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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
At 504 Elmington Ave in Nashville, Davidson County, Tennessee, Richland Place Healthcare Center operates a 30-bed skilled nursing facility owned and operated by Richland Place, Inc., under the administration of Hunter Blake Harris. The community houses one-, two-, and three-bedroom apartments ranging from 740 to 3,000 square feet, each with kitchens, patios, and balconies.
The facility provides skilled nursing care, intermediate care, rehabilitation services, and inpatient hospice to Medicare, Medicaid, and private-pay residents.
Services include 24-hour nursing, physical therapy, speech pathology, and activities programming. Amenities encompass a fitness center, swimming pool, library, salon, barber, spa, restaurant-style dining, billiards, and transportation.
The facility’s regulatory and quality profile reveals significant weaknesses alongside selective strengths. The Centers for Medicare & Medicaid Services assigned a 2-star overall rating, placing the facility 34.6% below the Tennessee state average in combined health inspection, staffing, and quality measures.
In August 2025, CMS imposed a $98,000 civil money penalty for regulatory violations.
The facility’s most recent inspection documented deficiencies in quality of life and care (the dominant category at 60% of all findings), infection control, pharmacy services, and environmental compliance; each violation was noted as corrected.
RN hours per resident daily reach 57 minutes, running 54% above the Tennessee average, and physical therapy services at 14 minutes per resident daily significantly exceed state norms. Yet total nursing hours per resident; 2 hours 55 minutes daily, which fall 20% below the state average, and payroll represents only 32.2% of facility revenue, a figure substantially below the 50-60% typical for well-run Tennessee nursing homes.
Hospitalizations and emergency department visits rank 62-63% better than state average, and short-stay residents achieve return-to-home rates of 61.9% (22% above state). However, long-stay residents report depressive symptoms at 27.3%, 148% worse than the Tennessee average; and urinary tract infection rates at 5.1%, nearly 2.5 times the state average.
Occupancy runs at 77%, with short average stays averaging 64 days, reflecting a post-acute rehabilitation focus.
Richland Place is structured for short-term Medicare and private-pay rehabilitation residents in the Nashville market, with the recognition that the 2-star CMS rating, August 2025 penalty, and elevated long-stay morbidity measures warrant thorough independent evaluation of care quality prior to extended placement.
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.
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.
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.
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.
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.
This home is ranked 150th out of 172 homes in Tennessee for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▲ 9% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 7m per day | ■ Avg State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 56m per day | ▼ 10% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 3h 13m per day | ▼ 4% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 56% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 24% State avg: 25m per day · National avg: 29m per day |
Higher than the Tennessee average: 71.6%Richland Place Healthcare Center is legally operated by Richland Place, Inc, and administrated by Hunter Blake Harris.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 4 | This facility has 75% fewer total citations than a typical Tennessee nursing home (1 vs. TN avg 4).↓ 75% better |
|
Citations per year
Average citations per year since 2024.
| 0.5 | 2 | This facility has 75% fewer citations per year than a typical Tennessee nursing home (0.5 vs. TN avg 2).↓ 75% better |
|
Citations per inspection
Average citations per inspection.
| 1 | 2 | This facility has 50% fewer citations per inspection than a typical Tennessee nursing home (1 vs. TN avg 2).↓ 50% better |
Inspections
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 1 | 2 | This facility has 50% fewer total inspections than a typical Tennessee nursing home (1 vs. TN avg 2).↓ 50% better |
Tennessee average 3.5
Last Health inspection on Aug 2025
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 10 citations resulted from standard inspections; and 1 of 10 came from combined inspections (standard and complaint).
9% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% more staff per resident than Tennessee average
12% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursAssists with medical care and medications.
34 total: 11 full-time employees and 23 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hoursHelps with daily care and mobility.
60 total: 32 full-time employees and 28 contractors.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,737 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 28 | 60 | 11,314 | 92 | 100% | 10.2 |
| Licensed Practical Nurse | 11 | 23 | 34 | 6,103 | 92 | 100% | 11.2 |
| Registered Nurse | 5 | 0 | 5 | 1,844 | 92 | 100% | 11 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,621 | 67 | 73% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 981 | 73 | 79% | 6.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 840 | 68 | 74% | 6.9 |
| Qualified Activities Professional | 1 | 0 | 1 | 566 | 67 | 73% | 8.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 524 | 66 | 72% | 7.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 509 | 59 | 64% | 8.6 |
| Qualified Social Worker | 1 | 0 | 1 | 503 | 60 | 65% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 395 | 66 | 72% | 6 |
| RN Director of Nursing | 2 | 0 | 2 | 369 | 47 | 51% | 6.8 |
| Administrator | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 213 | 54 | 59% | 3.6 |
Includes penalties issued in 2025
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 (Data as of Jan 2026)
14% higher than Tennessee averageTennessee average: $86K
43% fewer fines than Tennessee averageTennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Tennessee averageTennessee average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 12, 2025 · $98K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
In line with Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.3
16% better than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
25% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
27.3%
26% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.6%
54% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
86% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
5.3%
In line with Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
5.1%
146% worse than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
5.7%
10% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
27.3%
148% worse than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
12.7%
23% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.9%
In line with Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
0.59
63% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.60
62% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
35.4%
56% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
28% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.2%
62% worse than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.1%
27% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
2.3%
79% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
5% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.1%
18% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.9%
22% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
36% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Richland Place Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #126 / 176Payroll — State benchmarkedThis home is ranked 126th out of 176 homes in Tennessee for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
3.1 miles from city center
Estimated distance in miles from Nashville's city center to Richland Place Healthcare Center's address, calculated via Google Maps.
— 1.18 miles to nearest hospital (Nashville VA Medical: Rummel David MD)
Add your location
Richland Place Healthcare Center is located in Nashville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| West Meade Place LLP |
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 (West Meade) | 120
Facility
120
TN AVG
88
Rank
#82 / 427 | - | - | 2.93 | +57% | -19% | $0 | 16 | 5.3 | - | 100 | A+ |
54
Facility
54
TN AVG
34
Rank
#100 / 554 | Barbara Friedbauer | $20.2M | $10.6M | 52.7% | 445203 | ||||
| Brookdale Green Hills Cumberland |
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) | 149
Facility
149
TN AVG
88
Rank
#40 / 427 | 73.8% | +1% | 5.20 | +46% | +43% | $0 | 13 | 4.3 | - | 70 | A+ |
25
Facility
25
TN AVG
34
Rank
#350 / 554 | Lakecia Harper | $28.2M | $12.7M | 45.2% | 445378 | ||||
| Trevecca Center for Rehabilitation and Healing |
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 (South Nashville) | 240
Facility
240
TN AVG
88
Rank
#2 / 427 | - | - | 2.96 | +43% | -18% | $9.3k | 15 | 5.0 | - | 45 | B- |
34
Facility
34
TN AVG
34
Rank
#280 / 554 | Trevecca Ventures Tn LLC | $23.4M | $15.7M | 67.2% | 445112 | ||||
| Richland Place Healthcare Center |
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 | 30
Facility
30
TN AVG
88
Rank
#412 / 427 | 76.7% | +5% | 2.92 | -52% | -19% | $64.0k | 10 | 5.0 | 1 | 63 | - |
19
Facility
19
TN AVG
34
Rank
#387 / 554 | Stacey Wallace | $12.5M | $4.0M | 32.2% | 445411 | ||||
| Bethany Center for Rehabilitation and Healing |
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 (Townhomes Of Shadow Glen) | 180
Facility
180
TN AVG
88
Rank
#17 / 427 | 92.2% | +26% | 2.82 | -56% | -22% | $0 | 12 | 3.0 | 2 | 171 | - |
69
Facility
69
TN AVG
34
Rank
#34 / 554 | Bethany Ventures Tn LLC | $19.7M | $12.5M | 63.8% | 445159 |
The legal owner and operator of Richland Place Healthcare Center is Richland Place, Inc.
Richland Place Healthcare Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Richland Place Healthcare Center's license number is 00000161.
According to TN state health department records, Richland Place Healthcare Center's license expires on May 28, 2026.
Richland Place Healthcare Center's occupancy is 77%.
Hunter Blake Harris is the administrator of Richland Place Healthcare Center.
Richland Place Healthcare Center has 30 beds.
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