What is Life Care Center of Old Hickory Village's Medicare star rating?

CMS rates Life Care Center of Old Hickory Village 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Life Care Center of Old Hickory Village get at its last inspection?

3 health deficiencies at the standard inspection on June 26, 2026. The Tennessee average is 4.4.

Does Life Care Center of Old Hickory Village accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Life Care Center of Old Hickory Village?

CMS lists 28 owners and managers, and links the home to Life Care Centers of America. Legal business name: NASHVILLE MEDICAL INVESTORS LLC.

Life Care Center of Old Hickory Village: Inspections

The record in brief

At its most recent standard inspection, on June 26, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 17 health citations since May 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,788 in the last three years; the largest was $8,788, and the latest is dated October 9, 2025.

Nurses and nurse aides worked 3.53 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.

49.4% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Life Care Centers of America, an affiliated group of 194 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.

005/19

1009/22

209/23

210/25

306/26

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 17 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

June 26, 2026Standard inspection · 3 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 10, 2026

Inspectors wroteBased on interview and facility document review, the facility failed to implement their infection control and prevention program when all facility staff were not fit-tested for N-95 respirator masks annually as required during the past year per their policy and procedure and per the Centers for Disease Control (CDC). This deficient practice had the potential to affect all 93 residents who resided in the facility.
E

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 10, 2026

Inspectors wroteBased on facility policy review, record review, obserevation and interview the facility failed to ensure the medication error rate was 5 percent (%) or less. The facility had 4 medication errors out of 30 opportunities affecting 4 (Residents #37, #110, #97, and #129) of 4 residents reviewed during the medication administration task, resulting in a medication error rate of 13.33%.
D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 10, 2026

Inspectors wroteBased on facility policy review, record review, facility document review, and interview, the facility failed to issue a beneficiary notification timely for 1 (Resident #128) of 3 sampled residents reviewed for beneficiary notices.

October 9, 2025Complaint inspection · 2 citations

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2025

Inspectors wroteBased on facility policy review, medical record review, facility investigation review, and interview, the facility failed to identify accident hazards to prevent falls and failed to ensure safety during care for 1 of 3 (Resident #1) sampled residents reviewed for accidents. Resident #1 had moderately impaired cognition, was dependent upon staff for assistance with transfers, and used a wheelchair for mobility. On 4/4/2025, Resident #1 had an unwitnessed fall. Certified Nurse Assistant (CNA) O discovered Resident #1 on the floor with her right arm lodged in the wheel of the wheelchair. [...]
E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2025

Inspectors wroteBased on the facility policy review, medical record review, and interview, the facility failed to facilitate the residents' and/or resident representatives' participation in the care planning process for 3 of 3 (Resident #1, Resident #3 and Resident #4) sampled residents reviewed for care planning conferences.

September 20, 2023Complaint inspection · 2 citations

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 12, 2023

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to revise the Care Plan for 2 of 6 (Residents #2 and #3) residents reviewed.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 12, 2023

Inspectors wroteBased on medical record review and interview, the facility failed to obtain physician's orders for 1 of 6 (Resident #2) residents reviewed.

September 14, 2022Standard inspection · 10 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to follow infection control guidelines to minimize the risk of potential exposure to the Coronavirus (COVID-19) for 75 residents. The facility also failed to properly dispose of a urinary catheter drainage system in a manner to prevent transmission of potential infectious agents for 1 of 5 sampled residents (Resident #54) requiring a urinary catheter.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure dignity for 1 of 5 sampled residents (Resident #30) who required an indwelling urinary catheter.
D

PASARR screening for Mental disorders or Intellectual Disabilities

F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure a new Pre-admission Screening and Resident Review (PASARR) screen was completed after an identified mental health diagnosis for 2 of 5 sampled residents (Resident #16 And Resident #82) reviewed.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, documentation review, medical record review, observations, and interviews, the facility failed to provide Activities of Daily Living (ADL) care for 1 of 24 sampled residents (Resident #30) reviewed.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to follow physician orders for 1 of 24 sampled residents (Resident #589) reviewed.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to label oxygen tubing when changed for 1 of 10 sampled residents (Resident #589) reviewed.
D

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility documentation review and interview the facility failed to ensure there was a Registered Nurse (RN) on duty for 8 consecutive hours a day, 7 days a week for the 18 months reviewed.
D

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, facility documentation review, observations, and interviews, the facility failed to have the Daily Nurse Staffing form posted for 1 of 3 days of survey.
D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure medication was stored properly for 1 of 24 sampled residents (Resident #43) reviewed.
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2022

Inspectors wroteBased on facility policy review, observations, and interview, the facility failed to dispose of expired food items in the nourishment room refrigerators.

May 15, 2019Standard inspection · 0 citations

Fire safety inspections

2 fire safety citations on file: 2 on June 26, 2026.

Every fire safety citation2 citations

D
Establish roles under a Waiver declared by secretary.

E 26 · June 26, 2026 · Corrected (the home has a date of correction)
D
Add 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.

