3939 Hillsboro Circle, Nashville, TN 37215 · Davidson County · (615) 297-2100
150 certified beds, about 139 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445267 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 29, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
Of 35 health citations since February 2020, 7 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $16,801 in the last three years; the largest was $8,401, and the latest is dated February 5, 2024.
Nurses and nurse aides worked 4.01 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
61.2% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Carerite Centers, an affiliated group of 34 nursing homes.
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.
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 35 health citations on file.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to reimburse funds within 30 days to 2 of 2 (Resident #135 and #136) sampled residents reviewed for personal fund accounts.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was properly stored, prepared, and served under sanitary conditions, when the facility failed to ensure kitchen equipment was clean and sanitary, when food was stored opened, undated, and expired, when staff failed to cover hair, failed to perform hand hygiene, when food was left uncovered and unattended, and when the ice machine had pink and black build up. The facility served 119 meal trays.
Inspectors wroteBased on review of the Resident Rights document, medical record review, observation, and interview, the facility failed to treat residents with respect and dignity when 4 of 15 (Certified Nursing Assistant (CNA) K, L, M, N) and (Minimum Data set (MDS Nurse) staff members stood over a residents (Resident #12, #33, #45, #54, and #90) to assist with the meal.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain privacy and confidentiality of residents' medical record for 27 of 119 (Resident #4, #10, #11, #19, #23, #27, #29, #31, #33, #36, #41, #47, #50, #51, #52, #53, #60, #75, #77, #81, #82, #88, #94, #98, #106, #107, and #110) sampled residents observed during a random observation and medication administration.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to conduct quarterly care conference meetings for 5 of 24 (Resident #9, #10, #25, #36, and #39) sampled residents reviewed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to provide care and services related to activities of daily living (ADLs) for 3 of 7 (Resident #5, #9, and #317) sampled residents for ADLs.
Inspectors wroteBased on policy review, medical record, observation, and interview, the facility failed to provide care and services for the prevention of pressure ulcer/injury for 1 of 4 (Resident #61) sampled residents reviewed for pressure ulcer/injuries.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure a safe and secure environment for 1 of 1 (Residents #25) residents reviewed for accident hazards.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide appropriate services and treatment for an indwelling urinary catheter for 1 of 3 (Resident #317) reviewed for the use of a urinary catheter care, when the facility failed to obtain an order, failed to revise the care plan for the use of an indwelling urinary catheter, and when 1 of 1 (Certified Nursing Assistant (CNA) HH) failed to perform hand hygiene during catheter care.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 3 of 9 (100 Hall Medication Cart #1, 200 Hall Medication Cart #1, and 300 Hall Medication Room) storage areas when external and internal medications were stored together and with toxic chemicals, medications stored opened and undated, and when discontinued medications were stored in the medication room, and when 1 of 9 (300 Hall Medication Cart #2) storage areas was left unsecure, unattended, and out of sight of the nurse
Inspectors wroteBased on the Center for Disease Control (CDC) guidelines, policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 2 of 2 staff members (Certified Nurse Assistant (CNA S) and Licensed Practical Nurse (LPN O) failed to properly store soiled linens, and wear Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP), and failed to properly disinfect reusable medical equipment.
Inspectors wroteBased on facility policy review, review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, facility investigation review, and interview, the facility failed to protect the resident's right to be free from neglect for 1 of 22 (Resident #319) sampled residents reviewed for abuse. The facility's failure to provide the necessary structure and processes to meet the care needs of Resident #319 resulted in actual HARM when Resident #319 fell from the bed and sustained a left hip fracture. Staff failed to provide 2-person assistance during incontinent care, for a cognitively impaired resident with contractures (a permanent tightening of muscle, tendons, skin, and surrounding tissue that causes the joints to shorten and stiffen) and hemiparesis (paralysis and partial weakness of one side of the body). [...]
Inspectors wroteBased on facility policy review, review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, review of the facility incident report, facility investigation, review of Hospital #2's Emergency Department (ED) records, medical record review, and interview, the facility failed to ensure a person-centered care plan was developed and implemented for 1 of 11 (Resident #319) sampled residents reviewed using an air mattress. The facility's failure to develop and implement a person-centered care plan for Resident #319 resulted in actual harm when he fell from the bed during incontinence care and sustained a left hip fracture.
Inspectors wroteBased on facility policy review, review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, facility eINTERACT Transfer Form review, medical record review, facility investigation review, and interview, the facility failed to provide an environment that is free from accident hazards over which the facility has control and provide supervision for 1 of 11 (Resident #319) sampled residents reviewed for assistance with Activities of Daily Living (ADL)s and air mattress use. The facility's failure to provide a safe environment during care resulted in actual harm when Resident #319 fell from bed and sustained a left hip fracture on [DATE] while receiving incontinence care with use of 1 person assist.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide effective pain management for 2 (Resident #221 and #224) of 5 residents reviewed for pain. The facility's failure to implement an effective pain management program for Resident #221 and Resident #224 resulted in an increase in pain and actual HARM to Resident #221 and Resident #224.
