Heartland
3025 Fernbrook Lane, Nashville, TN 37214 · Davidson County · 66 certified beds · avg 61 residents/day · certified since Sep 13, 2016
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 28, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 10, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 15, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Sep 28, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | D |
| 2023 | 5 | 1 | G ▲ |
| 2025 | 8 | 0 | D |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $7,901, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 28, 2023 | Fine | $7,901 |
| Sep 28, 2023 | Payment Denial | 13 days from Oct 28, 2023 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.63 | 3.62 | 3.95 | top 38% in Tennessee; bottom 43% in the U.S. |
| Registered Nurse hours | 0.69 | 0.57 | 0.69 | top 24% in Tennessee; top 37% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.15 | 3.50 | top 27% in Tennessee; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.39 | 0.48 | top 46% in Tennessee; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 54.8 | 48.9 | 45.8 | bottom 32% in Tennessee; bottom 25% in the U.S. |
| RN turnover (%) | 16.7 | 43.2 | 42.9 | top 6% in Tennessee; top 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.64, weekend 3.09. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/08/2024 |
| Nhc/Delaware INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2023 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Dimensional Fund Advisors LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Dodson, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Dodson, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Joyner, Jesica | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Kidd, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/31/2023 |
| Kidd, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 05/31/2023 |
| Morgan Stanley | Organization | ADP of the SNF | NOT APPLICABLE | 11/08/2024 |
| National Health Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| National Healthcare Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| National Healthcare Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Nhc-Op LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Nhc-Op LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Shelly, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/12/2024 |
| Tempest, Tyler | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/07/2023 |
| Tempest, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 03/22/2025 |
| Ussery, Robert | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/07/2025 |
| Vanguard Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The McKendree Post Acute & Rehabilitation | 3.5 mi | Hermitage, TN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Trevecca Center for Rehabilitation and Healing LLC | 5.3 mi | Nashville, TN | ★★★☆☆ | 3/5 | |
| Life Care Center of Old Hickory Village | 5.3 mi | Old Hickory, TN | ★★★☆☆ | 2/5 | |
| Creekside Center for Rehabilitation and Healing | 6.0 mi | Madison, TN | ★★★★☆ | 4/5 | |
| Nashville Center for Rehabilitation and Healing LL | 7.2 mi | Nashville, TN | ★★☆☆☆ | 2/5 | |
| Advanced Health Care of Nashville | 7.6 mi | Nashville, TN | —/5 | ||
| Whites Creek Wellness and Rehabilitation Center | 8.3 mi | Whites Creek, TN | ★★★☆☆ | 3/5 | |
| Cedar Creek Post Acute | 8.7 mi | Mount Juliet, TN | ★☆☆☆☆ | 1/5 | |
| Alta Heights Post Acute | 8.9 mi | Goodlettsville, TN | ★★★★☆ | 4/5 | |
| The Health Center at Richland Place | 9.1 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| Antioch TN Opco, LLC | 9.3 mi | Antioch, TN | ★★☆☆☆ | 1/5 | abuseSFF |
| Bethany Center for Rehabilitation and Healing LLC | 9.6 mi | Nashville, TN | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445526.