The Meadows — nursing home in Nashville, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 113 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 97.6 CMS, MDS-derived
CMS Certification Number: 445496
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 16, 2010
Ownership type: Non profit - Other
Operator (legal business name): Lakeshore Estates, Inc
CMS chain: National Healthcare Corporation 72 facilities
Phone: (615) 646-4466
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 26, 2026

Citations

37

13 health · 24 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D32	E1	F3
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445496
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 113
First approved: Apr 16, 2010
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 26, 2026	Fire safety	Fire Safety Standard	12	Potential harm	—	Open →
Jun 26, 2026	Health	Health Standard	2	Potential harm	—	Open →
Sep 21, 2022	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Sep 21, 2022	Health	Health Standard	9	Potential harm	—	Open →
Jun 5, 2019	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jun 5, 2019	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D32	E1	F3
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 26, 2026	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	E-0020	Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2026
Jun 26, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 17, 2026
Jun 26, 2026	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2026
Sep 21, 2022	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 19, 2022
Sep 21, 2022	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 4, 2022
Sep 21, 2022	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 4, 2022
Sep 21, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Nov 4, 2022
Jun 5, 2019	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 3, 2019
Jun 5, 2019	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 21, 2019
Jun 5, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 5, 2019
Jun 5, 2019	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2019
Jun 5, 2019	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2019
Jun 5, 2019	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 30, 2019
Jun 5, 2019	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Jun 30, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.72

State avg 3.82US avg 3.90

Registered nurse (RN)0.88

State avg 0.60US avg 0.69

Licensed practical nurse0.88

State avg 1.08US avg 0.86

Nurse aide1.96

State avg 2.14US avg 2.35

Weekend total nurse3.17

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.88 (case-mix index 1.34).

Staff turnover

Total nursing staff turnover58.0%

State avg 48.6%US avg 45.3%

Registered nurse turnover52.6%

State avg 43.2%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 26, 2026
Cycle 1 health score: 20
Total weighted score: 30

Operating entity

Lakeshore Estates, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

National Healthcare Corporation

72 facilities in 8 states. CMS chain ID 364.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.1

Ownership disclosures

Disclosures

34

Organizations

4

Individuals

27

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lakeshore Estates, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 6, 2009

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lakeshore Estates, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 6, 2009
Lakeshore Estates, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 6, 2009
Nhc/Delaware Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Tennessee Healthcare Advisors, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
James Anderson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 19, 2023
Weldon Brock	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2016
Morgan Brown	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 22, 2018
Vicki Dodson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2019
Zach Hilbers	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Brian Kidd	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2019
John Robinson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2014
Timothy Shelly	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2017
Brandon Vincent	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 19, 2024
Emily Acuff	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
Weldon Brock	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2016
Sarah Cochran	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2025
Scott Gilmer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2025
Jon Jablonski	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Debbie Lambert	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 1, 2021
Susan Lloyd	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2023
Barbara Outhier	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Wyatt Rampy	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2022
John Robinson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2014
Randy Zupa	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2024
John Robinson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2014
Lakeshore Estates, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 6, 2009
National Healthcare Corporation	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Tennessee Healthcare Advisors, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
James Anderson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Vicki Dodson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2019
Zach Hilbers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Brian Kidd	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2019
Timothy Shelly	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2017
Brandon Vincent	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 19, 2024

Same chain in Tennessee

All 71 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Nhc Healthcare, Oakwood 244 Oakwood Dr, Lewisburg, TN 37091 CCN 445002	60	Jan 22, 2026	25	—
Nhc Healthcare, Dickson 812 Charlotte St, Dickson, TN 37055 CCN 445004	191	Apr 22, 2026	8	—
Nhc Healthcare, Chattanooga 2700 Parkwood Ave, Chattanooga, TN 37404 CCN 445013	200	Oct 16, 2024	15	—
Nhc Healthcare, Johnson City 3209 Bristol Hwy, Johnson City, TN 37601 CCN 445024	167	Jan 7, 2026	7	—
Nhc-Maury Regional Transitional Care Center 5010 Trotwood Ave, Columbia, TN 38401 CCN 445030	112	Sep 15, 2023	10	—
Nhc Healthcare, Milan 8017 Dogwood Lane, Milan, TN 38358 CCN 445069	117	Aug 27, 2025	25	—
Nhc Healthcare, Mcminnville 928 Old Smithville Rd Po Box 528, Mcminnville, TN 37110 CCN 445076	115	Dec 13, 2023	19	—
Nhc Healthcare, Springfield 608 8th Ave East, Springfield, TN 37172 CCN 445088	107	Dec 3, 2025	331 IJ1 harm	$79k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 8044 Coley Davis Road, Nashville, TN 37221
ZIP: 37221
County: Davidson County FIPS 47037
State: Tennessee
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Nhc Place at the Trace 8353 Highway 100, Nashville, TN 37221 CCN 445525	4.2 km	90		May 19, 2026	16	—
West Meade Place 1000 St Luke Drive, Nashville, TN 37205 CCN 445203	7.5 km	120		Mar 13, 2026	35	—
Woodcrest at Blakeford 11 Burton Hills Blvd, Nashville, TN 37215 CCN 445378	13.8 km	83		Mar 5, 2026	29	—
Green Hills Center for Rehabilitation and Healing 3939 Hillsboro Circle, Nashville, TN 37215 CCN 445267	14 km	150		Apr 29, 2026	493 IJ4 harm	$17k
The Health Center at Richland Place 504 Elmington Avenue, Nashville, TN 37205 CCN 445166	15.1 km	107		Mar 13, 2026	292 IJ3 harm	$56k
Advanced Health Care of Nashville 627 19th Ave North, Nashville, TN 37203 CCN 445538	17.9 km	49	Not rated	Aug 20, 2026	64 IJ	$113k
Somerfield at the Heritage 900 Heritage Way, Brentwood, TN 37027 CCN 445488	18 km	66		Jun 12, 2026	131 IJ	$25k
Nashville Center for Rehabilitation and Healing Ll 832 Wedgewood Avenue, Nashville, TN 37203 CCN 445512	18.3 km	142		Mar 16, 2023	54	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445496	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445496	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 445496

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction