West Meade Place
1000 St Luke Drive, Nashville, TN 37205 · Davidson County · 120 certified beds · avg 102 residents/day · certified since Jul 17, 1987
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.
All citations in the current public record (17)
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 |
|---|---|---|
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 13, 2026 | 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. |
| Sep 6, 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 6, 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 6, 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 6, 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 6, 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. |
| Sep 6, 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. |
| Sep 6, 2022 | D · Potential for harm, one-off | The facility did not perform required COVID-19 testing on residents and staff. |
| Dec 11, 2019 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Dec 11, 2019 | 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. |
| Dec 11, 2019 | 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. |
| Dec 11, 2019 | 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. |
| Dec 11, 2019 | 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. |
| Dec 11, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Dec 11, 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 decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | D |
| 2022 | 7 | 0 | D |
| 2026 | 3 | 0 | E |
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) | 2.91 | 3.62 | 3.95 | bottom 13% in Tennessee; bottom 11% in the U.S. |
| Registered Nurse hours | 0.73 | 0.57 | 0.69 | top 20% in Tennessee; top 34% in the U.S. |
| Weekend total nurse staffing | 2.56 | 3.15 | 3.50 | bottom 15% in Tennessee; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.95 | 0.39 | 0.48 | top 3% in Tennessee; top 7% in the U.S. |
| Total nursing staff turnover (%) | 62.6 | 48.9 | 45.8 | bottom 14% in Tennessee; bottom 13% in the U.S. |
| RN turnover (%) | 51.6 | 43.2 | 42.9 | bottom 30% in Tennessee; bottom 32% 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 0.99, weekend 3.50. 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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alexandra Group INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/18/2020 |
| Barbara J Friedbauer Rev Trust | Organization | 5% or Greater Direct Ownership Interest | 45% | 10/26/2015 |
| Friedbauer, Elise | Individual | 5% or Greater Direct Ownership Interest | 45% | 05/18/2000 |
| Friedbaurer, John | Individual | 5% or Greater Direct Ownership Interest | 5% | 05/18/2000 |
| Warren, Nancy | Individual | 5% or Greater Direct Ownership Interest | 5% | 05/18/2000 |
| Alexandra Group INC | Organization | General Partnership Interest | NOT APPLICABLE | 05/18/2020 |
| Friedbauer, Elise | Individual | Limited Partnership Interest | NOT APPLICABLE | 05/18/2020 |
| Friedbaurer, John | Individual | Limited Partnership Interest | NOT APPLICABLE | 05/18/2020 |
| Friedbaurer, Rober | Individual | Corporate Director | NOT APPLICABLE | 07/17/1987 |
| Friedbaurer, Rober | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/17/1987 |
| Mary Queen of Angels INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/11/2002 |
| Rehman, Faiza | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2021 |
| Rehman, Faiza | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2021 |
| Shelly, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2020 |
| Shelly, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Shelly, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2020 |
| Tennessee Healthcare Advisors, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Tennessee Healthcare Advisors, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/13/2025 |
| Vincent, Brandon | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/19/2024 |
| Vincent, Brandon | Individual | ADP of the SNF | NOT APPLICABLE | 08/19/2024 |
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?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Woodcrest at Blakeford | 3.9 mi | Nashville, TN | ★★★★☆ | 3/5 | |
| Green Hills Center for Rehabilitation and Healing | 4.0 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| The Meadows | 4.7 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| The Health Center at Richland Place | 4.9 mi | Nashville, TN | ★★★☆☆ | 2/5 | |
| NHC Place at the Trace | 5.6 mi | Nashville, TN | ★★★★★ | 4/5 | |
| Nashville Center for Rehabilitation and Healing LL | 6.8 mi | Nashville, TN | ★★☆☆☆ | 2/5 | |
| Advanced Health Care of Nashville | 6.9 mi | Nashville, TN | —/5 | ||
| Somerfield at the Heritage | 8.1 mi | Brentwood, TN | ★★★★★ | 5/5 | |
| Eaton Creek Post Acute | 8.3 mi | Nashville, TN | —/5 | SFF | |
| Trevecca Center for Rehabilitation and Healing LLC | 8.7 mi | Nashville, TN | ★★★☆☆ | 3/5 | |
| Bethany Center for Rehabilitation and Healing LLC | 10.0 mi | Nashville, TN | ★☆☆☆☆ | 2/5 | |
| NHC Place at Cool Springs | 10.7 mi | Franklin, TN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445203.