Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Autumn Care Of Nash during CMS and state inspections, most recent first.
Staff did not promptly inform a resident, their physician, and a family member about important events such as injury, decline, or room changes that affected the resident, resulting in a breakdown of required communication.
A resident with severe cognitive impairment and a diagnosis of vascular dementia was routinely administered Olanzapine, an antipsychotic medication, without any corresponding interventions or documentation in the comprehensive care plan. Staff confirmed the omission was an oversight, and facility leadership expected the medication to be addressed in the care plan.
The facility did not ensure pharmaceutical services were provided to meet each resident's needs and failed to employ or obtain a licensed pharmacist, resulting in noncompliance with regulatory requirements.
A deficiency was cited for not ensuring a resident's right to dignity, self-determination, communication, and the exercise of their rights. The report does not specify the exact circumstances or individuals involved.
A resident was not protected from the wrongful use of their belongings or money, as staff or facility management failed to safeguard personal property or funds, resulting in unauthorized use.
A resident with a seizure disorder did not have several doses of prescribed anticonvulsant medications accurately documented in the MAR on multiple occasions. Although a nurse reported administering the medications as ordered, documentation was missed due to workload, resulting in incomplete medical records until the issue was identified and addressed by the DON.
The facility did not provide written notification to the Ombudsman for an unplanned discharge to home and failed to document that residents or their representatives received written notification of transfer/discharge reasons or the bed hold policy during hospital transfers. Staff interviews revealed inconsistent practices and lack of documentation regarding these required notifications.
A resident admitted for post-surgical care experienced vomiting, prompting a nurse to obtain a verbal order for ondansetron from a physician. Although staff reported that the medication order was received and possibly administered, there was no documentation of the order or its administration in the electronic medical record or MAR, as confirmed by the DON and involved staff.
A facility failed to complete a baseline care plan within 48 hours for a newly admitted resident with significant medical needs, including diabetes and severe cognitive impairment. The DON noted that a new electronic charting system no longer automatically generated care plans, and the admitting nurse mistakenly believed the care plan would be created from the admission assessment.
A resident with severe cognitive impairment and a urinary catheter had their urinary drainage bag uncovered and visible from the hallway, compromising their dignity. Despite staff awareness of the need for a privacy cover, the bag remained uncovered during multiple observations. Interviews with the nurse and DON confirmed the expectation for the bag to be covered, but no explanation was provided for the oversight.
Failure to Timely Notify Resident, Physician, and Family of Significant Events
Penalty
Summary
Facility staff failed to immediately notify the resident, the resident's physician, and a family member about situations that affected the resident, such as injury, decline, or changes in room assignment. This lack of timely communication was observed and documented by surveyors as a deficiency in the facility's process for keeping residents and their representatives informed about significant events impacting the resident's care or well-being.
Failure to Care Plan for Antipsychotic Medication Use
Penalty
Summary
The facility failed to develop a care plan addressing the use of antipsychotic medication for one resident with vascular dementia and severe cognitive impairment. The resident had a physician's order for Olanzapine, an antipsychotic, which was administered routinely. Review of the resident's comprehensive care plan showed no documentation or interventions related to the antipsychotic medication, despite its ongoing use. Staff interviews confirmed that the omission was an oversight, and the administrator acknowledged that antipsychotic medications should have been included in the care plan.
Failure to Provide Required Pharmaceutical Services
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated by regulations. No additional details regarding specific residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Honor Resident Rights
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a dignified existence, self-determination, communication, and the exercise of their rights. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions that led to this deficiency, nor does it mention any particular events or residents involved.
Failure to Protect Resident's Belongings or Money
Penalty
Summary
A deficiency was identified regarding the protection of residents from the wrongful use of their belongings or money. The report notes that there was a failure to safeguard a resident's personal property or funds, resulting in unauthorized or inappropriate use. Specific actions or omissions by staff or facility management led to this breach, directly impacting the resident's rights and property. No additional details about the resident's medical history or condition at the time of the deficiency are provided in the report.
Failure to Accurately Document Medication Administration for Seizure Management
Penalty
Summary
The facility failed to maintain accurate medication administration records for one resident with a history of seizures. Physician orders required the resident to receive Lamotrigine twice daily and Phenobarbital at bedtime for seizure management. Review of the resident's Medication Administration Record (MAR) for June revealed multiple dates where there was no documentation of the evening doses being administered for both medications. Nurse interviews confirmed that the medications were given as ordered, but the nurse responsible did not document the administration at the time it occurred. The nurse attributed the missed documentation to a heavy and busy assignment, acknowledging that the documentation should have been completed when the medications were administered. The issue was identified by the Director of Nursing (DON) during a review of the MAR, who then educated the nurse on how to amend the MAR to reflect the actual administration. Despite this, the initial failure to document the administration of seizure medications as required by professional standards resulted in incomplete and inaccurate medical records for the resident.
