West Meade Place
1000 St. Luke Drive, Nashville, TN 37205 · Davidson County · (615) 352-3430
120 certified beds, about 102 residents a day · For profit - Partnership · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445203 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 13, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 17 health citations since December 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 3.98 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
62.6% 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.
712/19
709/22
303/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
1E
0F
Potential for minimal harm
0A
0B
0C
March 13, 2026Standard inspection · 3 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 label opened food items in the stand-alone refrigerator, which were available for use in preparing meals for 74 of 98 residents reviewed who ate meals from the facility kitchen. The deficient practice had the potential for residents to receive meals prepared with outdated/expired food items and had the potential to spread foodborne illnesses.
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on facility document review, record review, and interview, the facility failed to implement procedures for missing items and grievances for 1 of 1 (Resident #13) resident reviewed for personal property.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure a Continuous Positive Airway Pressure (CPAP) mask was stored in a sanitary manner for 1 (Resident #77) of 2 residents reviewed for respiratory care. Based on observation, interview, record review, and facility policy review, the facility failed to ensure a Continuous Positive Airway Pressure (CPAP) mask was stored in a sanitary manner for 1 (Resident #77) of 2 residents reviewed for respiratory care.
September 6, 2022Standard inspection · 7 citations
- 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 interview, the facility failed to implement interventions on the Care Plan for 1 of 30 sampled residents (Resident # 28) 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 ensure 1 of 30 sampled residents (Resident #39) had clean and groomed fingernails.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow physician's orders for 1 of 3 sampled residents (Resident #29) who required a midline intravenous catheter (used for vascular access for treatments) dressing change.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on the facility procedure guide review, medical record review, observation, and interview, the facility failed to store nebulizer equipment in a safe and sanitary manner for 3 of 34 residents (Resident #26, Resident #29, and Resident #386) who required respiratory treatments.
- D 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 store an ice scoop used to serve ice and failed to maintain clean dietary equipment in accordance with professional standards of practice for food service safety.
- 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's documentation guidelines review, medical record review, observation, and interview, the facility failed to ensure accurate documentation of code status preference for 1 of 30 sampled residents (Resident #11) reviewed.
- D Perform COVID19 testing on residents and staff.
Inspectors wroteBased on facility policy (Centers for Disease Control and Prevention (CDC) guidelines) review, facility document review, manufacturer's guideline review, observation, and interview, the facility failed to conduct testing in a manner that is consistent with current standards of practice for conducting COVID-19 tests.
December 11, 2019Standard inspection · 7 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, medical record review, facility documentation review and interview the facility failed to ensure 3 (#3, #18, #56) of #35 residents reviewed was free from abuse.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review and interview the facility failed to report an allegation of abuse timely for Resident #3.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to revise a care plan for 1 (#20) of 35 residents reviewed for care plans.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to follow physician's orders for 2 (#'s 4, #82) residents of 35 residents reviewed for physician orders being followed.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility procedure review, medical record review, observation and interview, the facility failed to properly store suction tubing prevent the spread of infection for 1 resident (#41) of 48 residents who received respiratory services.
- 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.
Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to write a stop date for an as needed Psychotropic medication for 2 (#33, #56) of 14 residents reviewed for psychotropic medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, record review, observation and interview, the facility failed to post correct signage for droplet isolation precautions for 1 resident (#20) and failed to wear proper personal protective equipment (PPE) before entering the room for 1 (#38) of 14 residents reviewed for transmission based precautions.
Fire safety inspections
18 fire safety citations on file: 6 on March 13, 2026, 10 on September 6, 2022, 2 on December 11, 2019.
Every fire safety citation18 citations
- E Ensure proper usage of power strips and extension cords.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly located and lighted "Exit" signs.
- D Have restrictions on the use of portable space heaters.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Establish staff and initial training requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Provide properly sized and located linen or trash receptacles.
- D Have restrictions on the use of portable space heaters.
- D Have power receptacles that are properly grounded.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- E Ensure proper usage of power strips and extension cords.
- D Inspect, test, and maintain automatic sprinkler systems.
