Green Hills Center for Rehabilitation and Healing

3939 Hillsboro Circle · Nashville, TN · 37215 · 6152972100

150 certified beds For profit - Corporation Chain: Carerite Centers

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 48
Staffing 20% 71
Federal penalties 15% 43
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.123.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day3.71≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)2 · $16,801

Inspection citations (39 in the current record)

  • Potential for harm · D February 4, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D February 4, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D February 4, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 4, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Ensure 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.

    Corrected March 5, 2025 · Pharmacy Service

  • Potential for harm · E February 4, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · D February 4, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 5, 2025 · Infection Control

  • Actual harm · G February 6, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G February 6, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 5, 2024 · Resident Assessment and Care Planning

  • Actual harm · G February 6, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 5, 2024 · Quality of Life and Care

  • Actual harm · G February 6, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 5, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 5, 2024 · Resident Rights

  • Potential for harm · D February 6, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 6, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected March 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 6, 2024 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected March 5, 2024 · Resident Rights

  • Potential for harm · E February 6, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 5, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 5, 2024 · Quality of Life and Care

  • Potential for harm · D February 6, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 5, 2024 · Administration

  • Immediate jeopardy · J February 5, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 5, 2024 · Quality of Life and Care

  • Immediate jeopardy · J February 7, 2020

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has date of correction · Resident Assessment and Care Planning

  • Immediate jeopardy · J February 7, 2020

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Deficient, Provider has date of correction · Quality of Life and Care

  • Potential for harm · D February 7, 2020

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Deficient, Provider has date of correction · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 5, 2024Fine$8,400
February 5, 2024Fine$8,401
February 5, 2024Payment Denial6 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445267 · certified since May 9, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.