Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Springs Of Mine Creek during CMS and state inspections, most recent first.
Infection control practices were not followed during medication administration and in the medication room. A communal glucometer was returned to the cart without proper disinfection after use on a resident with diabetes, a BP cuff used on a resident on contact isolation for ESBL was not disinfected after use, and a urine specimen was stored in a fridge with medications and food items. The RN/IP and DON acknowledged the equipment and specimen handling issues during observation and interview.
The facility failed to maintain the ice machine in a clean and sanitary condition, potentially affecting 72 residents who received drinks from the kitchen. Observations revealed water dripping and residue in the ice machine, with the Dietary Manager acknowledging the need for cleaning. The Maintenance Director, responsible for cleaning, confirmed monthly deep cleans and weekly wipe-downs, but noted difficulty in preventing buildup.
The facility's water management program lacked essential components for monitoring Legionella and other pathogens. The program did not include a detailed water system diagram, identification of risk areas, or proper documentation. The Maintenance Director confirmed that water temperatures were checked bi-weekly but not documented, and additional documents provided were incomplete or unclear.
A facility failed to notify the Ombudsman of a resident's hospital transfer, as required by policy. The resident was transferred on January 16, 2024, but the Ombudsman was not informed, as confirmed by the Business Office Manager. The facility's policy mandates that such notifications be sent to the Ombudsman simultaneously with the resident and representative.
Infection Control Lapses With Shared Equipment and Specimen Storage
Penalty
Summary
Infection control practices were not followed during medication administration and in the medication room for three residents. For Resident #30, who had diabetes mellitus, moderate cognitive impairment, and received insulin injections, a communal glucometer was used to check blood sugar and then placed back in the medication cart without being disinfected. During the observation, the Medication Aide later stated he had used alcohol wipes and should have disinfected the glucometer with the appropriate germicidal wipes before returning it to the cart, and the RN who was the assigned Infection Preventionist stated it should have been disinfected after use because it could cause cross contamination. For Resident #49, who had chronic viral hepatitis C, urinary retention, high blood pressure, and was on contact isolation for ESBL in the urine, staff donned gowns and gloves before entering the room and obtained the resident’s blood pressure. After leaving the room, the blood pressure cuff was placed back on the cart without being disinfected at that time. The RN stated the resident should have had their own blood pressure cuff in the room, or the cuff should have been disinfected after use because it could cause cross contamination. The contact precautions sign on the door directed staff to use dedicated or disposable equipment and to clean and disinfect reusable equipment before use on another person. For Resident #66, who had a urinalysis order, a urine specimen was stored in the medication refrigerator in the medication room, which also contained medication and food items. The RN who was also the Infection Preventionist stated the urine should not have been in the medication fridge because it could cause contamination. A smaller fridge in the medication room was later cleaned and designated for specimens only. The specimen bag and container did not include the time or who collected the specimen, and progress notes did not indicate when or who collected the UA.
Ice Machine Sanitation Deficiency
Penalty
Summary
The facility failed to maintain the ice machine in a clean and sanitary condition, which could potentially lead to the growth of harmful bacteria affecting 72 residents who received drinks from the kitchen. During an observation on August 5, 2024, the surveyor noted water dripping in the area where ice forms before dropping into the ice collector. When the Dietary Manager wiped the area with a paper towel, a residue was left on the towel, which the Dietary Manager described as 'grungy' and 'dirty,' indicating the need for cleaning. The Dietary Manager stated that the Maintenance Director was responsible for cleaning the ice machine and that the last cleaning occurred on July 23, 2024. Further investigation revealed that the facility's policy on ice machine cleaning adhered to the manufacturer's instructions, which recommended cleaning every six months, with the possibility of more frequent cleaning depending on water quality and filtration systems. The Maintenance Director confirmed that a deep clean was performed monthly, with the last one on July 23, 2024, and weekly wipe-downs, the last of which was on July 31, 2024. Despite these efforts, the Maintenance Director noted difficulty in keeping the ice machine free from buildup, which could accumulate in just a few days.
Deficiency in Water Management Program for Legionella Monitoring
Penalty
Summary
The facility failed to ensure its water management program included necessary components to monitor for Legionella and other water-borne pathogens. During a review of the water management binder provided by the Administrator, it was found that the program lacked a detailed description and diagram of the water system, identification of areas that could encourage the growth of Legionella, and documentation of the program. The Maintenance Director confirmed that the facility did not have any documentation of monitoring unless there was a suspicion of an issue. The only available document, titled 'Appendix D. Other Water Devices,' lacked essential details such as the year and the unit of temperature measurement. Further interviews revealed that the Maintenance Director checked water temperatures every two weeks but did not document these checks. The Administrator confirmed that the only monitoring done was checking water temperatures and a report from the city. Additional documents provided, such as 'Weekly Water Temperatures,' lacked clarity on whether the temperatures were in Fahrenheit or Celsius and did not include temperatures for certain areas. The facility's inability to provide comprehensive documentation and monitoring details highlighted deficiencies in their water management program.
Failure to Notify Ombudsman of Resident's Hospital Transfer
Penalty
Summary
The facility failed to notify the Ombudsman of a resident's transfer to the hospital, which was a requirement as per their policy. The incident involved a resident who was transferred to the hospital on January 16, 2024. The Notice of Transfer/Bed Hold form indicated that the Adult Protective Services case worker was notified, but there was no indication that the Ombudsman was informed. This oversight was discovered during a review of the facility's records and interviews with staff. The Administrator provided a report listing residents transferred out of the facility from January to July 2024, along with emails sent to the Ombudsman. However, the resident in question was not listed for the hospital transfer on January 16, 2024, only for a discharge to home with home health on January 23, 2024. The Business Office Manager confirmed that the information about the hospital transfer was not included in the email sent to the Ombudsman. The facility's policy, revised in March 2021, required that a copy of the transfer or discharge notice be sent to the Ombudsman at the same time it was provided to the resident and their representative.
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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 Blossoms At Nashville Rehab And Nursing Center | 0.7 mi | ★★★★★ | 1 | 0 |
| Murfreesboro Rehab And Nursing, Inc | 11.8 mi | ★★★★★ | 21 | 1 |
| Dierks Health And Rehab Of Dierks | 14.7 mi | ★★★★★ | 0 | 0 |
| Little River Nursing & Rehab | 25.4 mi | ★★★★★ | 0 | 0 |
| Pleasant Manor Nursing & Rehab | 25.6 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.