Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Advanced Health Care Of Nashville during CMS and state inspections, most recent first.
A resident with a history of trauma and cognitive impairment was left alone with a private sitter who restrained him during a blood draw attempt, leading to Immediate Jeopardy. An LPN witnessed the restraint but failed to report it immediately, leaving the resident at risk. The facility's policies on abuse and restraint were not followed, and the incident was only reported to the DON two days later by a family member.
A resident with a history of trauma and moderate cognitive impairment was physically restrained by a private sitter and a phlebotomist during a blood draw attempt, despite verbal refusal. The LPN observed the restraint but failed to report it immediately and left the resident alone with the sitter, violating the facility's policy against restraints for staff convenience.
A resident with moderate cognitive impairment was physically restrained by a private sitter during a venipuncture procedure, leading to increased agitation. An LPN witnessed the incident but failed to report it, violating the facility's abuse policy. The incident was only reported two days later by a family member, resulting in an Immediate Jeopardy situation and a citation for substandard quality of care.
A resident with a history of trauma was reportedly yelled at and physically restrained by a private sitter. The facility substantiated the abuse allegation but failed to notify the police and did not conduct a thorough investigation, as not all involved parties were interviewed. The Administrator did not interview the phlebotomist or the night nurse, despite the facility's policy requiring immediate reporting and investigation of abuse allegations.
The facility failed to complete the required 5-day follow-up after fall investigations for two residents. One resident with Metabolic Encephalopathy and another with Acute Kidney Failure experienced fall incidents that were reported to the State Agency, but the necessary follow-up investigations were not conducted as per the facility's policy.
Failure to Protect Resident from Neglect and Potential Abuse
Penalty
Summary
The facility failed to protect a resident from neglect and potential abuse by a private sitter, which resulted in Immediate Jeopardy. On the day of the incident, an LPN witnessed the private sitter restraining the resident's arms across his abdomen after an attempt to obtain a blood sample, while the resident was yelling 'No.' Despite witnessing the situation escalate to the resident crying and yelling, the LPN left the resident alone with the private sitter after obtaining the blood sample, failing to ensure the resident's safety and not reporting the incident immediately as required by facility policy. The resident involved had a history of trauma and was diagnosed with conditions including Osteomyelitis, Major Depressive Disorder, and Anxiety, with a moderate cognitive impairment indicated by a BIMS score of 8. The resident's care plan noted a history of trauma and PTSD from a previous abusive situation at another facility. The incident occurred when the resident became agitated and combative during a blood draw attempt, leading to the private sitter restraining him, which was witnessed by the LPN but not reported immediately. The facility's investigation revealed that the Director of Nursing was informed of the incident two days later by a family member, who had overheard the altercation over the phone. The private sitter, who was a former employee, was terminated prior to the incident but was still involved in the resident's care. The facility's policies on abuse and restraint were not followed, as the LPN did not report the witnessed abuse immediately, and the resident was left alone with the private sitter, who was belligerent and refused to leave when asked by the family.
Failure to Prevent Use of Physical Restraints for Resident
Penalty
Summary
The facility failed to provide an environment free from the use of physical restraints for a resident, resulting in an Immediate Jeopardy situation. On the specified date, a phlebotomist from an outside agency and the resident's private sitter physically restrained the resident during an attempt to obtain blood, despite the resident's verbal refusal. The phlebotomist reported the incident to an LPN, who observed the private sitter holding the resident's arms down. The LPN instructed the sitter to release the resident but did not report the incident immediately, nor did she ensure the resident's safety by leaving him alone with the sitter afterward. The resident involved had a history of trauma and PTSD from a previous facility, which contributed to his agitation during the incident. The resident's medical record indicated moderate cognitive impairment, anxiety, and a history of trauma, which were relevant to his response during the blood draw attempt. The facility's policy clearly stated that residents should be free from physical restraints used for staff convenience, yet this policy was not adhered to in this case. Interviews with facility staff and family members revealed that the private sitter was belligerent and uncooperative when confronted about her actions. The LPN failed to recognize the situation as abuse and did not report it immediately, which was against the facility's abuse policy. The failure to protect the resident from further abuse and the lack of immediate reporting contributed to the deficiency cited by the surveyors.
