The Pearl at Fairview

    7112 Old Nashville Rd, Fairview, TN 37062
    • Assisted Living

    Attentive staff, beautiful safe facility

    My mom is thriving here - the staff are attentive, professional and genuinely kind, and leadership is supportive. The facility is clean, beautiful and safe with engaging activities, good meals, salon/art room amenities, and it's given our family real peace of mind; I recommend it for those needing assistance.

    Loved one of resident
    Sep 2026

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    Reviews

    4.53·(17)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.6
    • Staff

      4.6
    • Meals

      3.3
    • Amenities

      5.0
    • Value

      4.5

    Pros

    • Compassionate, attentive caregiving staff
    • Responsive nursing care
    • Friendly, professional support and administrative staff
    • Experienced, supportive leadership
    • Individualized, resident-centered attention
    • Clean, well-lit, calming environment
    • Attractive decor and well-maintained common areas
    • Comfortable private rooms with kitchenettes and individual thermostats
    • Engaging activity programming (art room, salon, movies)
    • Varied meal choices and enjoyable dining
    • Strong family accommodations and welcoming atmosphere
    • Safe environment with effective emergency response
    • Smooth move-in and transition processes
    • Sense of community and social connections

    Cons

    • Inconsistent clinical care practices (nutritional and hydration management)
    • Variable housekeeping and room sanitation standards
    • Fluctuating care quality across shifts or residents
    • Gaps in oversight and follow-up for individual care plans

    Summary of reviews

    Overall impression: The Pearl at Fairview is consistently described as an attractive, well-maintained memory-care community with a calm, well-lit environment and features designed for comfort and family visits. Many comments highlight the facility’s décor, spacious common areas, private rooms with kitchenettes and individual thermostats, and amenities such as an art room, salon, and organized movie or media options. Families frequently mention a welcoming atmosphere and a sense of community that contributes to residents’ social engagement and improved quality of life.

    Care and staff: Reviews emphasize compassionate, attentive caregivers and responsive nursing staff, supported by leadership that families characterize as experienced and supportive. Staff beyond nursing—kitchen, activities, and administration—are commonly noted as professional and helpful, and several accounts describe smooth transitions at move-in, respectful interactions, and family-like caregiver relationships. The leadership presence and apparent emphasis on individualized attention are repeatedly cited as strengths.

    Dining and activities: Dining receives generally positive comments: reviewers cite enjoyable meals, varied choices, and family accommodations around food preferences. Activity programming is another strong area, with references to engaging offerings such as art activities, salon services, film viewings, and communal events that foster social connections and a home-like, non-clinical memory-care environment.

    Facilities and management: Operationally, the facility is described as clean and well-maintained in many accounts, with clear attention to common-area upkeep and resident comfort. Multiple families highlighted effective response in unusual circumstances (for example, maintaining resident safety during inclement weather) and good communication from administration. Overall, leadership and day-to-day management are portrayed as active and family-oriented.

    Notable patterns and cautions: While the dominant tone is positive, at least one review raised significant concerns about clinical and housekeeping matters, including nutritional regimen errors, hydration management, and room sanitation. These comments suggest variability in clinical care processes and housekeeping standards for some residents. Taken together with a handful of references to uneven experiences, the pattern implies that care quality can fluctuate and that oversight and follow-through on individualized care plans may not be uniformly consistent.

    Recommendation for prospective families: The Pearl shows many strengths in staff compassion, amenities, activities, and facility presentation. Prospective families should observe care during different times of day, ask about clinical oversight (dietary and hydration protocols, medication checks), inquire about housekeeping schedules and quality-assurance measures, and request references from current families. Doing so will help verify that the strong qualities noted in many reviews are reliably applied to an individual resident’s needs.

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    Location

    Map showing location of The Pearl at Fairview

    The Pearl at Fairview is located at 7112 Old Nashville Rd, Fairview, TN, 37062.

    About The Pearl at Fairview

    The Pearl at Fairview sits on Old Nashville Road in the northwest corner of Williamson County, Tennessee, and you'll find it has a warm, home-like feeling in its family-owned building, which is a bit smaller than some of the big places you might hear about. The community offers assisted living suites and a secure memory care unit for folks who can't live on their own safely, but don't need to be in a full-blown nursing home. It's got private rooms-each with its own bathroom, zero-step walk-in shower, temperature control, and Wi-Fi-plus a kitchenette, cable TV, air conditioning, and plenty of places to sit and visit inside and out.

    The Pearl keeps things busy and lively with movie nights, game rooms, arts and crafts, fitness classes like Tai Chi and yoga, and you'll see folks out on the walking paths or in the gardens, which are laid out for easy strolling. There's a Life Enrichment Program, which gets residents active with outings, art and music, book club, gardening, cultural trips, and volunteer chances, and you can always find something going on between the chapel, piano, and The Broadway Bistro, which comes alive with happy hours and live music. Dining takes place in a large open room or, for family gatherings, in a private area. Meals are fresh, with a varied menu, and a registered dietitian works to make sure residents get what they need for their own personal health.

    People living here get help with bathing, dressing, medication reminders, and other daily activities. Nursing care is available 24 hours a day, along with a call system in every room if someone needs help. The staff is trained for the needs of residents, especially those in the memory care area, and you'll see a nurse practitioner coming weekly to check on folks. The whole place runs on a Montessori-inspired approach, aiming to bring purpose and routine to daily life for each person, whether it's through social events, educational classes, or quiet time with a book in the library.

    There are community-sponsored activities all week, with outings, music, art classes, knitting and crochet, and a lively scene in the bistro or the salon, where residents can get their hair cut or styled. Housekeeping, laundry, postal and concierge services are provided, and there's transportation for appointments and shopping, plus plenty of parking for visitors. Friends and families can join in events, and support services are on hand for loved ones making the move. No one is allowed to smoke or use tobacco in or around the property, which keeps things fresh and safe for everyone.

    The Pearl at Fairview isn't a big resort; it's a place where people get everyday support in a cozy and comfortable setting, with the benefit of lots of staff around, plenty of engaging activities, and the peace of mind that someone's always available to help, day or night.

    People often ask...

    The Pearl at Fairview offers assisted living.

    There are 25 photos of The Pearl at Fairview on Mirador.

    The full address for this community is 7112 Old Nashville Rd, Fairview, TN 37062.

    No, The Pearl at Fairview does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Tennessee, the Department of Health licenses long-term care facilities and publishes board actions and disciplinary records, including consent orders and civil penalties.

    License number0537-00000534
    StatusLicensed
    Facility typeAssisted Care Living Facility
    License classLicensed
    Capacity74 residents
    LicenseeRebekah Tidwell
    EffectiveAugust 3rd, 2023
    ExpiresAugust 2nd, 2027

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Pearl at Fairview. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Pearl at Fairview directly. There is no cost for this service. We are compensated by the community you select.

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