Riverview Post Acute

Name: Riverview Post Acute
Address: 111 E PEMBERTON STREET, Ashland City, TN, 37015, US
Telephone: 6157929154

111 E Pemberton Street, Ashland City, TN 37015 · Cheatham County · 95 certified beds · avg 83 residents/day · certified since Nov 20, 1993 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.47

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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.

All citations in the current public record (13)

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
Jan 14, 2026	F · Potential for harm, facility-wide	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 14, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 14, 2026	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.
Jun 16, 2021	E · Potential for harm, repeated	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 16, 2021	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 16, 2021	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.
Jun 16, 2021	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.
May 21, 2019	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
May 21, 2019	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.
May 21, 2019	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 21, 2019	D · Potential for 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.
May 21, 2019	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 stayed about the same across the last two inspection cycles (4 → 4).

Year	Citations	Worst severity that year
2019	5	D
2021	4	E
2026	4	F

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)

No fines or payment denials in the published 3-year window.

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)	3.47	3.62	3.95	bottom 50% in Tennessee; bottom 35% in the U.S.
Registered Nurse hours	0.24	0.57	0.69	bottom 3% in Tennessee; bottom 5% in the U.S.
Weekend total nurse staffing	2.97	3.15	3.50	bottom 46% in Tennessee; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.39	0.48	bottom 33% in Tennessee; bottom 26% in the U.S.
Total nursing staff turnover (%)	53.2	48.9	45.8	bottom 38% in Tennessee; bottom 29% in the U.S.
RN turnover (%)	60.0	43.2	42.9	bottom 22% in Tennessee; bottom 22% 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 3.98, RN 0.28, weekend 3.41. Staffing rating: 1/5.

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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Hightower, James	Individual	5% or Greater Direct Ownership Interest	—	10/06/1995
Hightower, Patricia	Individual	5% or Greater Direct Ownership Interest	—	10/06/1995
Healthmark Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2015
Hightower, James	Individual	W-2 Managing Employee	NOT APPLICABLE	10/06/1995
Hightower, James	Individual	Corporate Officer	NOT APPLICABLE	10/01/2012
Hightower, Patricia	Individual	W-2 Managing Employee	NOT APPLICABLE	10/06/1995
Hightower, Patricia	Individual	Corporate Officer	NOT APPLICABLE	10/01/2012
Hightower, Todd	Individual	Corporate Director	NOT APPLICABLE	10/01/2012

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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 Waters of Cheatham, LLC	3.7 mi	Ashland City, TN	★★☆☆☆	2/5
Eaton Creek Post Acute	12.7 mi	Nashville, TN		—/5	SFF
Whites Creek Wellness and Rehabilitation Center	15.1 mi	Whites Creek, TN	★★★☆☆	3/5
The Meadows	15.2 mi	Nashville, TN	★★★☆☆	2/5
West Meade Place	16.4 mi	Nashville, TN	★★★★★	4/5
Advanced Health Care of Nashville	16.9 mi	Nashville, TN		—/5
Signature Healthcare of Clarksville	17.4 mi	Clarksville, TN	★★☆☆☆	2/5
The Health Center at Richland Place	17.5 mi	Nashville, TN	★★★☆☆	2/5
NHC Place at the Trace	17.7 mi	Nashville, TN	★★★★★	4/5
Stoneridge Health Care, LLC	18.3 mi	Goodlettsville, TN	★★☆☆☆	3/5
Green Hills Center for Rehabilitation and Healing	18.4 mi	Nashville, TN	★★★☆☆	2/5
Woodcrest at Blakeford	18.8 mi	Nashville, TN	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Ashland City →

Facility data as of CMS processing date 2026-08-01. CCN 445316.

The Care File

Visit checklist — Riverview Post Acute

111 E Pemberton Street, Ashland City, TN 37015 · 6157929154

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445316 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)