What is NHC Place at Cool Springs's Medicare star rating?

CMS rates NHC Place at Cool Springs 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did NHC Place at Cool Springs get at its last inspection?

1 health deficiency at the standard inspection on September 14, 2022. The Tennessee average is 4.4.

Has NHC Place at Cool Springs been fined?

CMS lists no fines in the last three years.

Does NHC Place at Cool Springs accept Medicaid?

CMS lists it as "Medicare", so it is not certified for Medicaid.

Who owns NHC Place at Cool Springs?

CMS lists 25 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-COOL SPRINGS, LLC.

NHC Place at Cool Springs: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on September 14, 2022, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).

Of 8 health citations since October 2018, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.97 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.

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

CMS links it to National Healthcare Corporation, an affiliated group of 71 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.

210/18

508/19

109/22

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 8 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

September 14, 2022Standard inspection · 1 citation

E

Perform COVID19 testing on residents and staff.

F886 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 29, 2022

Inspectors wroteBased on policy review, SARS-CoV-2 (COVID-19) testing log, Staff Time and Attendance sheets, and interview, the facility failed to develop and implement a system to track and ensure all staff with medical and religious exemptions for COVID-19 testing were tested twice weekly for the prevention and potential spread of COVID-19 when 3 of 8 staff members (Registered Nurse (RN) #1 and #2, and Nurse Aide (NA) #1) failed to perform COVID-19 testing twice weekly for 3 of 4 weeks (8/15/2022 - 8/21/2022, 8/29/2022 - 9/4/2022, and 9/5/2022 - 9/11/2022) reviewed. This had the potential to effect the residents these employees cared for.

August 22, 2019Standard inspection · 5 citations

G

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · Actual harm, isolated · Corrected (the home has a date of correction) October 4, 2019

Inspectors wroteBased on medical record review, observation, and interview, the facility failed to notify the physician of a pressure ulcer on admission and failed to notify the physician when a Stage 2 pressure ulcer on the coccyx deteriorated to an unstageable pressure ulcer for 1 of 6 (Resident #138) sampled residents reviewed with pressure ulcers which resulted in actual Harm.
G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 4, 2019

Inspectors wroteBased on The National Pressure Ulcer Advisory Panel (NPUAP) Quick Reference Guide, facility policy review, medical record review, observation, and interview, the facility failed to provide the necessary treatment for the prevention and healing of pressure ulcers for 2 of 6 (Resident #53 and #138) sampled residents reviewed with pressure ulcers. The facility's failure to stage or obtain measurements of the pressure ulcer on admission, failure to notify the physician of the pressure ulcer on admission, and failure to identify the stage of the the pressure ulcer until it became unstageable resulted in actual Harm to Resident #138.
F

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, widespread · Corrected (the home has a date of correction) October 4, 2019

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by a blackish substance in 1 of 1 ice maker, 5 (Dietary Aide #1, Dietary Aide #2, Outside Vendor #1, Outside Vendor #2, [NAME] #1)facility staff and outside vendors in the kitchen without hair and beard restraints, and 1 of 24 (Certified Nursing Assistant (CNA) #1) staff members placed a meal tray from a resident's room back on the meal cart with clean trays. The facility's failure had the potential to affect 126 of the 127 residents residents receiving a meal tray from the kitchen.
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 4, 2019

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide mouth and nail care for 1 of 1 (Resident #29) sampled residents reviewed for ADL care.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 4, 2019

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to monitor for side effects and behaviors and failed to document an appropriate diagnosis for the use of an antipsychotic medication for 1 of 5 (Resident #58) sampled residents reviewed for unnecessary medications.

October 17, 2018Standard inspection · 2 citations

D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2018

Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure the facility was free from accident hazards as evidenced by sharps and aerosol cans in 2 of 116 (room [ROOM NUMBER] and 2303) resident rooms.
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) November 17, 2018

Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were stored securely and safely as evidenced by unattended medications in 3 of 116 (room [ROOM NUMBER], 1406, and 2303) resident rooms.

Fire safety inspections

14 fire safety citations on file: 2 on September 14, 2022, 4 on August 22, 2019, 8 on October 17, 2018.

Every fire safety citation14 citations

D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · September 14, 2022 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · September 14, 2022 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · August 22, 2019 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · August 22, 2019 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 22, 2019 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · August 22, 2019 · Corrected (the home has a date of correction)
D
Have an enclosure around a vertical opening shaft.

K 311 · October 17, 2018 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · October 17, 2018 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · October 17, 2018 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 17, 2018 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · October 17, 2018 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · October 17, 2018 · Corrected (the home has a date of correction)
C
Address subsistence needs for staff and patients.