Inspectors wroteBased on facility policy review, grievance log review, medical record review, observation and interview, the facility failed to provide good grooming, incontinence care, timely call light response, and personal hygiene for 6 (Resident #4, Resident #56, Resident #81, Resident #220, Resident #221, and Resident #368) of 22 sampled residents that required assistance with personal care.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to treat 1 (Resident #88) of 22 sampled residents reviewed for resident rights with respect, dignity, and care in a manner and in an environment that promotes maintenance and enhancement of her quality of life.
Inspectors wroteBased on facility policy review, facility investigation review, medical record review, and interview, the facility failed to report to the state agency allegations of verbal abuse and neglect within 2 hours of the incident for 3 (Resident #53, Resident #56, and Resident #81) of 22 sampled residents reviewed for abuse.
Inspectors wroteBased on facility policy review, facility investigation review, medical record review, and interview, the facility failed to thoroughly investigate an allegation of verbal abuse and/or neglect for 3 (Resident #53, Resident #56 and Resident #81) of 22 sampled residents reviewed for abuse.
Inspectors wroteBased on facility policy review, facility eINTERACT Transfer Form review, medical record review, and interview, the facility failed to communicate appropriate information to the receiving facility and ensure an effective transition of care for 1 of 1 (Resident #319) sampled residents reviewed. Resident #319 was transferred to Hospital #2 Emergency Department (ED) on 5/27/2022 for evaluation of neurological symptoms. Facility nursing staff failed to communicate information related to Resident #319's 5/26/2022 fall during both oral and written reports to Hospital #2.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to administer medications as ordered by the physician for 3 (Residents #32, Resident #370 and #372) of 28 residents reviewed.
Inspectors wroteBased on facility policy, QAPI (Quality Assurance and Performance Improvement) documentation, and interview, the facility failed to identify and correct quality deficiencies when Resident #106 exited the building in his wheelchair and his absence remained unnoticed for 7.5 hours on 12/8/2023. The facility also failed to identify and correct quality deficiencies when Resident #319 fell from bed during care and sustained a left hip fracture on 5/26/2022.
Inspectors wroteBased on facility policy review, facility video footage, hospital record review, www.accuweather.com review, medical record review, observation, and interview, the facility failed to provide an environment that remained free of accident hazards and failed to adequately supervise Resident #106. Resident #106 exited the building in his wheelchair when a staff member unlocked the front door for a visitor to exit. Resident #106 followed the visitor out the door unnoticed on 12/8/2023 at 12:31 PM. Resident #106 exited the building for a second time when a staff member again unlocked the front door for a visitor and Resident #106 followed the visitor out the door unnoticed on 12/8/2023 at approximately 1:35 PM. The facility was unaware of Resident #106 missing until approximately 9:00 PM on 12/8/2023 (7 ½ hours after Resident #106 exited the front door). [...]
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to develop and implement a person-centered care plan for 3 of 41 residents (Resident #60, #4 and #57) reviewed for Comprehensive Care Plans placing the residents in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). Resident #60 experienced a fall which resulted in a C7 fracture (fracture of the 7th neck vertebra) and a second fall which resulted in a Proximal Left Hip Fracture (Fracture at the base of the Femoral Neck). Resident #4 experienced a fall which resulted in a Traumatic Subarachnoid Hemorrhage (bleeding in the space between the brain and the tissue covering the brain related to trauma). [...]
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to provide supervision and assistance for 3 of 4 residents (Resident #60, #4, and #57) reviewed for falls with major injury which placed these residents in Immediate Jeopardy when Resident #60 experienced a fall which resulted in a C7 fracture (fracture of the 7th neck vertebra) and a second fall which resulted in a Proximal (point of attachment) Left Hip Fracture. Resident #4 experienced a fall which resulted in a Traumatic Subarachnoid Hemorrhage (bleeding in the space between the brain and the tissue covering the brain related to trauma). Resident #4 then developed new onset seizure activity after the fall. Resident #57 was left unattended in the bathroom, fell while self-toileting, and sustained a Left Humerus (upper arm) fracture. [...]
Inspectors wroteBased on medical record review and interview facility Administration failed to ensure investigations were completed and reported for 4, 100 %, (#4 , #13 , #60 and #173) of 4 residents reviewed for resident to resident altercations having the potential to affect all residents in the facility.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to investigate allegations of physical altercations for 4 (#4, #13, #60, and #173) of 4 residents reviewed for altercations.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to treat 1 of 10 residents (Resident #12), who required a indwelling urinary catheter, with dignity related to not covering the resident's indwelling catheter bag.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to report an allegation of resident to resident altercations to the State Survey Agency for 4 (#4, #13, #60, and #173) of 4 residents reviewed who were involved in resident to resident altercations.
