Life Care Center of Old Hickory Village
1250 Robinson Road, Old Hickory, TN 37138 · Davidson County · 124 certified beds · avg 96 residents/day · certified since Jun 20, 2012
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Oct 9, 2025 · 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 8, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Oct 9, 2025 | ▲ 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 |
| Oct 9, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Sep 20, 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 14, 2022 | F · Potential for harm, facility-wide | 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. |
| Sep 14, 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. |
| Sep 14, 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. |
| Sep 14, 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. |
| Sep 14, 2022 | 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. |
| Sep 14, 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. |
| Sep 14, 2022 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 14, 2022 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Sep 14, 2022 | 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. |
| Sep 14, 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. |
| May 23, 2018 | D · Potential for harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. |
| May 23, 2018 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 2 | 0 | D |
| 2022 | 10 | 0 | F |
| 2023 | 2 | 0 | D |
| 2025 | 2 | 1 | G ▲ |
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 $8,788.
| Date | Type | Amount / length |
|---|---|---|
| Oct 9, 2025 | Fine | $8,788 |
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) | 3.49 | 3.62 | 3.95 | top 49% in Tennessee; bottom 36% in the U.S. |
| Registered Nurse hours | 0.50 | 0.57 | 0.69 | bottom 48% in Tennessee; bottom 38% in the U.S. |
| Weekend total nurse staffing | 2.87 | 3.15 | 3.50 | bottom 39% in Tennessee; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.39 | 0.48 | bottom 4% in Tennessee; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 49.4 | 48.9 | 45.8 | top 49% in Tennessee; bottom 38% in the U.S. |
| RN turnover (%) | 53.8 | 43.2 | 42.9 | bottom 29% in Tennessee; bottom 30% 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 3.53, RN 0.51, weekend 2.91. Staffing rating: 2/5.
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Developers Investment Company II, INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/29/2007 |
| Preston, Forrest | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/29/2007 |
| Preston, Forrest | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/29/2007 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2011 |
| Developers Investment Company II, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/29/2007 |
| Fletcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2011 |
| Lay, Lisa | Individual | Corporate Director | NOT APPLICABLE | 04/24/2017 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/11/2011 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/26/2025 |
| Malenchii, Vasile | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/18/2019 |
| Malenchii, Vasile | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2019 |
| Malenchii, Vasile | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2025 |
| Nashville Medical Investors LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/03/2012 |
| Nashville Medical Investors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/22/2009 |
| Preston, Aubrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Preston, Forrest | Individual | ADP of the SNF | NOT APPLICABLE | 12/22/2009 |
| Rehman, Faiza | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2014 |
| Rehman, Faiza | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2025 |
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?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Creekside Center for Rehabilitation and Healing | 2.9 mi | Madison, TN | ★★★★☆ | 4/5 | |
| The McKendree Post Acute & Rehabilitation | 4.5 mi | Hermitage, TN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Alta Heights Post Acute | 4.6 mi | Goodlettsville, TN | ★★★★☆ | 4/5 | |
| NHC Healthcare, Hendersonville | 4.8 mi | Hendersonville, TN | ★★★☆☆ | 3/5 | |
| Heartland | 5.3 mi | Nashville, TN | ★★★★★ | 4/5 | |
| Whites Creek Wellness and Rehabilitation Center | 8.0 mi | Whites Creek, TN | ★★★☆☆ | 3/5 | |
| Cedar Creek Post Acute | 8.8 mi | Mount Juliet, TN | ★☆☆☆☆ | 1/5 | |
| Trevecca Center for Rehabilitation and Healing LLC | 9.5 mi | Nashville, TN | ★★★☆☆ | 3/5 | |
| NHC Place Sumner | 10.4 mi | Gallatin, TN | ★★★★★ | 5/5 | |
| Advanced Health Care of Nashville | 10.5 mi | Nashville, TN | —/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445509.