E 15 · October 17, 2018 · Corrected (the home has a date of correction)
C
Establish roles under a Waiver declared by secretary.

E 26 · October 17, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)	4.97	3.80	3.86
Registered nurses	1.12	0.60	0.69
All nursing staff on weekends	4.35	3.31	3.42
Nurse aides	2.58
Licensed practical nurses	1.27
Nursing staff turnover (share who left in a year)	48.9%	48.9%	45.8%
Registered nurse turnover	36.4%	43.2%	42.9%
Administrators who left	1

CMS expects 4.24 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 5.23 on weekdays and 4.35 on weekends, 17% 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 4.97 in April to June 2025 to 4.97 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	4.97	1.12	5.23	4.35	0.0%	0 of 90	70
Oct to Dec 2025	4.87	1.13	5.15	4.16	0.0%	0 of 92	69
Jul to Sep 2025	5.12	1.31	5.46	4.25	1.3%	0 of 92	68
Apr to Jun 2025	4.97	1.20	5.31	4.13	4.0%	0 of 91	69
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	20.9	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	0.0	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	6.3	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.7	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	31.5	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.9	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	3.7	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	17.1	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	13.2	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.0	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.6	1.8

Owners and operators

Legal business name: NHC HEALTHCARE-COOL SPRINGS, LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.

Name	Role	Type	Since
Morgan Stanley Institutional Advisors LLC	Indirect ownership interest	Organization	11/08/2024
NHC/Delaware Inc	Indirect ownership interest	Organization	05/01/2004
Vincent, Brandon	Managing control - governing body	Individual	08/19/2024
Vincent, Brandon	Corporate officer	Individual	08/19/2024
National Healthcare Corporation	Operational/managerial control	Organization	05/01/2004
NHC-Op LP	Operational/managerial control	Organization	05/01/2004
Dodson, Vicki	Operational/managerial control	Individual	06/01/2019
Kidd, Brian	Operational/managerial control	Individual	05/31/2023
Moore, Anthony	Operational/managerial control	Individual	07/01/2019
Shelly, Timothy	Operational/managerial control	Individual	07/12/2024
Slandzicki, Alex	Operational/managerial control	Individual	05/01/2021
Ussery, Robert	Operational/managerial control	Individual	07/01/2000
Vincent, Brandon	Operational/managerial control	Individual	08/19/2024
Williams, Kara	Operational/managerial control	Individual	11/28/2023
Blackrock Inc	Adp of the SNF	Organization	05/01/2004
Dimensional Fund Advisors LP	Adp of the SNF	Organization	05/01/2004
Morgan Stanley	Adp of the SNF	Organization	11/08/2024
National Health Corporation	Adp of the SNF	Organization	05/04/2004
National Healthcare Corporation	Adp of the SNF	Organization	05/04/2004
NHC-Op LP	Adp of the SNF	Organization	05/04/2004
Vanguard Group Inc	Adp of the SNF	Organization	03/27/2017
Dodson, Vicki	Adp of the SNF	Individual	06/01/2019
Kidd, Brian	Adp of the SNF	Individual	05/31/2023
Moore, Anthony	Adp of the SNF	Individual	03/14/2025
Slandzicki, Alex	Adp of the SNF	Individual	05/01/2021

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 3 problems in this area, most recently on August 22, 2019: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 22, 2019: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 14, 2022: "Perform COVID19 testing on residents and staff."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 22, 2019: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Mulberry Health & Rehabilitation
Franklin, 2.9 mi · 1 of 5 stars · 35 citations
Franklin Wellness and Rehabilitation Center
Franklin, 3.1 mi · 2 of 5 stars · 16 citations
NHC Healthcare, Franklin
Franklin, 3.2 mi · 2 of 5 stars · 9 citations
Somerfield at the Heritage
Brentwood, 5.1 mi · 3 of 5 stars · 8 citations
NHC Place at the Trace
Nashville, 9.8 mi · 5 of 5 stars · 13 citations
Bethany Center for Rehabilitation and Healing LLC
Nashville, 10.1 mi · 1 of 5 stars · 11 citations
Woodcrest at Blakeford
Nashville, 10.7 mi · 4 of 5 stars · 13 citations
West Meade Place
Nashville, 10.7 mi · 5 of 5 stars · 17 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 NHC Place at Cool Springs's Medicare star rating?: CMS rates NHC Place at Cool Springs 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Place at Cool Springs get at its last inspection?: 1 health deficiency at the standard inspection on September 14, 2022. The Tennessee average is 4.4.
Has NHC Place at Cool Springs been fined?: CMS lists no fines in the last three years.
Does NHC Place at Cool Springs accept Medicaid?: CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns NHC Place at Cool Springs?: CMS lists 25 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-COOL SPRINGS, 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.