Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NASHVILLE CENTER FOR REHABILITATION AND HEALING LL

NASHVILLE, TN · 142 certified beds · Last Life Safety survey March 16, 2023

CMS Certification Number 445512 · first certified May 2013

Ownership

Operated by CARERITE CENTERS · For profit - Limited Liability company

  • Ownership changed December 1, 2017 (change of ownership)to NASHVILLE CENTER FOR REHABILITATION AND HEALING from LP NASHVILLE II, LLC
24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within TN

24 citations — more than 95% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 14 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2024 to November 2026. This facility’s last Life Safety survey was March 2023. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 24 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 24 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility24TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
42018-0462019-04142023-03
Citations at each Life Safety survey
Survey dateCitations
April 11, 20184
April 24, 20196
March 16, 202314

Most-cited tags

Most-cited tags at this facility
K-03533K-03242K-09202K-09232K-07811K-07531K-03211K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32023-03-16
K-0324Provide properly protected cooking facilities.22023-03-16
K-0920Ensure proper usage of power strips and extension cords.22023-03-16
K-0923Have proper medical gas storage and administration areas.22023-03-16
K-0781Have restrictions on the use of portable space heaters.12023-03-16
K-0753Have restrictions on the use of highly flammable decorations.12023-03-16
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-03-16
K-0351Install an approved automatic sprinkler system.12018-04-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Egress Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Egress Deficiencies3
Services Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 16, 2023 — 14 citations

Citations issued on March 16, 2023
TagWhat the surveyor checksStatus
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (April 21, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (May 13, 2023)
K-0231Provide large enough exits.Deficient, Provider has date of correction (May 13, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (May 13, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 13, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 21, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 21, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 21, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 13, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 21, 2023)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (April 21, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (April 21, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 21, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 21, 2023)

April 24, 2019 — 6 citations

Citations issued on April 24, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 17, 2019)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 17, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 17, 2019)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 17, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 17, 2019)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 17, 2019)

April 11, 2018 — 4 citations

Citations issued on April 11, 2018
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 26, 2018)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 26, 2018)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 1, 2018)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 9, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.