Heartland
Heartland
3.8 (42 reviews)
Skilled Nursing Facility • 66 Licensed Beds
3025 Fernbrook Lane, Nashville, TN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Heartland

Skilled Nursing Facility • 66 Licensed Beds
3025 Fernbrook Lane,
Nashville, TN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Heartland – Medicare Certified Since 2016

Heartland is a Medicare and Medicaid certified skilled nursing facility located in Nashville, Tennessee. This facility has been serving the community for 10 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 66 certified beds with a current occupancy rate of 93% (averaging 62 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.41 hours of total nursing care per resident per day (2.11 hours from CNAs, 0.8 hours from LPNs, 0.5 hours from RNs). Physical therapy staffing is 0.04 hours per resident per day.

Medicare Quality Ratings: According to CMS, Heartland has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 2 stars, quality measures: 5 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Heartland compares to 64 facilities in Nashville-Davidson--Murfreesboro--Franklin, TN

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
2.8
Quality Measures
Clinical outcomes & safety
5
4
Health Inspections
State survey results
2
2.6
Staffing
Nurse-to-resident ratio
2
2.3
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.50 hrs
0.60 hrs
LPN/LVN Hours
Licensed practical nurses
0.80 hrs
1.11 hrs
CNA Hours
Certified nursing assistants
2.11 hrs
2.15 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.41 hrs
3.87 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
4.7 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
11.0 %
CNA Agency Use
% of CNA hours from contractors
0 %
6.7 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
61 %
53 %
Occupancy Rate
Percentage of beds filled
93 %
79 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$361
$367
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 64 facilities in Nashville-Davidson--Murfreesboro--Franklin, TN.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
5/5
Health Inspections
2/5
Staffing
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 64 other nursing homes in Nashville-Davidson--Murfreesboro--Franklin, TN

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Heartland
Nashville-Davidson--Murfreesboro--Franklin, TN Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Heartland
Nashville-Davidson--Murfreesboro--Franklin, TN Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Heartland
Nashville-Davidson--Murfreesboro--Franklin, TN Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Heartland
Nashville-Davidson--Murfreesboro--Franklin, TN Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
127
minutes/day
CNAs
Certified Nursing Assistants
48
minutes/day
LPNs
Licensed Practical Nurses
30
minutes/day
RNs
Registered Nurses
3
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Heartland
Nashville-Davidson--Murfreesboro--Franklin, TN Average (79.2%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$361
per resident per day
Compared to 64 facilities in your area
Below local median ($367)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-19% -6% Below
Net Income
Annual profit or loss
$-66,223 $-102,775 Above
Staff Cost per Resident
Daily salary expense per resident
$150/day $156/day Lower
Occupancy Rate
Bed utilization percentage
93% 81% Higher
Est. Daily Rate
Average revenue per patient day
$361/day $367/day Lower
Total Beds
Licensed bed capacity
66 109 Smaller

Local comparisons based on 64 skilled nursing facilities in the Nashville-Davidson--Murfreesboro--Franklin, TN metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$1,649,546
Operating Expenses
Total operating costs
$1,959,137
Total Salaries
Staff compensation
$778,781
Contract Labor
Agency & temp staff
$233,749

Payer Mix

Medicare
6%
Medicaid
55%
Private Pay & Other
39%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
5,206
Medicare
Short-term skilled nursing
6%
Medicaid
Long-term care residents
55%
Private Pay / Other
Self-pay, insurance, VA
39%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
70.35
days
Medicare Stays
29.30
days
Medicaid Stays
720.50
days
Total Admissions
77
Total Discharges
74
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in NASHVILLE

Join Our Caring Team

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Current Job Openings

Reviews

3.8 (42 reviews)
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regine pierre's profile photo
regine pierre 7 months ago

I recently visited a friend at NHC Heartland and was genuinely impressed with the facility. The place is exceptionally clean—huge shout-out to the housekeeping department for keeping everything spotless and well-maintained. The nursing staff also deserves praise; my friend looks well cared for and comfortable, which says a lot about the quality of care provided. Everyone I interacted with was kind and professional, making the atmosphere feel warm and welcoming. Even the receptionist was present and friendly on the weekend, which was a pleasant surprise. Overall, I left with a great impression and peace of mind about my friend’s wellbeing. Thank you for all that you do.

Jessica Easley's profile photo
Jessica Easley in the last week

If you’re looking for a place where your loved one will be cared for by people who love what they do, I highly recommend Heartland. The staff truly feels like a family, and they work together seamlessly to create a safe and supportive atmosphere.

Erica Stafford-Cherry's profile photo

Checked my dad in on February 14 2025. He died on February 16 2025. This facility never called to give condolences but they sent a bill though, two weeks later but we were told he would be covered for six months. Went to pick up his belongings and the room smelled like old man pee. If you are expecting your loves ones to get better do not send them here. My dad's second day here he died.

Ray Mccranie's profile photo
Ray Mccranie a year ago

This is really a very nice place! I don't know where this little bit of bad mouthing is coming from. The Staff takes good care of me and I have about a half dozen things wrong with me. The food is like home cooked style and the rooms are very clean. I,d recommend this facility to anyone in need of health care. Thank You.

Krystal Lauderdale's profile photo

If I could leave a 0 I would. This place was horrible. The food was old and cold. The room that they put my mom in had NO AC. They refused to believe her until I went up there. If you care about your loved ones, do not send them here. There is virtually no staff on weekends and it takes hours for someone to respond to a call button. The staff on the weekends are agency workers. They do not give two cents about the patients. I talked to the social worker, the director, and manager and they all seemed oblivious to what's going on in their facility. I was promised things will get better but they weren't. I agree 100% with the one person's comment of "This place needs to be shut down and under a thorough investigation for negligence." My mom also seen roach bugs while there which we have photos of -

View All 42 Google Reviews

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