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BETHANY CENTER FOR REHABILITATION AND HEALING LLC

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BETHANY CENTER FOR REHABILITATION AND HEALING LLC is a for profit - limited liability company facility in NASHVILLE, TN with 180 certified beds and a 2-star overall CMS rating. The facility has 12 deficiency records on file.

421 OCALA DRIVE, NASHVILLE, TN 37211

Phone: 6158344214

Overall Rating

2/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
445159
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
180
Residents
172
In Hospital
No
County
Davidson
Last Inspection
Apr 11, 2025

Staffing Data

RN Hours
0.41 (nat'l avg: 0.68)
LPN Hours
1.22
CNA Hours
2.08
Total Nursing Hours
3.71 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
67.0%
RN Turnover
73.5%

What the CMS Record Reveals About BETHANY CENTER FOR REHABILITATION AND HEALING LLC

BETHANY CENTER FOR REHABILITATION AND HEALING LLC operates 180 certified beds in NASHVILLE, TN with approximately 172 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 12 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.71 total nursing hours per resident day (national average 3.89), with RN coverage at 0.41 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, BETHANY CENTER FOR REHABILITATION AND HEALING LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 67.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: May 20, 2025

E — Pattern - Minimal harm Apr 11, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Apr 11, 2025 Tag: 0578

Honor 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.

Category: Resident Rights Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Aug 18, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 16, 2023

K — Pattern - Jeopardy Oct 23, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 12, 2019

E — Pattern - Minimal harm Oct 23, 2019 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 12, 2019

D — Isolated - Minimal harm Jul 11, 2018 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 3, 2018

D — Isolated - Minimal harm Jul 11, 2018 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 3, 2018

G — Isolated - Actual harm Jul 11, 2018 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 3, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 14.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 41.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BETHANY CENTER FOR REHABILITATION AND HEALING LLC?
BETHANY CENTER FOR REHABILITATION AND HEALING LLC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at BETHANY CENTER FOR REHABILITATION AND HEALING LLC?
BETHANY CENTER FOR REHABILITATION AND HEALING LLC reports 3.71 total nursing hours per resident day (national average: 3.89). RN hours are 0.41 per resident day (national average: 0.68). Nursing staff turnover is 67.0%.
How many beds does BETHANY CENTER FOR REHABILITATION AND HEALING LLC have?
BETHANY CENTER FOR REHABILITATION AND HEALING LLC has 180 certified beds with approximately 172 residents. The facility is located at 421 OCALA DRIVE, NASHVILLE, TN 37211.
Does BETHANY CENTER FOR REHABILITATION AND HEALING LLC have any deficiencies on record?
Yes, BETHANY CENTER FOR REHABILITATION AND HEALING LLC has 12 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has BETHANY CENTER FOR REHABILITATION AND HEALING LLC received any fines or penalties?
No, BETHANY CENTER FOR REHABILITATION AND HEALING LLC has no fines or penalties on record.
Who owns BETHANY CENTER FOR REHABILITATION AND HEALING LLC?
BETHANY CENTER FOR REHABILITATION AND HEALING LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was BETHANY CENTER FOR REHABILITATION AND HEALING LLC last inspected?
The most recent health inspection for BETHANY CENTER FOR REHABILITATION AND HEALING LLC was on Apr 11, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for BETHANY CENTER FOR REHABILITATION AND HEALING LLC?
BETHANY CENTER FOR REHABILITATION AND HEALING LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial