Blakeford at Green Hills

Assisted Living in Nashville

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Blakeford at Green Hills

Assisted Living in Nashville

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Blakeford at Green Hills accepts Medicare and private pay.

Overview of Blakeford at Green Hills

Blakeford Senior Life is a nonprofit organization based in Nashville that has been dedicated to serving seniors for over 20 years. Tucked in lush and scenic acres, the community focuses on enriching the lives of its residents. They offer various lifestyle options, including independent living, assisted living, and memory care. Their Life Care program offers a long-term care plan to protect the assets of their residents and ensure their peace of mind.
Currently, Blakeford Senior Life is expanding with 50 new spacious apartment homes and new facilities. They provide different amenities based on the lifestyle option chosen, but all residents have access to a library, wellness center with a pool, gym, and spa, wireless internet, utilities, programs and excursions, guest privileges, therapy services, transportation, and much more. This home is sure to offer a lot more in the years to come, providing seniors the unimaginable kind of care that they deserve.

(615) 665-9505

Managed by Brian Barnes

President and CEO

Over 20 years of experience

Brian Barnes has served as President and CEO of Blakeford Senior Life since 2018. He brings over 20 years of senior leadership experience in finance and operations within not-for-profit senior living and healthcare organizations. Brian’s expertise includes campus development, mergers, and managing home and community-based services. He holds a bachelor’s degree in accounting and is a licensed CPA, having completed the Long-Term Care Administrator program.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5 ▲ 1.2 Tennessee average: 2.8/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5 ▲ 0.2 Tennessee average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5 ▲ 2.6 Tennessee average: 2.4/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5 ▲ 0.6 Tennessee average: 3.4/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Tennessee state averages

Total nursing care / resident Info This home is ranked 7th out of 134 homes in Tennessee.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 12m per day
Rank #7 / 134Nurse hours — state benchmarkedThis home is ranked 7th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Tennessee avg (3h 38m per day)
vs Tennessee avg
+43%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 4h 16m per day

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Higher occupancy than the Tennessee average: 73%
Occupancy rate 77.1% Rank #66 / 139Occupancy rate — state benchmarkedThis home is ranked 66th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 61 days
Occupancy rate
77.1% Rank #66 / 139Occupancy rate — state benchmarkedThis home is ranked 66th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
61 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

57% of new residents, often for short stays.

Typical stay 2 - 3 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$28.2M
Operating loss
-$2.3M
Privately-owned community Operated by a business corporation.
Home revenue
$28.2M Rank #61 / 139Revenue — state benchmarkedThis home is ranked 61st out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$2.3M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #7 / 139Payroll — state benchmarkedThis home is ranked 7th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$10.8M
38.5% of revenue Rank #4 / 139Payroll % — state benchmarkedThis home is ranked 4th out of 139 homes in Tennessee.Shows payroll as a percentage of revenue versus the Tennessee average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.0M
Total costs $29.9M
Walk Score
Walk Score: 36 / 100 Rank #24 / 56Walk Score — state benchmarkedThis home is ranked 24th out of 56 homes in Tennessee.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Contact Blakeford at Green Hills

Health Inspection History

Inspections
Total health inspections 3

Tennessee average 3.5


Last Health inspection on Mar 2022

Total health citations
13 Rank #60 / 138Health citations — state benchmarkedThis home is ranked 60th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.

Tennessee average 15.4

Citations per inspection
4.33 Rank #63 / 138Citations per inspection — state benchmarkedThis home is ranked 63rd out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.

Tennessee average 4.39


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 13 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than Tennessee average

Tennessee average: 1.1


Serious Health citations More info 0
100% better than Tennessee average

Tennessee average: 0.6

0 critical citations More info Tennessee average: 1.1

0 serious citations More info Tennessee average: 0.6

13 moderate citations More info Tennessee average: 13.7

0 minor citations More info Tennessee average: 0.1
Citations history (last 3 years)
Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 23, 2022
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 23, 2022
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 23, 2022
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Mar 23, 2022
Corrected

Financial Assistance for
Assisted Living in Tennessee

Blakeford at Green Hills is located in Nashville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.

