Skilled nursing facility · CMS certification number 445496
THE MEADOWS
NASHVILLE, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 113
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,104,757 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,073,913 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,030,844 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,948,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$918,050 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $438,441 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$479,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$479,609 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 44,652 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,708 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,550 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 17,547 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 37,805 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 45 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 178 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 394.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438024, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,127,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,455,161 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,672,653 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,253,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$580,509 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,755,903 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,175,394 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,175,394 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,687 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420939, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,781,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,438,830 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,342,581 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,039,587 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,697,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $259,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,437,365 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,437,365 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 437 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 8.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363929, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,369,648 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $985,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,384,600 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,455,672 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,071,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $960,980 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,110,092 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,110,092 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,236 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343295, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,665,701 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $672,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,993,637 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,479,348 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,485,711 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,083,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$401,942 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$401,942 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 337 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 151.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300389, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 1, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,439,405 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $978,506 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,460,899 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,091,769 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$630,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,132 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$552,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$552,738 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 176.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254864, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,937,181 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,008,164 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,929,017 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,368,370 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$439,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$383,027 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$383,027 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264030, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,132,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,458 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,509,824 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,761,670 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,251,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,171,228 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,171,228 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,080 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 117.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199338, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,541,512 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,172,282 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,369,230 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,630,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$260,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $81,759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$179,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$183,425 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,539 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 353 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 86.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175687, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,544,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,035,806 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,508,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,515,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,978 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,968 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $80,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $32,179 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 86.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142904, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,128,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $654,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,474,090 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,913,256 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$439,166 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,019 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$276,147 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$297,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 119.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108276, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,702,721 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $433,505 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,269,216 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,870,645 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$601,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $148,747 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$452,682 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$474,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,359 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 131.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076899, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,169,592 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $454,193 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,715,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,226,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$510,869 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,589 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$425,280 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
| Total other expenses | $30,457 | CMS-2540-10 worksheet G300000 line 3000 column 100 |
Net income: −$455,737 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 158.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047223, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 14, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,067,952 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $304,340 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,763,612 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,912,913 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$149,301 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,366 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$64,935 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
| Total other expenses | $33,394 | CMS-2540-10 worksheet G300000 line 3000 column 100 |
Net income: −$98,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,272 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 181.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024819, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for April 16, 2010 to December 31, 2010 — a reporting period of 259 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 16, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,124,736 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,057,417 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $67,319 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,849 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,435 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $141,733 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 267.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417847, read from the public cost report file SNFFY2010.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LAKESHORE ESTATES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/06/2009 |
| ANDERSON, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| DODSON, VICKI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2019 |
| HILBERS, ZACH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| KIDD, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| LAKESHORE ESTATES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/06/2009 |
| NATIONAL HEALTHCARE CORPORATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2017 |
| SHELLY, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2017 |
| TENNESSEE HEALTHCARE ADVISORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| VINCENT, BRANDON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/19/2024 |
| ACUFF, EMILY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2014 |
| BROCK, WELDON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2016 |
| COCHRAN, SARAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2025 |
