Green Hills Center for Rehabilitation and Healing, Nashville, TN

The Essentials

Summary

Across 5 inspections from February 2020 to April 2026, state surveyors documented 35 findings at Green Hills Center for Rehabilitation and Healing; 23 have a recorded correction and 12 await one; CMS lists 3 enforcement actions in the window.

Inspections: 5; 2020–2026, standard and complaint
Findings: 35; Deficiencies cited by state inspectors
Corrected: 23; Of 35 findings, with a recorded correction date
Penalties: 3; 2 fines; payment not published, 1 closed

Findings by Year

Findings
Of which, actual harm (level G or above)

* Partial year, through October 1, 2026.

Findings by year
Year	Inspections	Findings	Of which, actual harm (level G or above)
2020	1	12	2
2021	0	0	0
2022	0	0	0
2023	0	0	0
2024	2	12	5
2025	1	10	0
2026	1	1	0

What the Record Shows

23 of 35 findings have a recorded correction date.
CMS lists 3 enforcement actions in the window: 2 fines totaling $16,801, their payment not published; denial of payment imposed February 5, 2024, ended March 5, 2024.
2 visits in this window included a complaint investigation. CMS publishes what a complaint investigation cited, not what the complaint alleged.
The latest standard inspection, April 29, 2026, recorded 1 finding (most serious: Level D).

What to Ask About

Dignity and Resident Rights, No Recorded Correction
Reporting Suspected Abuse, No Recorded Correction
Investigating Alleged Violations, No Recorded Correction
Citation F637, No Recorded Correction
Care Plans, No Recorded Correction
Accident Hazards and Supervision, No Recorded Correction
Continence and Catheter Care, No Recorded Correction
Citation F726, No Recorded Correction
Post nurse staffing information every day, No Recorded Correction
Food Quality and Temperature, No Recorded Correction
Kitchen and Food Safety, No Recorded Correction
Administration, No Recorded Correction

Report at a Glance

Facility: Green Hills Center for Rehabilitation and Healing
Address: 3939 Hillsboro Circle, Nashville, TN 37215
CMS Certification Number: 445267
Provider Type: Skilled nursing facility and nursing facility
Certified Beds: 150
Ownership: For profit - Limited Liability company
Record Window: February 7, 2020 to October 1, 2026

Chronology

Inspection History

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

Apr 292026
Standard health inspection
1 finding
- F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Level DNo actual harm, potential for moreCorrected May 18, 2026
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Feb 42025
Standard health inspection
10 findings
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreCorrected Mar 5, 2025
- F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F583Keep residents' personal and medical records private and confidential.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F761Ensure 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.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
- F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreCorrected Mar 5, 2025
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Feb 62024
Complaint investigation
11 findings
- F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level GActual harmCorrected Mar 5, 2024
- F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level GActual harmCorrected Mar 5, 2024
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level GActual harmCorrected Mar 5, 2024
- F697Provide safe, appropriate pain management for a resident who requires such services.Level GActual harmCorrected Mar 5, 2024
- F677Provide care and assistance to perform activities of daily living for any resident who is unable.Level ENo actual harm, potential for moreCorrected Mar 5, 2024
- F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level DNo actual harm, potential for moreCorrected Mar 5, 2024
- F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level DNo actual harm, potential for moreCorrected Mar 5, 2024
- F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected Mar 5, 2024
- F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Level DNo actual harm, potential for moreCorrected Mar 5, 2024
- F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreCorrected Mar 5, 2024
- F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Level DNo actual harm, potential for moreCorrected Mar 5, 2024
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Feb 52024
Complaint investigation
1 finding
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level JImmediate jeopardyCorrected Mar 5, 2024
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Feb 72020
Standard health inspection
12 findings
- F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level JImmediate jeopardyDeficient, Provider has date of correction
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level JImmediate jeopardyDeficient, Provider has date of correction
- F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Level FNo actual harm, potential for moreDeficient, Provider has date of correction
- F610Respond appropriately to all alleged violations.Level ENo actual harm, potential for moreDeficient, Provider has date of correction
- F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
- F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
- F637Assess the resident when there is a significant change in conditionLevel DNo actual harm, potential for moreDeficient, Provider has date of correction
- F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
- F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
- F732Post nurse staffing information every day.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
- F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level DNo actual harm, potential for moreDeficient, Provider has date of correction
Enforcement Action
Civil money penalty, $8,400 imposed February 5, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 7, 2020, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $8,401 imposed February 5, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 7, 2020, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed February 5, 2024. Status: Closed, March 5, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 7, 2020, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1
Dignity and Resident Rights, No Recorded Correction
F550 was cited in February 2020, February 2024 and February 2025. This citation covers residents’ right to dignity, to make their own choices and to communicate. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F550 across all 5 inspections, oldest to newest
2
Reporting Suspected Abuse, No Recorded Correction
F609 was cited in February 2020 and February 2024. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F609 across all 5 inspections, oldest to newest
3
Investigating Alleged Violations, No Recorded Correction
F610 was cited in February 2020 and February 2024. This citation covers how the home responds to and investigates an allegation of abuse, neglect or mistreatment. The most serious was level E (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F610 across all 5 inspections, oldest to newest
4
Citation F637, No Recorded Correction
F637 was cited in February 2020. The agency describes it this way: Assess the resident when there is a significant change in condition. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F637 across all 5 inspections, oldest to newest
5
Care Plans, No Recorded Correction
F656 was cited in February 2020 and February 2024. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. The most serious was level J (immediate jeopardy). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F656 across all 5 inspections, oldest to newest
6
Accident Hazards and Supervision, No Recorded Correction
F689 was cited in February 2020, February 2024, February 2024 and February 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious was level J (immediate jeopardy). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F689 across all 5 inspections, oldest to newest
7
Continence and Catheter Care, No Recorded Correction
F690 was cited in February 2020 and February 2025. This citation covers continence care, catheter care and preventing urinary tract infections. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F690 across all 5 inspections, oldest to newest
8
Citation F726, No Recorded Correction
F726 was cited in February 2020. The agency describes it this way: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F726 across all 5 inspections, oldest to newest
9
Post nurse staffing information every day, No Recorded Correction
F732 was cited in February 2020. The agency describes it this way: Post nurse staffing information every day. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F732 across all 5 inspections, oldest to newest
10
Food Quality and Temperature, No Recorded Correction
F804 was cited in February 2020. This citation covers whether food and drink are palatable, attractive and served at a safe temperature. The most serious was level D (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F804 across all 5 inspections, oldest to newest
11
Kitchen and Food Safety, No Recorded Correction
F812 was cited in February 2020 and February 2025. This citation covers how food is stored, prepared and served. The most serious was level E (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F812 across all 5 inspections, oldest to newest
12
Administration, No Recorded Correction
F835 was cited in February 2020. This citation covers whether the home is run in a way that uses its resources effectively. The most serious was level F (no actual harm, potential for more). The February 2020 citation has no recorded correction date; its status reads “Deficient, Provider has date of correction.” The record does not show whether the problem was fixed.
2024242526F835 across all 5 inspections, oldest to newest

