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Skilled nursing facility · CMS certification number 445538

ADVANCED HEALTH CARE OF NASHVILLE

NASHVILLE, Tennessee · Medicare

Certified beds, as filed in Care Compare: 49

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 7 May 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$13,722,169CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,432,567CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,289,602CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,769,308CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,479,706CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,958CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,474,748CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,474,748 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components17,885CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days11,107CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days4,082CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components15,189CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges367CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges179CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components546CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days27.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1449354, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$10,332,267CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,511,771CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,820,496CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,059,944CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,239,448CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,861CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,226,587CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,226,587 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,549CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components344CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days33.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389434, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 19 October 2022 to 31 December 2022 — a reporting period of 73 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 August 2024.

None of these figures is carried on this report.

CMS report record 1391259, read from the public cost report file SNF10FY2023.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2021
NEW AHC HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2021
THE GAIL MILLER GST TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization72%since 01/01/2024
EME, IJAGHAADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
ENGBERSON, EMILYADP OF THE SNFIndividualNOT APPLICABLEsince 04/07/2025
LHMSH LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
NEW AHC HOLDINGS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/28/2025
OXNAM, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014INDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2024
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019INDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2024
ENGBERSON, EMILYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AHC NASHVILLE LLC (enrollment ID O20220808000370).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NEW AHC HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
KAREN GAIL MILLER IRREV TR FBO ZANE MILLEROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.11/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE GAIL MILLER GST TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST72.31/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.11/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.11/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.11/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
EMILY ENGBERSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/7/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
IJAGHA EMEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/4/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LHMSH LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
NEW AHC HOLDINGS, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/28/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/17/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/28/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/28/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
NATHAN C OXNAMIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014OrganizationINDIRECT OWNERSHIP INTEREST3.81/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019OrganizationINDIRECT OWNERSHIP INTEREST2.51/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
EMILY ENGBERSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
119 October 202219 October 202200
24
31

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

5 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
2 October 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction15 October 2024
2 October 2024HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.JYesDeficient, Provider has date of correction15 October 2024
2 October 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JYesDeficient, Provider has date of correction15 October 2024
2 October 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction15 October 2024
12 March 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction1 April 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
2 October 2024Fine$113,27333617
2 October 2024Payment Denial6 October 20249
25 September 2023Fine$2,79733341
18 September 2023Fine$2,44733334
11 September 2023Fine$2,09833328
5 September 2023Fine$1,74833321

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Limited Liability company
Legal Business NameAHC NASHVILLE LLC
Date First Approved to Provide Medicare and Medicaid Services2022-10-19
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishDavidson
Telephone Number8014479860
Chain NameADVANCED HEALTH CARE
Chain ID11
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds49
Average Number of Residents per Day42.6
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The citable document for ADVANCED HEALTH CARE OF NASHVILLE

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 445538.