01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-09-14 | 12 | 2022-09-14 | 0 |
| Cycle 2 | 2019-05-15 | 0 | 2019-05-15 | 0 |
| Cycle 3 | 2018-05-23 | 4 | 2018-05-23 | 2 |
CMS CCN 4455092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Life Care Center Of Old Hickory Village
1250 Robinson Road · Old Hickory, TN 37138 · Davidson County
Certified beds124CMS provider file
Recent citation rows18current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
18 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-10-09 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-11-08 · complaint2025-10-09 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-11-08 · complaint2023-09-20 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-10-12 · complaint2023-09-20 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-10-12 · complaint2022-09-14 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0727Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0732Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-10-072022-09-14 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-10-072018-05-23 · HEALTHF0635Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Correction field: Deficient, Provider has date of correction · 2018-06-132018-05-23 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2018-06-132018-05-23 · FIREK0351Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2018-06-302018-05-23 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2018-06-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-10-09 | Fine | $8,788 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DEVELOPERS INVESTMENT COMPANY II, INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/29/2007
- PRESTON, FORRESTIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/29/2007
- PRESTON, FORRESTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/29/2007
- MALENCHII, VASILEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/18/2019
- SAVAGE, KIMBERLYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/19/2019
- SOLOMON, JENNIFERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2019
- LAY, LISAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/24/2017
- SWANKER, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- CROSS, CINDYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/11/2011
- HENRY, TERRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/11/2011
- LAY, LISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/09/2018
- SWANKER, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/11/2011
- THURMOND, JOANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/11/2011
- DEVELOPERS INVESTMENT COMPANY II, INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/29/2007
- LIFE CARE CENTERS OF AMERICA, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/11/2011
- NASHVILLE MEDICAL INVESTORS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/03/2012
- FLETCHER, TODDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2024
- MALENCHII, VASILEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/18/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.53per resident day
RN hours0.51per resident day
Weekend nurse hours2.91per resident day
Staff turnover49.4%CMS reported field
06 / LOCAL RECORDS
Open the Tennessee ledger →Other published facilities nearby
No second facility in the same city met the directory rule.