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Somerfield at the Heritage

900 Heritage Way, Brentwood, TN 37027 · Williamson County · (615) 564-4900

66 certified beds, about 60 residents a day · For profit - Corporation · Medicare since 2007

Part of a continuing care retirement community Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445488 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 12, 2026, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 8 health citations since December 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $25,490 in the last three years; the largest was $25,490, and the latest is dated June 12, 2026.

Nurses and nurse aides worked 4.23 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.

47.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Life Care Services, an affiliated group of 43 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
0F
Potential for minimal harm
0A
0B
0C
June 12, 2026Standard inspection · 6 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, medical record review, Fire Department Incident report review, facility investigation review, Performance Improvement Plan review, and interviews, the facility failed to ensure the environment was free from accident hazards when staff failed to follow the care plan for 2 person assist for transfers with a mechanical lift (device designed to safely transfer patients with limited mobility) for 1 of 3 (Resident #78) sampled residents reviewed for accidents. On [DATE], Resident #78, a vulnerable and cognitively impaired resident with impaired mobility, was transferred by a Certified Nursing Assistant (CNA) using the mechanical lift (a non-powered or powered mobility device that uses slings to help partially weight bearing individuals to transfer from a sitting position into a supported standing position and sometimes back down) without 2-person assistance. [...]
  2. E
    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, pattern · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on facility policy review, job description review, medical record review, and interview, the facility failed to report allegations of Abuse for 5 of 6 (Resident #7, #21, #78, #83, and #84) sampled residents reviewed for Abuse.
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide indwelling urinary catheter care as ordered by the physician for 2 of 2 (Resident #23 and #49) sampled residents reviewed for indwelling urinary catheter.
  4. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on facility policy review, facility job description review, medical record review, and interview, the facility failed to follow Physician Orders for 1 of 4 (Resident #9) residents reviewed for nutrition.
  5. 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) July 12, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured when medications were found unsecured and unattended in 1 of 60 (Resident #42) resident occupied rooms and when controlled medications were stored unsecured in 1 of 6 (Monarch Hall medication refrigerator) medication storage areas.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 4 (Registered Nurse (RN) B and Certified Nursing Assistant (CNA) C) failed to follow proper infection control practices for 4 of 7 (Resident #11, #42, #49, #54) residents reviewed for Medication Administration, Enhanced Barrier Precautions (EBP), and Indwelling Urinary Catheter care.
April 20, 2022Standard inspection · 2 citations
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 25, 2022
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide information regarding a resident's right to develop an Advance Directive for 2 of 11 sampled residents (Resident #49 and #302) reviewed for Advance Directives.
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2022
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to accurately assess a pressure injury for 1 of 1 sampled resident (Resident #205) reviewed for pressure ulcers.
December 18, 2019Standard inspection · 0 citations

Fire safety inspections

5 fire safety citations on file: 2 on June 12, 2026, 1 on April 20, 2022, 2 on December 18, 2019.

Every fire safety citation5 citations
  1. D
    Provide properly protected cooking facilities.
    K 324 · June 12, 2026 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 12, 2026 · Corrected (the home has a date of correction)
  3. 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 · April 20, 2022 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 18, 2019 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 18, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 12, 2026Fine $25,490

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)4.233.803.86
Registered nurses1.190.600.69
All nursing staff on weekends3.583.313.42
Nurse aides2.33
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)47.6%48.9%45.8%
Registered nurse turnover33.3%43.2%42.9%
Administrators who left0

CMS expects 3.06 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 4.50 on weekdays and 3.58 on weekends, 20% 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 4.30 in April to June 2025 to 4.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.231.194.503.58 0.0%0 of 9060
Oct to Dec 20254.451.174.703.82 0.0%0 of 9259
Jul to Sep 20254.261.134.493.69 0.0%0 of 9262
Apr to Jun 20254.301.244.573.63 0.5%0 of 9163
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 long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.914.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.117.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.05.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.716.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
37.622.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.911.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.8

Owners and operators

Legal business name: HERITAGE RETIREMENT FACILITIES LLC. CMS links this home to Life Care Services, a group of 43 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
Harpeth Green Properties, LLC5% or greater direct ownership interestOrganization15%08/08/2007
Heritage Investment Partners LLC5% or greater direct ownership interestOrganization70%01/07/2016
Lcs Tn LLC5% or greater direct ownership interestOrganization15%08/08/2007
Harpeth Green Properties, LLC5% or greater indirect ownership interestOrganization5%08/08/2007
Cooper, John5% or greater indirect ownership interestIndividual37%08/08/2007
Lowe, Whitson5% or greater indirect ownership interestIndividual14%01/07/2016
Pinnacle Bank5% or greater mortgage interestOrganization01/07/2016
Pinnacle Bank5% or greater security interestOrganization01/07/2016
Bird, JohnCorporate officerIndividual02/15/2024
Cooper, JohnCorporate officerIndividual01/01/2025
Lahey, DanielCorporate officerIndividual02/15/2024
Shaw, GelynnaCorporate officerIndividual02/15/2024
Uhlemann, BridgetteCorporate officerIndividual02/15/2024
Victor, JasonCorporate officerIndividual01/01/2018
Jordan, DahlenOperational/managerial controlIndividual08/05/2010
Sherman, DevinOperational/managerial controlIndividual02/15/2024
Tagatz, JonOperational/managerial controlIndividual08/08/2007
Harpeth Green Properties, LLCAdp of the SNFOrganization01/01/2016
Lcs Tn LLCAdp of the SNFOrganization08/08/2007
Cooper, JohnAdp of the SNFIndividual08/08/2007
Jordan, DahlenAdp of the SNFIndividual04/21/2025
Sherman, DevinAdp of the SNFIndividual04/21/2025

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on June 12, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 12, 2026: "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."
  4. 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 June 12, 2026: "Provide and implement an infection prevention and control program."

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 Somerfield at the Heritage's Medicare star rating?
CMS rates Somerfield at the Heritage 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Somerfield at the Heritage get at its last inspection?
6 health deficiencies at the standard inspection on June 12, 2026. The Tennessee average is 4.4.
Has Somerfield at the Heritage been fined?
Yes. CMS lists 1 fine totaling $25,490 in the last three years.
Does Somerfield at the Heritage accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Somerfield at the Heritage?
CMS lists 22 owners and managers, and links the home to Life Care Services. Legal business name: HERITAGE RETIREMENT FACILITIES LLC.

Sources

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