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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.
Operating within a continuing care retirement campus in Nashville’s West Meade neighborhood, The Health Center at Richland Place is a 107-bed nonprofit facility managed by administrator Hunter Blake Harris. The community coordinates independent living, assisted living, short-term rehabilitation, and respite care under a 24-hour staffing model. Payer demographics show that 72% of admissions pay privately, while 28% utilize Medicare, leading to a brief average resident stay of 46 days. The property maintains a high occupancy rate of 94% and stands in a suburban setting with a Walk Score of 54.
Health department summaries reveal serious regulatory and supervision hurdles, noting 23 total citations across five inspections since 2018. This volume tracks significantly above the typical Tennessee facility baseline, resulting in $56,000 in federal fines. Notably, a March 2024 complaint investigation uncovered an immediate jeopardy violation when inadequate supervision led to an unwitnessed fall, resulting in fractures and a resident’s subsequent death, while older logs from 2019 documented actual resident harm from neglected pressure ulcer care.
The latest routine evaluation in August 2025 flagged five moderate deficiencies spanning unsecured oxygen tanks, medication administered without physician orders, breached medical records, and basic hand-hygiene failures. Daily nursing care averages 4 hours and 11 minutes per resident, with an emphasis on physical therapy staffing that ranks well above state levels. Clinical data shows stable results for long-term mobility and low depression rates, though short-stay readmission rates run 27% worse than the state average, and long-stay pneumococcal vaccination rates drop to 49.4%.
Interested individuals assessing local post-acute or long-term options can utilize these multi-year state dossiers to balance the facility’s strong therapy presence against its compliance record. Tracking archives document critical supervision failures, past resident harm, and recurring administrative infractions alongside low long-term vaccination numbers, a detailed review of current corrective steps is a necessary safety measure.
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 21st 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.
| 58m per day | ▲ 56% 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 20m per day | ▲ 23% State avg: 1h 5m 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.
| 2h 4m per day | ▼ 4% State avg: 2h 9m per day · National avg: 2h 20m 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 55m per day | ▲ 17% 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.
| 16m per day | ▲ 211% 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.
| 47m per day | ▲ 94% State avg: 24m per day · National avg: 28m per day |
Higher than the Tennessee average: 71.6%The Health Center at Richland Place is 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.
| 23 | 4 | This facility has 475% more total citations than a typical Tennessee nursing home (23 vs. TN avg 4).↑ 475% worse |
|
Citations per year
Average citations per year since 2018.
| 2.9 | 0.5 | This facility has 480% more citations per year than a typical Tennessee nursing home (2.9 vs. TN avg 0.5).↑ 480% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
15 of 23 citations resulted from standard inspections; and 8 of 23 resulted from complaint investigations.
82% worse than Tennessee averageTennessee average: 1.1
400% worse 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.
0% compared with Tennessee average
0% compared with 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 22 RN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 54 CNA Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
80 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 17,681 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 26 | 0 | 26 | 11,450 | 92 | 100% | 9.4 |
| Registered Nurse | 22 | 0 | 22 | 6,882 | 92 | 100% | 9.8 |
| Mental Health Service Worker | 8 | 0 | 8 | 3,189 | 77 | 84% | 7.6 |
| Respiratory Therapy Technician | 12 | 0 | 12 | 2,232 | 86 | 93% | 7 |
| Speech Language Pathologist | 8 | 0 | 8 | 2,196 | 78 | 85% | 7.1 |
| Physical Therapy Aide | 9 | 0 | 9 | 2,190 | 82 | 89% | 6.6 |
| Physical Therapy Assistant | 9 | 0 | 9 | 1,149 | 73 | 79% | 7.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 980 | 77 | 84% | 7.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 950 | 76 | 83% | 7.3 |
| Qualified Social Worker | 3 | 0 | 3 | 862 | 66 | 72% | 7 |
| Dietitian | 1 | 0 | 1 | 527 | 62 | 67% | 8.5 |
| Occupational Therapy Aide | 3 | 0 | 3 | 525 | 64 | 70% | 7.6 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Respiratory Therapist | 3 | 0 | 3 | 451 | 47 | 51% | 6.4 |
| Dental Services Staff | 1 | 0 | 1 | 262 | 49 | 53% | 5.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 107 | 13 | 14% | 8.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 78 | 12 | 13% | 6.5 |
| Qualified Activities Professional | 1 | 0 | 1 | 54 | 7 | 8% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 21 | 10 | 11% | 2.1 |
| Medical Director | 0 | 1 | 1 | 2 | 3 | 3% | 0.5 |
Includes penalties issued in 2024
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)
35% lower 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
Mar 25, 2024 · $56K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 25, 2024Last 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.
9.1
13% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.9
13% 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
13.5%
16% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
17.0%
22% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
In line with Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
51% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
5.2%
In line with Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.8%
12% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
8.2%
30% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
2.4%
78% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
10.1%
39% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
49.4%
45% worse than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
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
59.9%
25% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
49% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
10% better 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.
28% of new residents, usually for short-term rehab.
72% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
103Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 The Health Center at Richland Place 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 #23 / 176Payroll — State benchmarkedThis home is ranked 23rd 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.
6.5 miles from city center
Estimated distance in miles from Nashville's city center to The Health Center at Richland Place's address, calculated via Google Maps.
Add your location
The Health Center at Richland Place 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 | ||||
| The Health Center at Richland Place |
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) | 107
Facility
107
TN AVG
88
Rank
#129 / 427 | 93.7% | +28% | 4.18 | +44% | +15% | $56.4k | 23 | 4.6 | 5 | 94 | - |
54
Facility
54
TN AVG
34
Rank
#100 / 554 | John Bailey | $23.9M | $10.3M | 43.3% | 445166 | ||||
| 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 | ||||
| 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 Health Center at Richland Place is in the West Meade neighborhood of Nashville.
The legal owner and operator of The Health Center at Richland Place is Richland Place, Inc..
The Health Center at Richland Place has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TN state health department records, The Health Center at Richland Place's license number is 00000309.
According to TN state health department records, The Health Center at Richland Place's license expires on June 4, 2026.
The Health Center at Richland Place's occupancy is 94%.
Hunter Blake Harris is the administrator of The Health Center at Richland Place.
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