All 12 Medicare-certified nursing homes in Nashville,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Woodcrest at Blakeford sits in Nashville with 83 certified beds and a nonprofit owner. Nurse staffing runs 4.66 hours per resident day, about 21% above the national average of 3.86, and that shows in a four-star staffing rating. The catch is weekends, when coverage drops roughly 11% below the home's own weekday level. Annual turnover is 51.2%, higher than the 45.8% national figure, so even with good raw hours, some of the faces change often. The current record shows 13 deficiencies, none at harm or jeopardy level, but one abuse-related citation. A five-star quality measure rating and an inspection dated March 2026 round out a home that's strong on care measures with a few real caveats.
The Health Center At Richland Place is a 107-bed nonprofit home in Nashville with staffing that beats the national average, 4.34 nurse hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Annual turnover sits at 42.1%, a bit better than the 45.8% national figure. The trouble shows up in inspections: 19 deficiencies on the current record, five at harm or jeopardy level and one abuse-related, with a $56,378 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not how well the building has been kept in compliance.
Nhc Place At The Trace runs 4.08 nurse hours per resident day, about 6% above the national average, though weekend coverage drops roughly 10% below its own weekday level. Staff turnover sits at 54.5%, nearly nine points above the national figure, which matters because new aides cycle through quickly. The current record shows 14 deficiencies, none rising to harm or jeopardy and none abuse-related, and the last inspection was February 2025. Quality measures score well, inspections land in the middle, and staffing holds up on paper. It's a for-profit limited liability company with 90 beds. The numbers describe a stable home with a churn problem worth asking about directly.
The Meadows runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against an average of 3.86, and weekends dip about 12% below its own weekday coverage. Staff turnover of 55.2% sits well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. Its inspection record shows 16 deficiencies, none at the harm level but four tied to abuse, and the last full inspection was in September 2022, so that picture is getting old. Quality measures score well; the staffing and inspection side is where the drag comes from.
Heartland runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip roughly 8% below its own weekday staffing. That gap matters because aides and nurses are thinnest exactly when families visit and problems surface.
The quality measure score is strong, but 54.8% annual turnover means more than half the staff leaves each year, well above the 45.8% national average, so consistent care is hard to build. The record shows 23 deficiencies, including one at harm level and one abuse-related, plus $7,901 in fines. The last inspection was April 2026. A corporation owns the place, so staffing decisions answer to a bottom line.
West Meade Place runs 120 certified beds as a for-profit partnership, and its overall nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 12% below its own weekday level, and annual turnover is 62.6% against a national average of 45.8%, so the people providing that care change often. Inspections look steady, a 4/5 health inspection rating, most recently surveyed March 13, 2026, with 17 deficiencies on record, none at harm or jeopardy level but two tied to abuse. The 5/5 quality measure rating reflects resident outcomes; the 2/5 staffing rating reflects what CMS actually thinks of the hours and retention.
Trevecca Center runs 240 beds in Nashville under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day sits about 10% under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover lands at 48.7%, a bit above the 45.8% national figure. The good news is that its 14 deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was in June 2023. Quality measures score well; staffing is where families should ask hard questions about who's actually on the floor on a Saturday.
Green Hills Center runs 4.01 nurse staffing hours per resident day, a bit above the 3.86 national average, but weekends drop roughly 10% below its own weekday coverage. The bigger concern is stability: 61.2% annual turnover against a 45.8% national rate means many of the people providing that care are new or on their way out. Its current record carries 39 deficiencies, including 7 at the harm or jeopardy level and 5 tied to abuse, with $16,801 in fines. The last inspection was February 2025, so this is a recent picture, and it's a for-profit corporate home where strong quality scores sit alongside weak inspection and staffing ratings.
Nashville Center for Rehabilitation and Healing runs 142 beds under for-profit LLC ownership, and its nurse staffing averages 4.07 hours per resident day, slightly above the national figure of 3.86. That headline number hides a catch: weekends run about 20% leaner than weekdays, and annual turnover sits at 72.8% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 30 deficiencies, one tied to abuse, though none reached the harm or jeopardy level; the last inspection was March 2023. CMS rates its quality measures 5 out of 5 but staffing 1 out of 5, a split worth asking about directly.
Bethany Center runs 3.49 nurse hours per resident day, about 10% under the national average, and the gap widens on weekends, staffing drops roughly 18% below its own weekday level. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents are, more often than not, new to the building. That combination shows up in the staffing star rating: 1 out of 5.
The current inspection record lists 12 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last inspection was April 2025, so the record is recent, not stale.
One bright spot: the quality measure rating is 4 out of 5, meaning the clinical numbers CMS tracks look better than the staffing does. For a for-profit LLC with 180 beds, the question worth asking on a tour is who's actually on the floor at 7 p.m. on a Saturday.
Eaton Creek Post Acute has more direct-care nursing hours than most homes, 5.04 per resident day against a national average of 3.86, and it holds that level through the weekend, which many places don't. The problems sit elsewhere. Thirty-five deficiencies are on the current record, twelve of them serious enough to put residents in harm's way and five tied to abuse, with $122,242 in federal fines across three cases. Staff turnover runs 52.9% a year, above the 45.8% norm, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistent poor performers. The last inspection was August 30, 2023.
Advanced Health Care of Nashville runs 49 beds under a for-profit limited liability company, and its nurse staffing sits at 5.25 hours per resident day, roughly 36% above the national average of 3.86. That part looks strong on paper. What sits underneath is harder to ignore: five deficiencies on the current record, three of them at the harm or jeopardy level, and all five abuse-related. CMS has fined this home six times for a total of $125,508, and the last inspection was October 2022, so the record you're reading is nearly three years old. Weekend staffing also drops about 21% below its own weekday level, meaning the hours aren't spread evenly across the week.