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

01
How do staff learn each resident’s preferences, and how is a complaint about dignity handled?
Dignity and Resident Rights: cited in three inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
02
How are staff trained to report suspected abuse or neglect, and who reports it to the state?
Reporting Suspected Abuse: cited in two inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
03
When an allegation is made, who investigates it, and how are residents protected in the meantime?
Investigating Alleged Violations: cited in two inspections, most seriously at level E. The February 7, 2020 citation has no recorded correction date.
04
What changed after F637 was cited, and how do you check it now?
Citation F637: cited in one inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
05
How is a care plan written and reviewed here, and how do families take part in it?
Care Plans: cited in two inspections, most seriously at level J. The February 7, 2020 citation has no recorded correction date.
06
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in four inspections, most seriously at level J. The February 7, 2020 citation has no recorded correction date.
07
How is continence care scheduled, and how do you prevent urinary infections?
Continence and Catheter Care: cited in two inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
08
What changed after F726 was cited, and how do you check it now?
Citation F726: cited in one inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
09
What changed after F732 was cited, and how do you check it now?
Post nurse staffing information every day: cited in one inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
10
May we try a meal, and how do you check food temperature by the time it reaches residents?
Food Quality and Temperature: cited in one inspections, most seriously at level D. The February 7, 2020 citation has no recorded correction date.
11
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in two inspections, most seriously at level E. The February 7, 2020 citation has no recorded correction date.
12
How long have the administrator and the director of nursing been in their roles?
Administration: cited in one inspections, most seriously at level F. The February 7, 2020 citation has no recorded correction date.
13
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
14
What led to the 2024 fine, and has it been paid?
An $8,400 civil money penalty was imposed February 5, 2024. CMS publishes the fine, not whether it has been paid. The record holds three enforcement actions in the window.

The Evidence

Sources and Coverage

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Tennessee state survey agency.

Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Tennessee state survey agency
Inspection Feb 7, 2020 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Tennessee state survey agency
Inspection Feb 5, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Tennessee state survey agency
Inspection Feb 6, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Tennessee state survey agency
Inspection Feb 4, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Tennessee state survey agency
Inspection Apr 29, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Penalties, Provider Data Catalog
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Provider Information, Provider Data Catalog
Centers for Medicare & Medicaid Services · 445267
Published Oct 1, 2026 · Retrieved Nov 1, 2026
View Dataset ↗

Coverage

Record windowFebruary 7, 2020 – October 1, 2026

CMS publishes about three inspection cycles; inspections before February 2020 are not in this release.
CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.

What This Report Cannot Tell You

Complaints not investigated onsite: Allegations screened out by the state before an onsite visit are not published.
Complaint allegations: CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents: Self-reported incidents appear only if they led to an inspection.
Follow-up visits: CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections: Published by CMS separately and not included in this record yet.
Staffing levels and ownership history: Published by CMS separately and not included in this record.
Whether fines were paid: CMS publishes the fines imposed, not whether or when they were paid.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.