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Complaint Investigation

Life Care Center Of Old Hickory Village

October 9, 2025 · Old Hickory, TN · 1250 Robinson Road
Citations 2
CMS Rating 3/5
Beds 124
Provider ID 445509
Healthcare Facility
Life Care Center Of Old Hickory Village
Old Hickory, TN  ·  View full profile →
Inspection Summary

LIFE CARE CENTER OF OLD HICKORY VILLAGE in OLD HICKORY, TN — inspection on October 9, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During a phone interview on 10/8/2025 at 1:04 PM, Family Member U of Resident #4 was asked what was discussed in Resident #4's Care Plan meetings following the alleged elopement.

The family member stated she had not participated in Care Plan meetings related to Resident #4.

During an interview on 10/9/2025 at 3:35PM, the Social Service Director (SSD) was asked how often care conference meetings were conducted for Long Term Care residents.

The SSD stated, .I try to have the care plan meetings done within 72-hours of admission. and as needed or if family requests them .

During an interview on 10/9/2025 at 6:10 PM, the Director of Nursing (DON) was asked how often should care plan conferences be conducted.

The DON stated, .at admission, quarterly or if there has been a significant change in condition.

The DON was asked if care conference meetings were being conducted.

The DON stated, .I assumed they had not been being done since they cannot find any care conference meeting notes .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Life Care Center of Old Hickory Village

1250 Robinson Road Old Hickory, TN 37138

SUMMARY STATEMENT OF DEFICIENCIES

The facility failed to follow the care plan intervention to prevent a fall.

During an interview on 10/9/2025 at 6:25 PM, the Administrator was asked who told him about Resident #1's injury to the arm on 4/4/2025.

The Administrator stated, The DON told to me of the incident.

The Administrator was asked did the DON tell him that the resident had to have surgery.

The Administrator stated, .do not recall .

The Administrator was asked if there was a Performance Improvement Plan (PIP) related to Resident #1's injury.

The Administrator stated, Do not recall, I do not know what the DON implemented, no PIP. If it was, it would have been presented in QAPI [Quality Assurance and Performance Improvement] .

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in OLD HICKORY, TN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LIFE CARE CENTER OF OLD HICKORY VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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