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BETHANY CENTER FOR REHABILITATION AND HEALING LLC Inspection Report, Violations & Safety Grade (NASHVILLE, Tennessee)

421 OCALA DRIVE, NASHVILLE, Tennessee 37211

Phone: 6158344214

CMS Overall:4/5

Overview & Bed Count

Certified Beds
180
Avg Residents/Day
163.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Davidson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.340.60-0.26
Total Nurse Hours per Resident per Day3.563.82-0.26
CMS Staffing Rating1/52.5/5-
Nursing Staff Turnover53.9%48.6%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2026-08-06Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-04-11Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-04-11Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2025-04-11Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.D – Moderate Harm Potential
2025-04-11Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-04-11Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D – Moderate Harm Potential
2025-04-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2019-10-23Infection Control DeficienciesProvide and implement an infection prevention and control program.K – Immediate Jeopardy
2019-10-23Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2025-04-11Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2025-04-11Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.D – Moderate Harm Potential
2025-04-11Emergency Preparedness DeficienciesProvide family notifications of emergency plan.D – Moderate Harm Potential
2025-04-11Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-04-11Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2025-04-11Miscellaneous DeficienciesHave restrictions on the use of highly flammable decorations.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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