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Advanced Health Care of Nashville

627 19th Ave North, Nashville, TN 37203 · Davidson County · (801) 447-9860

49 certified beds, about 43 residents a day · For profit - Limited Liability company · Medicare since 2022

Last standard inspection more than 2 years ago Certified for Medicare
Overall
Not rated
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
Health inspections
Not rated
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
Staffing
Not rated
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
Quality measures
Not rated
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445538 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 19, 2022, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 5 health citations since October 2022, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 3 fines totaling $118,517 in the last three years; the largest was $113,273, and the latest is dated October 2, 2024.

Nurses and nurse aides worked 5.25 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

CMS links it to Advanced Health Care, an affiliated group of 26 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
0F
Potential for minimal harm
0A
0B
0C
October 2, 2024Complaint inspection · 4 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interview, the facility failed to protect the resident's right to be free from neglect by facility staff for 1of 4 (Resident #1) sampled residents reviewed for abuse. On 8/18/2024, LPN G witnessed Resident #1's private sitter restraining his arms across his abdomen after an attempt to obtain a blood sample while the resident yelled No. Licensed Practical Nurse (LPN) G witnessed the private sitter's behavior escalate to crying and yelling before she left Resident #1 and the private sitter alone in the room. LPN G failed to protect Resident #1 from further potential abuse when she left Resident #1 alone in the room with the private sitter after she obtained the blood sample, which resulted in Immediate Jeopardy (IJ) for Resident #1. [...]
  2. J
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interview, the facility failed to provide an environment free from the use of physical restraint used for staff convenience, that unnecessarily inhibited a resident's freedom of movement or activity for 1 of 1 (Resident #1) sampled residents reviewed for restraints. On 8/18/2024, a phlebotomist from an outside agency contracted with the facility and Resident #1's private sitter physically restrained Resident #1, while he yelled No during an attempt to obtain blood. The phlebotomist notified Licensed Practical Nurse (LPN) G that she was unable to obtain the blood, and LPN G entered Resident #1's room and observed Resident #1's private sitter holding his arms down across his body. [...]
  3. J
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interviews, the facility failed to report an allegation of abuse for 1 of 4 (Resident #1) sampled residents reviewed for abuse. On 8/18/2024, Resident #1, a moderately, cognitively impaired resident was physically restrained by his private sitter while refusing a venipuncture (a procedure in which a needle is used to take blood from a vein). Licensed Practical Nurse (LPN) G observed the private sitter continuing the physical restraint of Resident #1 after the venipuncture attempt. LPN G failed to report the allegation of abuse to Administration. The facility's failure to ensure all allegations of abuse were reported immediately resulted in an Immediate Jeopardy (IJ). [...]
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to conduct a thorough investigation and take appropriate corrective actions for 1 of 1 (Resident #1) sampled residents reviewed for abuse.
March 12, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 1, 2024
    Inspectors wroteBased on facility policy review, facility record review, and interview, the facility failed to do the 5-day follow-up, after the fall investigation had been submitted, for 2 (Resident #3 and Resident #4) of 10 residents reviewed.
October 19, 2022Standard inspection · 0 citations

Fines and payment denials

DatePenaltyAmount or length
October 2, 2024Fine $113,273
October 2, 2024Payment Denial 9 days from October 6, 2024
September 25, 2023Fine $2,797
September 18, 2023Fine $2,447

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)5.253.803.86
Registered nurses0.680.600.69
All nursing staff on weekends4.153.313.42
Nurse aides3.01
Licensed practical nurses1.56
Nursing staff turnover (share who left in a year)not reported48.9%45.8%
Registered nurse turnovernot reported43.2%42.9%
Administrators who leftnot reported

CMS expects 4.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.70 on weekdays and 4.15 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.38 in April to June 2025 to 5.25 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.250.685.704.15 1.5%0 of 9043
Apr to Jun 20255.380.635.794.36 0.9%0 of 9144
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.11.71.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.822.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.911.212.0

Owners and operators

Legal business name: AHC NASHVILLE LLC. CMS links this home to Advanced Health Care, a group of 26 nursing homes averaging 4.7 stars overall.

NameRoleTypeShareSince
Advanced Health Care - Larry H Miller Corporation5% or greater direct ownership interestOrganization01/01/2021
New AHC Holdings, LLC5% or greater direct ownership interestOrganization01/01/2021
The Gail Miller Gst Trust5% or greater indirect ownership interestOrganization72%01/01/2024
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014Indirect ownership interestOrganization01/01/2024
The G&h Miller Utah Trust Dated February 26, 2019Indirect ownership interestOrganization01/01/2024
Oxnam, NathanCorporate officerIndividual01/01/2024
Engberson, EmilyOperational/managerial controlIndividual02/01/2025
Lhmsh LLCAdp of the SNFOrganization01/01/2024
New AHC Holdings, LLCAdp of the SNFOrganization03/28/2025
Eme, IjaghaAdp of the SNFIndividual04/04/2025
Engberson, EmilyAdp of the SNFIndividual04/07/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on October 2, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Advanced Health Care of Nashville's Medicare star rating?
CMS does not give Advanced Health Care of Nashville an overall star rating in the data as of September 1, 2026.
How many deficiencies did Advanced Health Care of Nashville get at its last inspection?
0 health deficiencies at the standard inspection on October 19, 2022. The Tennessee average is 4.4.
Has Advanced Health Care of Nashville been fined?
Yes. CMS lists 3 fines totaling $118,517 in the last three years.
Does Advanced Health Care of Nashville accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Advanced Health Care of Nashville?
CMS lists 11 owners and managers, and links the home to Advanced Health Care. Legal business name: AHC NASHVILLE LLC.

Sources

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