Average — CMS composite of the measures below.
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 Life Care Center Of Old Hickory Village during CMS and state inspections, most recent first.
A resident with impaired cognition and a high risk for falls was left unattended in a wheelchair in her room, despite care plan interventions requiring close monitoring and supervision. The resident experienced an unwitnessed fall, resulting in her arm becoming lodged in the wheelchair wheel and sustaining a severe avulsion wound that required surgical intervention. Staff failed to follow care plan directives, did not document required monitoring, and did not address the role of the wheelchair in the incident, leading to actual harm.
The facility did not ensure that residents and their representatives were involved in the care planning process, as required by policy. For three residents with complex medical and cognitive needs, there was no evidence of care planning conferences or participation by representatives, and staff interviews confirmed that required meetings were not consistently held or documented.
Failure to Prevent Accident Hazards and Ensure Supervision Resulting in Resident Harm
Penalty
Summary
The facility failed to identify and eliminate accident hazards and did not provide adequate supervision to prevent a serious fall and injury for a resident with a history of repeated falls, impaired cognition, and significant physical limitations. The resident, who was dependent on staff for transfers and used a wheelchair for mobility, was left unattended in her room in her wheelchair, contrary to multiple care plan interventions that specified she should not be left alone in this situation and should be monitored closely at the nurse station or dayroom. Despite these documented interventions, staff left the resident unsupervised, resulting in an unwitnessed fall where her right arm became lodged in the wheel of the wheelchair, causing a large avulsion wound that required hospital transfer and surgical repair. Review of facility policies and the resident's care plan revealed clear directives for staff to provide close monitoring, avoid leaving the resident unattended in her wheelchair, and to document frequent checks, especially given her high fall risk and cognitive impairment. Multiple staff interviews confirmed that the resident was left alone in her room in her wheelchair, and that monitoring and documentation of supervision were not consistently performed as required by the care plan. Additionally, the facility's investigation did not address the role of the wheelchair in the incident, nor did it include measurements of the injury, and there was no evidence that the care plan was updated to address the identified hazards related to wheelchair use. Staff actions following the fall also deviated from facility policy, as a CNA removed the resident's arm from the wheelchair wheel before a licensed nurse assessed the injury, which was not in accordance with the facility's protocol for post-fall assessment. Interviews with the DON and other staff revealed a lack of clarity and consistency in monitoring practices, documentation, and adherence to care plan interventions. The facility did not provide documentation of required 30-minute monitoring checks, and there was no evidence of a performance improvement plan following the incident. These failures resulted in actual harm to the resident.
Failure to Involve Residents and Representatives in Care Planning Process
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were involved in the care planning process as required by both facility policy and federal regulations. Review of facility policy indicated that residents and their representatives must be given the opportunity to participate in the development, review, and revision of the care plan, and that care planning meetings should be held at times conducive to resident participation. However, for three sampled residents, there was a lack of evidence that care planning conferences were conducted with resident or representative involvement. For example, one resident's family member reported not participating in care plan meetings following a significant event, and the facility was unable to provide documentation of care conference meetings for other residents during required intervals. Medical record reviews showed that residents with significant cognitive impairments and complex medical histories, such as anxiety, blindness, repeated falls, traumatic brain dysfunction, dementia, and chronic conditions, did not have documented participation in care planning by themselves or their representatives. Interviews with facility staff, including the Social Service Director and Director of Nursing, revealed inconsistencies and assumptions regarding the frequency and documentation of care plan conferences, with the DON acknowledging that care conference meetings had likely not been conducted as required due to missing documentation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 143 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Old Hickory
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Creekside Center For Rehabilitation And Healing | 2.9 mi | ★★★★★ | 0 | 0 |
| The Mckendree Post Acute & Rehabilitation | 4.5 mi | ★★★★★ | 1 | 0 |
| Alta Heights Post Acute | 4.6 mi | ★★★★★ | 0 | 0 |
| Nhc Healthcare, Hendersonville | 4.8 mi | ★★★★★ | 4 | 1 |
| Heartland | 5.3 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.