The Meadows
8044 Coley Davis Road, Nashville, TN 37221 · Davidson County · (615) 646-4466
113 certified beds, about 102 residents a day · Non profit - Other · Medicare and Medicaid since 2010
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445496 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 13 health citations since June 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
55.2% 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.
206/19
909/22
206/26
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
3F
Potential for minimal harm
0A
0B
1C
June 26, 2026Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to label food according to facility policy and failed to ensure food preparation and storage equipment were kept in a sanitary condition. The facility also failed to maintain dietary equipment in proper working order related to sanitation levels in the three-compartment sink and ice build-up in the walk-in freezer. The deficient practices had the potential to affect each resident who received nourishment from the kitchen.
- D Keep all essential equipment working safely.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to maintain 1 of 1 six-burner stove in safe operating condition.
September 21, 2022Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interview, the facility failed to maintain sanitary dietary equipment related to unclean dry food storage bins; failed to label dry food storage bins; and failed to label and date leftover food kept in the walk-in refrigerator.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure proper Personal Protective Equipment (PPE) was used when entering 1 of 5 Transmission Based Precautions (TBP) rooms, and failed to properly clean 1 of 4 TBP rooms on the Covid Unit. The facility also failed to ensure an indwelling urinary catheter collection bag was kept off of the floor for 1 of 8 sampled residents (Resident #240) reviewed who required an indwelling urinary catheter. Review of the facility's undated policy titled, Catheter Care, Urinary, revealed, .purpose of this procedure is to prevent catheter-associated urinary tract infections .Infection Control .Be sure the catheter tubing and drainage bag are kept off the floor . [...]
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure a safe, clean, comfortable and homelike environment for 1 of 66 rooms (room B-34) reviewed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to report an injury of unknown source for 1 of 42 sampled resident (Resident #7) reviewed.
- D PASARR screening for Mental disorders or Intellectual Disabilities
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 1 of 5 sampled residents (Resident #35) reviewed.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to implement a Care Plan for 3 of 42 sampled residents (Residents #29, #61 and #240) reviewed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to provide Activities of Daily Living (ADL) care for 1 of 42 sampled residents (Resident #240) reviewed.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to obtain a physician's order for 1 of 42 sampled residents (Resident #61) reviewed.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, observations and interviews, the facility failed to provide accurate documentation in the medical record for 1 of 42 sampled residents (Resident #240) reviewed.
June 5, 2019Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation and interview the facility failed to clean exhaust filters and a food processor in the kitchen.
- C Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on facility policy review, record review and interview, the facility failed to have abuse registry checks for 8 of 8 employee personnel files reviewed.
Fire safety inspections
24 fire safety citations on file: 12 on June 26, 2026, 7 on September 21, 2022, 5 on June 5, 2019.
Every fire safety citation24 citations
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Address subsistence needs for staff and patients.
- D Establish policies and procedures including evacuation.
- D List the names and contact information of those in the facility.
- D Provide emergency officials' contact information.
- D Provide primary/alternate means for communication.
- D Implement emergency and standby power systems.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have simulated fire drills held at unexpected times.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Provide properly protected cooking facilities.
- D Construct fire resistant interior walls.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure proper usage of power strips and extension cords.