K 222 · June 26, 2026 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
October 9, 2025	Fine	$8,788

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.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.53	3.80	3.86
Registered nurses	0.51	0.60	0.69
All nursing staff on weekends	2.91	3.31	3.42
Nurse aides	2.05
Licensed practical nurses	0.98
Nursing staff turnover (share who left in a year)	49.4%	48.9%	45.8%
Registered nurse turnover	53.8%	43.2%	42.9%
Administrators who left	0

CMS expects 3.88 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 3.79 on weekdays and 2.91 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.53 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	3.53	0.51	3.79	2.91	0.0%	0 of 90	96
Oct to Dec 2025	3.63	0.42	3.77	3.25	0.0%	0 of 92	90
Jul to Sep 2025	3.94	0.54	4.16	3.36	0.0%	0 of 92	88
Apr to Jun 2025	3.57	0.58	3.82	2.94	0.0%	0 of 91	92
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.

Quality measures

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	17.4	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.4	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.1	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.6	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.6	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	28.2	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.5	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	4.2	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	24.7	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	6.7	11.2	12.0

Owners and operators

Legal business name: NASHVILLE MEDICAL INVESTORS LLC. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

Name	Role	Type	Since
Developers Investment Company II, Inc	Direct ownership interest	Organization	10/29/2007
Preston, Forrest	Direct ownership interest	Individual	10/29/2007
Preston, Forrest	Indirect ownership interest	Individual	10/29/2007
Malenchii, Vasile	Managing control - governing body	Individual	11/18/2019
Savage, Kimberly	Managing control - governing body	Individual	11/19/2019
Solomon, Jennifer	Managing control - governing body	Individual	05/01/2019
Lay, Lisa	Corporate director	Individual	04/24/2017
Swanker, Richard	Corporate director	Individual	01/01/2022
Cross, Cindy	Corporate officer	Individual	07/11/2011
Henry, Terry	Corporate officer	Individual	07/11/2011
Lay, Lisa	Corporate officer	Individual	02/09/2018
Swanker, Richard	Corporate officer	Individual	07/11/2011
Thurmond, Joan	Corporate officer	Individual	07/11/2011
Developers Investment Company II, Inc	Operational/managerial control	Organization	10/29/2007
Life Care Centers of America, Inc.	Operational/managerial control	Organization	07/11/2011
Nashville Medical Investors LLC	Operational/managerial control	Organization	05/03/2012
Fletcher, Todd	Operational/managerial control	Individual	12/13/2024
Malenchii, Vasile	Operational/managerial control	Individual	11/18/2019
Preston, Aubrey	Operational/managerial control	Individual	12/13/2024
Rehman, Faiza	Operational/managerial control	Individual	02/01/2014
Savage, Kimberly	Operational/managerial control	Individual	11/19/2019
Solomon, Jennifer	Operational/managerial control	Individual	05/01/2019
Ziegler, James	Operational/managerial control	Individual	12/13/2024
Life Care Centers of America, Inc.	Adp of the SNF	Organization	02/26/2025
Nashville Medical Investors LLC	Adp of the SNF	Organization	12/22/2009
Malenchii, Vasile	Adp of the SNF	Individual	02/26/2025
Preston, Forrest	Adp of the SNF	Individual	12/22/2009
Rehman, Faiza	Adp of the SNF	Individual	02/26/2025

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on October 9, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 9, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 26, 2026: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 26, 2026: "Ensure medication error rates are not 5 percent or greater."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Creekside Center for Rehabilitation and Healing
Madison, 2.9 mi · 4 of 5 stars · 8 citations
The McKendree Post Acute & Rehabilitation
Hermitage, 4.5 mi · 1 of 5 stars · 37 citations
Alta Heights Post Acute
Goodlettsville, 4.6 mi · 4 of 5 stars · 19 citations
NHC Healthcare, Hendersonville
Hendersonville, 4.8 mi · 3 of 5 stars · 16 citations
Heartland
Nashville, 5.3 mi · 5 of 5 stars · 23 citations
Whites Creek Wellness and Rehabilitation Center
Whites Creek, 8 mi · 3 of 5 stars · 18 citations
Cedar Creek Post Acute
Mount Juliet, 8.8 mi · 1 of 5 stars · 32 citations
Trevecca Center for Rehabilitation and Healing LLC
Nashville, 9.5 mi · 3 of 5 stars · 14 citations

Tennessee contacts for a concern about a nursing home

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

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Life Care Center of Old Hickory Village's Medicare star rating?: CMS rates Life Care Center of Old Hickory Village 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Life Care Center of Old Hickory Village get at its last inspection?: 3 health deficiencies at the standard inspection on June 26, 2026. The Tennessee average is 4.4.
Has Life Care Center of Old Hickory Village been fined?: Yes. CMS lists 1 fine totaling $8,788 in the last three years.
Does Life Care Center of Old Hickory Village accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Life Care Center of Old Hickory Village?: CMS lists 28 owners and managers, and links the home to Life Care Centers of America. Legal business name: NASHVILLE MEDICAL INVESTORS LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.