| GILMER, SCOTT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2025 |
| JABLONSKI, JON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2021 |
| LAMBERT, DEBBIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2021 |
| LLOYD, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2023 |
| OUTHIER, BARBARA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| RAMPY, WYATT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2022 |
| ROBINSON, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2014 |
| ZUPA, RANDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| ROBINSON, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2014 |
| ANDERSON, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/19/2023 |
| BROCK, WELDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2016 |
| BROWN, MORGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/22/2018 |
| DODSON, VICKI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2019 |
| HILBERS, ZACH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2017 |
| KIDD, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| LAKESHORE ESTATES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/06/2009 |
| NHC/DELAWARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2017 |
| ROBINSON, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2014 |
| SHELLY, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2017 |
| TENNESSEE HEALTHCARE ADVISORS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2017 |
| VINCENT, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/19/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAKESHORE ESTATES, INC. (enrollment ID O20091209000467).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LAKESHORE ESTATES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/6/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRANDON VINCENT | Individual | ADP OF THE SNF | Not stated in the filing | 8/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN KIDD | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES R ANDERSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAKESHORE ESTATES, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 10/6/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| NATIONAL HEALTHCARE CORPORATION | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TENNESSEE HEALTHCARE ADVISORS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY SHELLY | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VICKI L DODSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACH HILBERS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA A OUTHIER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBBIE LAMBERT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY H ACUFF | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN R ROBINSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JON JABLONSKI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDY ZUPA | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH COCHRAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT GILMER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN LLOYD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WELDON BROCK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WYATT RAMPY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN R ROBINSON | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON VINCENT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN KIDD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES R ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/19/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN R ROBINSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAKESHORE ESTATES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/6/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| MORGAN BROWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/22/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NHC/DELAWARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TENNESSEE HEALTHCARE ADVISORS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY SHELLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VICKI L DODSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WELDON BROCK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACH HILBERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: ROY PURKEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZACH HILBERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: EMILY H ACUFF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOHN A THWEATT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BARBARA A OUTHIER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRIAN KIDD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRIAN KIDD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MORGAN BROWN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 22, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRANDON VINCENT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRANDON VINCENT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JAMES R ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JAMES R ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TENNESSEE HEALTHCARE ADVISORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TENNESSEE HEALTHCARE ADVISORS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDY ZUPA (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NHC/DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NATIONAL HEALTHCARE CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WYATT RAMPY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JON JABLONSKI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WELDON BROCK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WELDON BROCK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZACH HILBERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZACH HILBERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SUSAN LLOYD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAKESHORE ESTATES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 6, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAKESHORE ESTATES, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 6, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBBIE LAMBERT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VICKI L DODSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VICKI L DODSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOHN R ROBINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SARAH COCHRAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT GILMER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY SHELLY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- June 26, 2026: A deficiency was cited under tag F 0908, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 26, 2026: A deficiency was cited under tag F 0812, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- June 26, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- April 1, 2026: ROY PURKEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZACH HILBERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: EMILY H ACUFF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOHN A THWEATT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BARBARA A OUTHIER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRIAN KIDD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRIAN KIDD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MORGAN BROWN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 22, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRANDON VINCENT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRANDON VINCENT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JAMES R ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JAMES R ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TENNESSEE HEALTHCARE ADVISORS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TENNESSEE HEALTHCARE ADVISORS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RANDY ZUPA (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NHC/DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NATIONAL HEALTHCARE CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WYATT RAMPY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JON JABLONSKI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WELDON BROCK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: WELDON BROCK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZACH HILBERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ZACH HILBERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SUSAN LLOYD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAKESHORE ESTATES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 6, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LAKESHORE ESTATES, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 6, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBBIE LAMBERT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VICKI L DODSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VICKI L DODSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JOHN R ROBINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SARAH COCHRAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT GILMER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: TIMOTHY SHELLY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 11, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 26, 2026 | June 26, 2026 | 2 | 12 |
| 2 | September 21, 2022 | September 21, 2022 | 9 | 7 |
| 3 | June 5, 2019 | June 5, 2019 | 2 | 5 |
| 3 | August 1, 2018 | August 1, 2018 | 5 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 26, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 17, 2026 |
| June 26, 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | July 17, 2026 |
| September 21, 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | November 4, 2022 |
| September 21, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 4, 2022 |
| June 5, 2019 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | No | Deficient, Provider has date of correction | June 30, 2019 |
| June 5, 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 30, 2019 |
| August 1, 2018 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | August 24, 2018 |
| August 1, 2018 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | August 24, 2018 |
| August 1, 2018 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | August 24, 2018 |
| August 1, 2018 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | August 24, 2018 |
| August 1, 2018 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | August 24, 2018 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | LAKESHORE ESTATES, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-04-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Davidson |
| Telephone Number | 6156464466 |
| Chain Name | NATIONAL HEALTHCARE CORPORATION |
| Chain ID | 364 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 113 |
| Average Number of Residents per Day | 102.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On June 26, 2026: A deficiency was cited under tag F 0908, scope and severity D. That is one line of the alert.
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The citable document for THE MEADOWS
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Tennessee at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 445496.