Inspectors wroteBased on medical record review and interview the facility failed to complete a Significant Change Minimum Data Set (MDS) assessment within the required timeframe for 1 of 15 residents (Resident #64) reviewed who were receiving hospice.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide a sanitary environment to help prevent the development and transmission of infection for 1 of 10 residents (Resident #12) reviewed who required indwelling urinary catheters.
Inspectors wroteBased on facility policy review, medical record review, facility record review, and interviews, the facility failed to have competent staff to provide care for all residents residing in the facility related to 1 Certified Nursing Assistant (CNA #2,) of 12 reviewed for not reviewing the residents [NAME] (CNA care plan)/Care Plans prior to providing individualized resident care needs.
Inspectors wroteBased on facility record review and interview the facility failed to have 2 months of 18 months (July 2019 and August 2019) of daily staffing sheets available from 9/7/2018 to 2/7/2020 upon request for review.
Inspectors wroteBased on facility policy review, observation, test tray observation, and interview, the facility failed to provide food at a palatable and safe temperature for 1 tray delivery cart of 3 tray delivery carts delivered to the 2nd floor 200 North hall during the evening meal on 2/3/2020.
Inspectors wroteBased on facility policy review, facility documentation review, medical record review, observation and interview, the facility dietary department failed to maintain dietary equipment in a sanitary manner in 2 of 4 observations of the dietary department and the facility failed to handle food in a sanitary manner for 2 of 50 residents (Resident #21 and #39) observed being served food on the 2nd floor during the evening meal on 2/3/2020.
14 fire safety citations on file: 4 on April 29, 2026, 6 on February 4, 2025, 4 on February 7, 2020.
| Date | Penalty | Amount or length |
|---|---|---|
| February 5, 2024 | Fine | $8,400 |
| February 5, 2024 | Fine | $8,401 |
| February 5, 2024 | Payment Denial | 6 days from February 28, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 3.80 | 3.86 |
| Registered nurses | 0.53 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.62 | 3.31 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 61.2% | 48.9% | 45.8% |
| Registered nurse turnover | 36.8% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.16 on weekdays and 3.62 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.25 in April to June 2025 to 4.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.01 | 0.53 | 4.16 | 3.62 | 19.0% | 0 of 90 | 139 |
| Oct to Dec 2025 | 4.12 | 0.59 | 4.29 | 3.71 | 15.2% | 0 of 92 | 127 |
| Jul to Sep 2025 | 4.11 | 0.65 | 4.32 | 3.57 | 7.1% | 0 of 92 | 122 |
| Apr to Jun 2025 | 4.25 | 0.63 | 4.47 | 3.71 | 14.1% | 0 of 91 | 128 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.8 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.3 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.5 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Green Hills Center for Rehabilitation and Healing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.7% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 129 eligible stays.
9.2% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 159 eligible stays.
8.6% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 82 eligible stays.
61.9% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 63 residents counted.
0.9% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 108 residents counted.
2.4% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 108 residents counted.
100.0% this home
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 38 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GREEN HILLS CENTER FOR REHABILITATION AND HEALING LLC. CMS links this home to Carerite Centers, a group of 34 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Md Friedman Family 2017 Trust | 5% or greater direct ownership interest | Organization | 39% | 08/01/2019 |
| Neal Einhorn Family 2017 Trust | 5% or greater direct ownership interest | Organization | 39% | 08/01/2019 |
| Schwartz, Eliezer | 5% or greater direct ownership interest | Individual | 7% | 08/01/2019 |
| Einhorn, Neal | Managing control - governing body | Individual | 08/01/2019 | |
| Friedman, Mark | Managing control - governing body | Individual | 08/01/2019 | |
| Friedman, Mark | Corporate officer | Individual | 08/01/2019 | |
| Cannon, Mackenzie | Operational/managerial control | Individual | 11/10/2025 | |
| Rossi, Alexandria | Operational/managerial control | Individual | 12/14/2024 | |
| Williams, John | Operational/managerial control | Individual | 05/06/1997 | |
| Md Friedman Family 2017 Trust | Adp of the SNF | Organization | 08/01/2019 | |
| Neal Einhorn Family 2017 Trust | Adp of the SNF | Organization | 08/01/2019 | |
| Cannon, Mackenzie | Adp of the SNF | Individual | 11/10/2025 | |
| Rossi, Alexandria | Adp of the SNF | Individual | 12/14/2024 | |
| Schwartz, Eliezer | Adp of the SNF | Individual | 08/01/2019 | |
| Williams, John | Adp of the SNF | Individual | 05/06/1997 | |
| Zucker, Yossie | Adp of the SNF | Individual | 08/01/2019 |
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.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.