Failure to Report Abuse Incident
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident who was physically restrained by a private sitter during a venipuncture procedure. The incident occurred when the resident, who had moderate cognitive impairment and a history of trauma, refused to cooperate with the procedure. A Licensed Practical Nurse (LPN) observed the private sitter restraining the resident's arms, which increased the resident's agitation. Despite witnessing this, the LPN did not report the incident to the administration, which is a violation of the facility's abuse policy. The facility's policy mandates that any form of abuse must be reported immediately to ensure resident safety and initiate an investigation. However, the Director of Nursing (DON) only became aware of the incident two days later when a family member reported it. The family member had overheard the private sitter yelling and being belligerent over the phone, which further escalated the resident's anxiety. The family member attempted to have the private sitter removed, but the sitter refused to leave, prompting the family member to contact the facility. The failure to report the abuse immediately resulted in an Immediate Jeopardy situation, as it increased the likelihood of further abuse and compromised the protection of all residents. The facility was cited for substandard quality of care due to this deficiency, as the delay in reporting the incident violated the requirement to report allegations of abuse within two hours to the state agency.
Incomplete Investigation of Abuse Allegation
Penalty
Summary
The facility failed to conduct a thorough investigation and take appropriate corrective actions regarding an alleged abuse incident involving a resident. The resident, who had a history of trauma and PTSD, was reportedly yelled at and physically restrained by a private sitter. The incident was reported to the Director of Nursing (DON) by a family member who was on a speaker phone call with the resident during the incident. Despite the allegation being substantiated, the facility did not notify the police, and the investigation was incomplete as not all involved parties were interviewed. The resident, who had moderate cognitive impairment and a history of anxiety and trauma, was admitted with several medical conditions, including osteomyelitis, a stage 4 pressure ulcer, Parkinson's disease, and encephalopathy. During the incident, the resident became combative, and the private sitter was observed holding the resident's arms down. The phlebotomist involved reported that the resident was yelling 'No' during the attempted blood draw, indicating a refusal of care. Despite these observations, the facility's investigation did not include interviews with the phlebotomist or the night nurse on duty at the time. The Administrator, who was responsible for reporting and investigating abuse allegations, failed to interview all relevant parties, including the phlebotomist and the night nurse. The facility's policy required immediate reporting and investigation of abuse allegations, but the Administrator did not follow through with a comprehensive investigation. This lack of thorough investigation increased the likelihood of additional abuse occurring, as the facility did not fully address the incident or ensure the protection of all residents.
Failure to Complete 5-Day Follow-Up After Fall Incidents
Penalty
Summary
The facility failed to complete the required 5-day follow-up after fall investigations for two residents. Resident #3, who had diagnoses including Metabolic Encephalopathy and Acute Lymphoblastic Leukemia in remission, experienced a fall incident that was reported to the State Agency, but the necessary 5-day follow-up investigation was not conducted. The resident's care plan included interventions to prevent falls, such as keeping the bed in a low position and encouraging the resident to ask for assistance with transfers. Despite these measures, the follow-up was not completed as per the facility's policy. Similarly, Resident #4, who had diagnoses including Acute Kidney Failure and Severe Protein-Calorie Malnutrition, also experienced a fall incident that was reported to the State Agency without the required 5-day follow-up. The resident's care plan noted the risk for falls due to mobility and functional deficits, poor safety awareness, and osteoarthritis in both hips. The Director of Nursing acknowledged during an interview that the 5-day follow-ups for both residents had not been completed, which was a deviation from the facility's policy.
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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) |
|---|---|---|---|---|
| Nashville Center For Rehabilitation And Healing Ll | 2.1 mi | ★★★★★ | 0 | 0 |
| The Health Center At Richland Place | 2.4 mi | ★★★★★ | 8 | 0 |
| Trevecca Center For Rehabilitation And Healing Llc | 3.2 mi | ★★★★★ | 0 | 0 |
| Green Hills Center For Rehabilitation And Healing | 4 mi | ★★★★★ | 0 | 0 |
| Eaton Creek Post Acute | 4.5 mi | — | 0 | 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.