Failure to Provide Required Discharge Notifications and Bed Hold Policy Documentation
Penalty
Summary
The facility failed to provide required written notifications and documentation related to resident discharges and transfers. Specifically, one resident was discharged against medical advice (AMA) to home, but the Ombudsman was not notified in writing of this unplanned discharge. The Director of Social Services confirmed that she only notified the Ombudsman of hospital transfers, not discharges to home, and the Administrator was unsure if home discharges required Ombudsman notification. Additionally, for three residents who were transferred to the hospital, there was no documentation that either the residents or their representatives received written notification of the reason for transfer/discharge or a copy of the bed hold policy. Nursing staff reported that they sent the required forms with the residents and placed copies in the medical records bin, but there was no evidence in the medical records that these notifications were provided. The Social Worker stated she no longer sent notifications to representatives and could not explain why this practice had stopped. The Business Office Manager indicated she discussed the bed hold policy with representatives but did not document these discussions in the residents’ electronic medical records. Interviews with various staff, including the DON, Social Worker, and Administrator, revealed inconsistencies in the process for providing and documenting required notifications and bed hold policy information. The Medical Records staff member, who was reportedly responsible for scanning these documents into the medical record, was unavailable for interview, and there was no documentation to confirm that the notifications were actually provided as required.
Failure to Document Physician Order and Medication Administration
Penalty
Summary
A deficiency occurred when a physician's order for ondansetron, a medication used to prevent nausea and vomiting, was not entered into the electronic medical record for a resident who was admitted for surgical aftercare following digestive system surgery. On the morning in question, a nurse was notified by a family member that the resident was vomiting and feeling nauseous. The nurse contacted a physician and received a verbal order for ondansetron, which was documented in a nursing progress note. However, there was no entry of this order in the electronic medical record, nor was there documentation of the medication's administration on the medication administration record (MAR) during the resident's stay. Interviews with nursing staff revealed that the nurse who received the order could not recall if the medication was actually administered and could not explain the lack of documentation. The nurse who took over the medication cart was informed that the order had been obtained and the medication administered, but there was still no documentation to support this. The physician involved did not recall giving the order but stated that any verbal order should be documented and implemented. The Director of Nursing confirmed the absence of documentation in the electronic medical record and MAR, and stated that proper documentation is expected for continuity of care and monitoring.
Failure to Complete Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to complete a baseline care plan within 48 hours of admission for one of the newly admitted residents, identified as Resident #213. Resident #213 was admitted with diagnoses including diabetes, atrial fibrillation, and muscle weakness, and was noted to be severely cognitively impaired, requiring substantial to maximum assistance for activities of daily living, and was incontinent with a urinary catheter. Despite these needs, the baseline care plan was not completed until 12 days after admission. The Director of Nursing indicated that the responsibility for initiating the baseline care plan within 48 hours fell to the receiving nurse, but a recent change to a new electronic charting system meant that the care plan was no longer automatically generated. Nurse #1, who admitted Resident #213, believed the care plan would be generated from the admission assessment information, which did not occur.
Failure to Maintain Resident Dignity by Covering Urinary Drainage Bag
Penalty
Summary
The facility failed to maintain the dignity of a resident by not covering the urinary drainage bag, which was visible from the hallway. This deficiency was observed in a resident who was admitted with a diagnosis of urinary retention and was severely cognitively impaired, requiring substantial to maximum assistance for daily activities. The resident was incontinent of bowel and had a urinary catheter. On multiple occasions, the resident was observed in bed with the urinary drainage bag uncovered and visible from the hallway, with light amber urine noted. Interviews with the staff, including the nurse assigned to the resident and the Director of Nursing (DON), confirmed that the urinary catheter bag should have been covered to maintain the resident's dignity. The nurse acknowledged awareness of the catheter and the need for a privacy cover but did not provide a reason for the oversight. The nursing assistant could not recall if the bag was covered during her shift. The DON stated that the catheter bag was usually covered with a privacy bag and was unsure why it was not covered in this instance.
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What surveyors actually found near you
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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 Lodge At Rocky Mount Health And Rehabilitation | 3.5 mi | ★★★★★ | 3 | 0 |
| Rocky Mount Rehabilitation Center | 4.7 mi | ★★★★★ | 15 | 0 |
| The Carrolton Of Nash | 5.2 mi | ★★★★★ | 2 | 0 |
| Longleaf Neuro-medical Treatment Center | 17.1 mi | ★★★★★ | 16 | 0 |
| Wilson Rehabilitation And Nursing Center | 17.3 mi | ★★★★★ | 3 | 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.