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
NASHVILLE, TN · Medicare-certified · 66 beds
In good standing
For-profitChain member
3 of 5 overall
Heartland (Nashville, TN) has an overall 3-star rating, with a 2-star health inspection rating and 3-star staffing rating; reported nurse staffing is 3.44 hours per resident per day, below the 4.1-hour federal benchmark. Quality measures are rated 5 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4418 hrs/resident/day
Quality measures
Last inspection: March 13, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4418.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.13
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 38%
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
11.5%12.9%Worsening
Residents with a fall causing major injury
2.2%3.7%Worsening
Residents with pressure ulcers (bedsores)
1.7%5.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.6%8.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.5%45.2%Worsening
Residents whose ability to walk got worse
—30%—
Long-stay residents on antianxiety or sleep medication
22.2%20.8%Improving
Short-stay residents newly given an antipsychotic
1.7%0%Improving
Residents with a long-term catheter
2.4%0%Improving
Residents with new or worsening incontinence
27.5%24.9%Improving
Residents with depressive symptoms
6.8%2%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
65.2%53.7%Worsening
Short-stay residents given the seasonal flu vaccine
—38.7%—
Short-stay residents given the pneumonia vaccine
31.8%58%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
Recent history
- 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
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
- Ownership
- For profit - Corporation
- Chain
- Part of NATIONAL HEALTHCARE CORPORATION · 68 homes · 4 stars avg
- Occupancy
- 61.7 residents on an average day (93% 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.