 12.5 mi | ★★★★★ | 21 | 1 |
| Dierks Health And Rehab Of Dierks | 14.6 mi | ★★★★★ | 0 | 0 |
| Little River Nursing & Rehab | 24.8 mi | ★★★★★ | 0 | 0 |
| Pleasant Manor Nursing & Rehab | 24.9 mi | ★★★★★ | 1 | 0 |
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