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) | 3.48 | 3.80 | 3.86 |
| Registered nurses | 0.79 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.06 | 3.31 | 3.42 |
| Nurse aides | 1.92 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 55.2% | 48.9% | 45.8% |
| Registered nurse turnover | 44.4% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.64 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 3.66 on weekdays and 3.06 on weekends, 16% 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 3.74 in April to June 2025 to 3.48 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 | 3.48 | 0.79 | 3.66 | 3.06 | 0.0% | 0 of 90 | 102 |
| Oct to Dec 2025 | 3.69 | 0.78 | 3.85 | 3.26 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 3.80 | 0.94 | 3.99 | 3.33 | 0.0% | 0 of 92 | 93 |
| Apr to Jun 2025 | 3.74 | 0.92 | 3.94 | 3.23 | 0.0% | 0 of 91 | 99 |
| 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 | 5.1 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 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 | 16.2 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 2.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: LAKESHORE ESTATES, INC.. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lakeshore Estates, Inc. | 5% or greater direct ownership interest | Organization | 100% | 10/06/2009 |
| Acuff, Emily | Corporate director | Individual | 01/01/2014 | |
| Brock, Weldon | Corporate director | Individual | 01/01/2016 | |
| Cochran, Sarah | Corporate director | Individual | 09/01/2025 | |
| Gilmer, Scott | Corporate director | Individual | 04/01/2025 | |
| Jablonski, Jon | Corporate director | Individual | 01/01/2021 | |
| Lambert, Debbie | Corporate director | Individual | 06/01/2021 | |
| Lloyd, Susan | Corporate director | Individual | 09/01/2023 | |
| Outhier, Barbara | Corporate director | Individual | 01/01/2013 | |
| Rampy, Wyatt | Corporate director | Individual | 12/01/2022 | |
| Robinson, John | Corporate director | Individual | 01/01/2014 | |
| Zupa, Randy | Corporate director | Individual | 10/01/2024 | |
| Robinson, John | Corporate officer | Individual | 01/01/2014 | |
| Lakeshore Estates, Inc. | Operational/managerial control | Organization | 10/06/2009 | |
| NHC/Delaware Inc | Operational/managerial control | Organization | 02/01/2017 | |
| Tennessee Healthcare Advisors, LLC | Operational/managerial control | Organization | 02/01/2017 | |
| Anderson, James | Operational/managerial control | Individual | 04/19/2023 | |
| Brock, Weldon | Operational/managerial control | Individual | 01/01/2016 | |
| Brown, Morgan | Operational/managerial control | Individual | 01/22/2018 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Hilbers, Zach | Operational/managerial control | Individual | 02/01/2017 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2019 | |
| Robinson, John | Operational/managerial control | Individual | 01/01/2014 | |
| Shelly, Timothy | Operational/managerial control | Individual | 02/01/2017 | |
| Vincent, Brandon | Operational/managerial control | Individual | 08/19/2024 | |
| Lakeshore Estates, Inc. | Adp of the SNF | Organization | 10/06/2009 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 02/01/2017 | |
| Tennessee Healthcare Advisors, LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Anderson, James | Adp of the SNF | Individual | 10/01/2025 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Hilbers, Zach | Adp of the SNF | Individual | 10/01/2025 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2019 | |
| Shelly, Timothy | Adp of the SNF | Individual | 02/01/2017 | |
| Vincent, Brandon | Adp of the SNF | Individual | 08/19/2024 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on June 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 21, 2022: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 21, 2022: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 21, 2022: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- NHC Place at the Trace Nashville, 2.6 mi · 5 of 5 stars · 13 citations
- West Meade Place Nashville, 4.7 mi · 5 of 5 stars · 17 citations
- Woodcrest at Blakeford Nashville, 8.6 mi · 4 of 5 stars · 13 citations
- Green Hills Center for Rehabilitation and Healing Nashville, 8.7 mi · 3 of 5 stars · 35 citations
- The Health Center at Richland Place Nashville, 9.4 mi · 3 of 5 stars · 19 citations
- Advanced Health Care of Nashville Nashville, 11.1 mi · not rated · 5 citations
- Eaton Creek Post Acute Nashville, 11.2 mi · not rated · 36 citations
- Somerfield at the Heritage Brentwood, 11.2 mi · 3 of 5 stars · 8 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 The Meadows's Medicare star rating?
- CMS rates The Meadows 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Meadows get at its last inspection?
- 2 health deficiencies at the standard inspection on June 26, 2026. The Tennessee average is 4.4.
- Has The Meadows been fined?
- CMS lists no fines in the last three years.
- Does The Meadows 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 The Meadows?
- CMS lists 34 owners and managers, and links the home to National Healthcare Corporation. Legal business name: LAKESHORE ESTATES, INC..
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.