The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Heartland Senior Community
Registered name: HEARTLAND
NASHVILLE, TN · Medicare-certified · 66 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Heartland Senior Community in Nashville has a 5-star overall rating, with strong quality measures and a 4-star health inspection rating, but staffing is lower at 3 stars and reported nurse staffing is 3.36 hours per resident per day versus the 4.1 federal benchmark. It had $0 in fines in the last 24 months, and recent inspection citations included accident hazards/supervision, feeding-tube care, and timely reporting of suspected abuse, neglect, or theft.
Facility ratings
Health inspections
Staffing
3.3634 hrs/resident/day
Quality measures
Last inspection: April 15, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3634.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.07
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%9.4%Improving
Residents with a fall causing major injury
4.4%4%No change
Residents with pressure ulcers (bedsores)
3.1%1.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.6%8.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
50%16.1%Improving
Residents whose ability to walk got worse
—33.4%—
Long-stay residents on antianxiety or sleep medication
11.1%15.6%Worsening
Short-stay residents newly given an antipsychotic
1.7%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.9%18.6%No change
Residents with depressive symptoms
6.7%2.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—74.5%—
Long-stay residents given the pneumonia vaccine
64.4%76%Improving
Short-stay residents given the seasonal flu vaccine
—38.7%—
Short-stay residents given the pneumonia vaccine
32.1%86.5%Improving
What the inspectors found
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,901 in total fines · 1 payment denial.
- 13 days
Medicare/Medicaid payment denial
Sep 28, 2023
- $7,901
Federal fine
Sep 28, 2023
Operator & ownership
Recent ownership change · May 1, 2023
Now operated by Heartland, previously Lakeshore Heartland.
- Ownership
- For profit - Corporation
- Chain
- Part of NATIONAL HEALTHCARE CORPORATION · 69 homes · 3.9 stars avg
- Occupancy
- 60.8 residents on an average day (92% of 66 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.