The Meadows
8044 Coley Davis Road, Nashville, TN 37221 · Davidson County · 113 certified beds · avg 102 residents/day · certified since Apr 16, 2010
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: ★★☆☆☆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.
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 |
|---|---|---|
| Sep 21, 2022 | F · Potential for harm, facility-wide | 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. |
| Sep 21, 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 21, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 21, 2022 | 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. |
| Sep 21, 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 21, 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. |
| Sep 21, 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 21, 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 21, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 5, 2019 | 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 5, 2019 | C · Minimal risk, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 1, 2018 | 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. |
| Aug 1, 2018 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 1, 2018 | 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. |
| Aug 1, 2018 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 1, 2018 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 5 | 0 | D |
| 2019 | 2 | 0 | E |
| 2022 | 9 | 0 | 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) | 3.67 | 3.62 | 3.95 | top 36% in Tennessee; bottom 45% in the U.S. |
| Registered Nurse hours | 0.84 | 0.57 | 0.69 | top 11% in Tennessee; top 25% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.15 | 3.50 | top 34% in Tennessee; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.39 | 0.48 | top 16% in Tennessee; top 29% in the U.S. |
| Total nursing staff turnover (%) | 55.2 | 48.9 | 45.8 | bottom 31% in Tennessee; bottom 25% in the U.S. |
| RN turnover (%) | 44.4 | 43.2 | 42.9 | bottom 45% in Tennessee; bottom 45% 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 3.48, RN 0.79, weekend 3.06. 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: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lakeshore Estates, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/06/2009 |
| Acuff, Emily | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Anderson, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2023 |
| Anderson, James | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Brock, Weldon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Brock, Weldon | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Brown, Morgan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/22/2018 |
| Cochran, Sarah | Individual | Corporate Director | NOT APPLICABLE | 09/01/2025 |
| Dodson, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Dodson, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2019 |
| Gilmer, Scott | Individual | Corporate Director | NOT APPLICABLE | 04/01/2025 |
| Hilbers, Zach | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2017 |
| Hilbers, Zach | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Jablonski, Jon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Kidd, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Kidd, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| Lakeshore Estates, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/06/2009 |
| Lakeshore Estates, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 10/06/2009 |
| Lambert, Debbie | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Lloyd, Susan | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| NHC Place at the Trace | 2.6 mi | Nashville, TN | ★★★★★ | 4/5 | |
| West Meade Place | 4.7 mi | Nashville, TN | ★★★★★ | 4/5 | |
| Woodcrest at Blakeford | 8.6 mi | Nashville, TN | ★★★★☆ | 3/5 | |
| Green Hills Center for Rehabilitation and Healing | 8.7 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| The Health Center at Richland Place | 9.4 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| Advanced Health Care of Nashville | 11.1 mi | Nashville, TN | —/5 | ||
| Eaton Creek Post Acute | 11.2 mi | Nashville, TN | —/5 | SFF | |
| Somerfield at the Heritage | 11.2 mi | Brentwood, TN | ★★★★★ | 5/5 | |
| Nashville Center for Rehabilitation and Healing LL | 11.4 mi | Nashville, TN | ★★☆☆☆ | 2/5 | |
| The Waters of Cheatham, LLC | 11.5 mi | Ashland City, TN | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445496.