Get Financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled
General Tennessee resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TN

Managed care model; high rural demand.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Tennessee Options for Community Living

TN Options

Age 60+
General Tennessee resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TN

Limited funding; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled
General TN resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TN

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Tennessee LIHEAP

Age 60+ prioritized
General TN resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
TN

Covers gas, electric, propane; emergency aid available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
TN

Includes grandparent caregivers; high rural demand.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Tennessee SCSEP

Age 55+
General unemployed, low-income, TN resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
TN

Priority for veterans, rural residents; AARP/Goodwill partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TN resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
TN

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+
General TN resident; no income limit but prioritizes low-income.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TN

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Benefits
Congregate meals ($5-$7/meal value) at senior centers Home-delivered meals ($5-$7/meal)

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+
General TN resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year household, excludes half of Social Security
Asset Limits Not assessed; income-focused.
TN

Rebates up to $1,000; serves ~100,000 annually.

Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Places of interest near Blakeford at Green Hills

Address 5.2 miles from city center Info Estimated distance in miles from Nashville's city center to Blakeford at Green Hills's address, calculated via Google Maps. — 2.77 miles to nearest hospital (Bookworms Cafe)

Calculate Travel Distance to Blakeford at Green Hills

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 221
Employees 64
Contractors 157
Staff to resident ratio 3.56:1
99% better than Tennessee average

Tennessee average ratio: 1.79:1

Avg staff/day 48
Average shift 9 hours
8% better than Tennessee average

Tennessee average: 8.3 hours

Total staff hours (quarter) 39,212
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 102
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

40%

15,683 contractor hours this quarter

Certified Nursing Assistant: 65 Licensed Practical Nurse: 50 Registered Nurse: 12 Speech Language Pathologist: 7 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 4 Physical Therapy Aide: 4 Qualified Social Worker: 3 Occupational Therapy Aide: 1 Clinical Nurse Specialist: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Therapeutic Recreation Specialist: 1
Staff by category
Certified Nursing Assistant376510216,84991100%10
Licensed Practical Nurse850587,38291100%9.8
Registered Nurse912213,13291100%10
RN Director of Nursing3031,8047684%9.3
Speech Language Pathologist0771,51591100%6.2
Respiratory Therapy Technician0661,3087886%6.9
Clinical Nurse Specialist2131,3068088%9.5
Physical Therapy Assistant0449967684%6.6
Other Dietary Services Staff2029527178%7.8
Qualified Social Worker0337167279%6.1
Physical Therapy Aide0446457481%5.8
Occupational Therapy Aide0115046369%8
Mental Health Service Worker1014886167%8
Administrator1014766066%7.9
Nurse Practitioner1014405560%8
Therapeutic Recreation Specialist0113815156%7.5
Feeding Assistant0112893640%8
Occupational Therapy Assistant0112778%3.9
Medical Director011422%2
102 Certified Nursing Assistant
% of Days 100%
58 Licensed Practical Nurse
% of Days 100%
21 Registered Nurse
% of Days 100%
3 RN Director of Nursing
% of Days 84%
7 Speech Language Pathologist
% of Days 100%
6 Respiratory Therapy Technician
% of Days 86%
3 Clinical Nurse Specialist
% of Days 88%
4 Physical Therapy Assistant
% of Days 84%
2 Other Dietary Services Staff
% of Days 78%
3 Qualified Social Worker
% of Days 79%
4 Physical Therapy Aide
% of Days 81%
1 Occupational Therapy Aide
% of Days 69%
1 Mental Health Service Worker
% of Days 67%
1 Administrator
% of Days 66%
1 Nurse Practitioner
% of Days 60%
1 Therapeutic Recreation Specialist
% of Days 56%
1 Feeding Assistant
% of Days 40%
1 Occupational Therapy Assistant
% of Days 8%
1 Medical Director
% of Days 2%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 62
Medicare
15
24.2% of residents
Private pay or other
47
75.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.0
24% worse than Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.4
15% worse than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.4%
46% worse than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.7%
37% worse than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 14.2%
31% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.5%
22% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
34% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
25% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
36% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.2%
16% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
In line with Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
22% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
24% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 53.6%
33% worse than Tennessee average

Tennessee average: 79.8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Assisted Living around Nashville The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

Filter by care type
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MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

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Blakeford at Green Hills
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Nashville (Green Hills)83No 36 -- 77.1% ----
American House Hendersonville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Hendersonville (Lake Club Estates)66Yes 41 -27 80.3% A+Marquita HayhurstEc Opco Hendersonville, Llc148 days

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