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) | 3.98 | 3.80 | 3.86 |
| Registered nurses | 0.99 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.50 | 3.31 | 3.42 |
| Nurse aides | 1.93 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 62.6% | 48.9% | 45.8% |
| Registered nurse turnover | 51.6% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.25 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 4.17 on weekdays and 3.50 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 4.41 in April to June 2025 to 3.98 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 | 3.98 | 0.99 | 4.17 | 3.50 | 0.0% | 0 of 90 | 102 |
| Oct to Dec 2025 | 4.24 | 1.00 | 4.44 | 3.72 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 4.29 | 0.98 | 4.48 | 3.81 | 0.0% | 0 of 92 | 99 |
| Apr to Jun 2025 | 4.41 | 1.01 | 4.61 | 3.90 | 2.0% | 0 of 91 | 100 |
| 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 | 7.7 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.6 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.7 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.3 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.2 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: WEST MEADE PLACE LLP. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Barbara J Friedbauer Rev Trust | 5% or greater direct ownership interest | Organization | 45% | 10/26/2015 |
| Friedbauer, Elise | 5% or greater direct ownership interest | Individual | 45% | 05/18/2000 |
| Friedbaurer, John | 5% or greater direct ownership interest | Individual | 5% | 05/18/2000 |
| Warren, Nancy | 5% or greater direct ownership interest | Individual | 5% | 05/18/2000 |
| Alexandra Group Inc | Direct ownership interest | Organization | 05/18/2020 | |
| Friedbaurer, Rober | Corporate director | Individual | 07/17/1987 | |
| Shelly, Timothy | Corporate officer | Individual | 04/01/2020 | |
| Tennessee Healthcare Advisors, LLC | Operational/managerial control | Organization | 04/01/2020 | |
| Friedbaurer, Rober | Operational/managerial control | Individual | 07/17/1987 | |
| Rehman, Faiza | Operational/managerial control | Individual | 09/01/2021 | |
| Shelly, Timothy | Operational/managerial control | Individual | 04/01/2020 | |
| Vincent, Brandon | Operational/managerial control | Individual | 08/19/2024 | |
| Wright, James | Operational/managerial control | Individual | 05/18/2020 | |
| Alexandra Group Inc | General partnership interest | Organization | 05/18/2020 | |
| Friedbauer, Elise | Limited partnership interest | Individual | 05/18/2020 | |
| Friedbaurer, John | Limited partnership interest | Individual | 05/18/2020 | |
| Warren, Nancy | Limited partnership interest | Individual | 05/18/2020 | |
| Mary Queen of Angels Inc | Adp of the SNF | Organization | 12/11/2002 | |
| Tennessee Healthcare Advisors, LLC | Adp of the SNF | Organization | 06/13/2025 | |
| Rehman, Faiza | Adp of the SNF | Individual | 09/01/2021 | |
| Shelly, Timothy | Adp of the SNF | Individual | 04/01/2020 | |
| Vincent, Brandon | Adp of the SNF | Individual | 08/19/2024 | |
| Wright, James | Adp of the SNF | Individual | 06/13/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 6, 2022: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 September 6, 2022: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on March 13, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 13, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Woodcrest at Blakeford Nashville, 3.9 mi · 4 of 5 stars · 13 citations
- Green Hills Center for Rehabilitation and Healing Nashville, 4 mi · 3 of 5 stars · 35 citations
- The Meadows Nashville, 4.7 mi · 4 of 5 stars · 13 citations
- The Health Center at Richland Place Nashville, 4.9 mi · 3 of 5 stars · 19 citations
- NHC Place at the Trace Nashville, 5.6 mi · 5 of 5 stars · 13 citations
- Nashville Center for Rehabilitation and Healing Ll Nashville, 6.8 mi · 2 of 5 stars · 30 citations
- Advanced Health Care of Nashville Nashville, 6.9 mi · not rated · 5 citations
- Somerfield at the Heritage Brentwood, 8.1 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 West Meade Place's Medicare star rating?
- CMS rates West Meade Place 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did West Meade Place get at its last inspection?
- 3 health deficiencies at the standard inspection on March 13, 2026. The Tennessee average is 4.4.
- Has West Meade Place been fined?
- CMS lists no fines in the last three years.
- Does West Meade Place 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 West Meade Place?
- CMS lists 23 owners and managers, and links the home to National Healthcare Corporation. Legal business name: WEST MEADE PLACE LLP.
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.