Average — CMS composite of the measures below.
The next survey window likely opens around February 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 Health Center At Richland Place during CMS and state inspections, most recent first.
Staff repeatedly entered the rooms of two residents with intact cognition without knocking or asking permission, even during personal activities and visits, in violation of facility policy and residents' rights to privacy and dignity. The DON confirmed that staff are expected to knock and request permission before entering.
A resident did not receive safe and appropriate respiratory care when needed, as required by their condition.
A resident with respiratory and cardiac conditions received respiratory breathing treatments without a written physician order or documentation in the MAR. Nursing staff, including an RN and LPN, confirmed administering the treatments without proper authorization or assessment documentation, and the DON acknowledged the lack of orders and records prior to the nurse practitioner issuing an appropriate order.
Staff failed to maintain the privacy of medical records for two residents during medication administration, leaving laptops open and unattended with personal information and MARs visible to staff and visitors. Both nurses involved acknowledged that this information should not have been exposed, and the DON confirmed that resident privacy was not maintained.
Three nurses failed to follow infection control protocols by not performing hand hygiene before and after glove use, not cleaning the skin before applying transdermal patches, and not disinfecting reusable equipment such as blood pressure cuffs and glucometers between use on residents with complex medical conditions. These lapses were observed during medication administration and vital sign checks, and staff acknowledged the failures during interviews.
Failure to Ensure Resident Privacy and Dignity
Penalty
Summary
Staff failed to honor residents' rights to privacy and dignity as outlined in the facility's Patient Rights document. Multiple observations revealed that staff, including LPNs, CNAs, and a case worker, entered residents' rooms without knocking or asking permission, even when residents were engaged in personal activities such as eating, visiting with friends or family, or speaking on the phone. In several instances, staff entered the rooms, used the bathroom, and left without acknowledging or speaking to the residents. Both residents involved had intact cognition as indicated by their BIMS scores and were able to confirm that staff routinely entered their rooms without knocking or seeking permission. The deficiency was further substantiated by interviews with the residents, who reported that this lack of privacy occurred almost daily, and by the Director of Nursing, who confirmed that staff are expected to knock and ask for permission before entering residents' rooms. The facility's policy specifically states that privacy should be maintained during personal activities and that residents have the right to close their doors and enjoy their rooms without unnecessary intrusion.
Failure to Provide Safe and Appropriate Respiratory Care
Penalty
Summary
A deficiency was identified regarding the provision of safe and appropriate respiratory care for a resident when needed. The report indicates that the facility failed to ensure that a resident received necessary respiratory care, as required by their condition. Specific details about the actions or inactions that led to this deficiency, as well as the resident's medical history or condition at the time, are not provided in the report excerpt.
Respiratory Treatments Administered Without Physician Order or Documentation
Penalty
Summary
A deficiency occurred when a resident with diagnoses including pneumonia, acute respiratory failure, congestive heart failure, and nicotine dependence received respiratory breathing treatments without a written physician order. The facility's policies require that all medications and treatments, including respiratory therapy, be administered only upon the order of a physician or physician extender and that such orders be documented in the medical record. Despite these policies, the resident received at least two respiratory treatments, as confirmed by both the resident and nursing staff, without any corresponding physician order or documentation in the medication administration record (MAR). Interviews with nursing staff, including an LPN and an RN, confirmed that the treatments were administered without a physician order and without documentation of assessments such as lung sounds or vital signs before and after the treatments. The Director of Nursing also acknowledged that the treatments were given without proper orders or documentation. The nurse practitioner later assessed the resident and provided an order for respiratory treatments, but this was after the treatments had already been administered without authorization or record.
Failure to Protect Resident Medical Record Privacy During Medication Administration
Penalty
Summary
The facility failed to safeguard resident-identifiable information and maintain the privacy of medical records during medication administration for two of three sampled residents. Observations revealed that a medication cart laptop was left open and unattended on the 2nd floor, displaying a resident's personal information and medication administration record (MAR) in a location accessible to staff and visitors. In one instance, a registered nurse left the laptop open while walking away into a resident's room, leaving the resident's information visible. The nurse acknowledged that the information should not have been exposed. A similar incident occurred with another resident, where a nurse left the medication cart laptop open outside the resident's room, again exposing the resident's personal information and MAR. Both nurses interviewed confirmed that resident information should not be visible to others. The Director of Nursing also confirmed that residents' private information and MARs should not be exposed for staff and visitors to see. The residents involved had significant medical histories, including conditions such as pneumonia, acute respiratory failure, congestive heart failure, diabetes, hypertension, and orthopedic aftercare.
Failure to Follow Infection Control Protocols During Medication Administration and Equipment Use
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices during medication administration and use of reusable equipment for three residents. Specifically, three nurses did not perform hand hygiene before and after glove use, did not clean the skin prior to applying transdermal patches, and did not disinfect reusable equipment such as blood pressure cuffs and glucometers between resident use. These actions were observed during medication administration and vital sign checks, and were confirmed through staff interviews, where the nurses acknowledged the lapses in protocol. The residents involved had significant medical histories, including conditions such as pneumonia, acute respiratory failure, congestive heart failure, diabetes, hypertension, and post-surgical orthopedic care. Despite facility policies and CDC guidelines requiring hand hygiene and equipment disinfection, these procedures were not followed during direct care activities. The Director of Nursing confirmed that the expected practices were not adhered to by the staff involved.
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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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Illustrative
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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) |
|---|---|---|---|---|
| Green Hills Center For Rehabilitation And Healing | 1.6 mi | ★★★★★ | 0 | 0 |
| Nashville Center For Rehabilitation And Healing Ll | 2 mi | ★★★★★ | 0 | 0 |
| Woodcrest At Blakeford | 2.3 mi | ★★★★★ | 10 | 0 |
| Advanced Health Care Of Nashville | 2.4 mi | — | 0 | 0 |
| Trevecca Center For Rehabilitation And Healing Llc | 3.9 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.