Lakeshore Heartland

    3025 Fernbrook Lane, Nashville, TN, 37214
    4.1 · 12 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Compassionate staff despite safety issues

    I placed my parent at Lakeshore Heartland and, overall, I'm grateful for the staff - compassionate, attentive, and skilled (therapy helped him regain strength; call lights were answered quickly) and management responded supportively to concerns. The building is old, rooms are small/semi-private, hallways can be hot and cramped, and cleanliness/staffing are inconsistent. There were serious safety lapses (wanderguard not applied; a resident wandered, fell, and declined), so families should stay vigilant. Despite those problems, the nurses and aides went above and beyond, treated residents like family, and I would recommend Lakeshore Heartland for their caring staff.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.08 · 12 reviews

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      4.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Welcoming, friendly and compassionate staff
    • Respectful treatment and strong bedside manner
    • Staff often go above and beyond and form family-like bonds
    • Specific staff praised by name (Heather, Maria, Tiff, Nika)
    • Therapy department effective at helping residents regain strength
    • Nurses, techs and management responsive to concerns
    • Rapid call-light response times reported
    • Rooms kept very clean and beds kept dry by staff
    • Laundry procedures include labeling and recovery of missing items
    • Dietary department described as doing their best
    • Management involved and supportive in many cases
    • Doctors communicate well and care plans implemented
    • Activities and outings engaging for some residents
    • Facility provides peace of mind for many families
    • Skilled nursing and attentive clinical care reported
    • Supportive environment for families (staff attended viewings/funerals)
    • Residents kept active and social by staff and activities
    • Positive reports of recovery and improved quality of life under care

    Cons

    • Understaffed and inconsistent staffing levels
    • Extremely high nurse-to-patient ratios reported (40+ patients per nurse)
    • Staff sometimes hide or pretend to be staff during inspections
    • Hallways and common areas can be uncomfortably hot (up to 85°F)
    • Old building with cramped, narrow hallways
    • Small, semi-private rooms and deteriorating beds
    • Maintenance and climate-control concerns
    • Safety failures (wanderguard not applied, resident wandered and fell)
    • Concerns about ethics and adherence to state guidelines
    • Reports of missed feeding, weight loss and seizure incidents
    • Inconsistent cleanliness (some say clean, others say not clean)
    • Minimal or token activities reported by some reviewers
    • Meals not always satisfying to all tastes
    • Renovations in progress creating disruption
    • Poor staff management reported in some incidents
    • Deposit taken with no apology in at least one case
    • Safety concerns for residents in wheelchairs
    • Laundry missing for some residents despite labeling

    Summary review

    The reviews for Lakeshore Heartland present a mixed but strongly polarized picture: many reviewers emphasize exceptional, compassionate care and strong personal connections with staff, while a significant number report systemic problems tied to staffing, facility condition, safety and inconsistent management. Positive comments repeatedly highlight individual caregivers and teams who are attentive, respectful, and willing to go beyond routine duties. Several reviewers named caregivers (Heather, Maria, Tiff, Nika) and described staff who provided timely responses to call lights, maintained dry and clean beds, engaged families, attended memorial events, and created a familial atmosphere. Therapy services are frequently credited with measurable recovery and increased independence, and some families reported clear doctor communication, individualized care plans, engaging activities and outings, and overall peace of mind from the facility’s care.

    However, a persistent and serious counter-narrative concerns understaffing and inconsistent personnel coverage. Multiple summaries cite dangerously high nurse-to-patient ratios (one claim of 40+ patients per nurse), reports that staff sometimes hide or stage their presence during inspections, and uneven responsiveness depending on shift and personnel. These staffing issues are linked in the reviews to clinical and safety lapses: failures to apply wanderguards, residents wandering and falling outside, missed feeding leading to weight loss, seizures and apparent accelerated cognitive decline after incidents. Such reports raise red flags about risk management, supervision, and adherence to safety protocols rather than isolated service shortfalls.

    Facility and maintenance issues are another common theme. The building is described as older, with cramped semi-private rooms, narrow hallways, and deteriorating beds. Climate control problems are specifically noted — hallways reported as hot as 85°F — which is a major comfort and safety concern, particularly for elderly, mobility-impaired, or medically fragile residents. Renovations are underway according to some reviews, but that appears to be a partial mitigation and may also introduce temporary disruption. Dining receives mixed feedback: while some reviewers praised the food and dietary staff’s efforts and reported satisfying meals, others felt the menu failed to meet resident preferences and described meals and activities as minimal or token (e.g., only a dry washcloth, old towels, or a single balloon offered as an activity).

    The management picture is inconsistent. Several families describe management as responsive, supportive, and quick to resolve concerns, and praise the administration’s involvement when issues arise. Conversely, other reviewers report poor management decisions — taking deposits without apology, failing to address safety lapses, or tolerating behaviors such as hiding staff during inspections. Laundry and housekeeping likewise show a split: some describe rooms as very clean and organized (including labeled laundry recovery), while others report missing clothing and general cleanliness shortfalls. This variability suggests that care quality is highly dependent on specific shifts, teams, or unit leadership.

    In summary, Lakeshore Heartland appears to deliver deeply compassionate, person-centered care in many instances, with standout staff and therapy services producing meaningful positive outcomes for residents. At the same time, there are repeated and serious concerns about staffing levels, safety protocol adherence, facility condition (including heat and cramped spaces), and inconsistent management practices. Prospective families should weigh the strong testimonials about individual caregivers and therapy success against the safety and staffing-related problems reported by other families. When considering this facility, it would be prudent to: (1) tour the specific unit and times of day/shifts to observe staffing and climate control; (2) ask management about nurse-to-patient ratios, wanderguard policies and incident history; (3) verify how renovations will affect daily life; and (4) request written details about laundry, dining accommodations, activity programming, and how individualized care plans and safety checks are implemented across shifts.

    Location

    Map showing location of Lakeshore Heartland

    About Lakeshore Heartland

    Lakeshore Heartland sits among green rolling hills and offers a mix of senior living options, including independent living with single-family homes, assisted living, memory care, skilled nursing, and home care, and there's a facility finder tool to help people choose what fits best, and you'll find two- and three-bedroom homes with no steps, grip bars in the baths, electric garage doors, and solid oak cabinets, plus meal services with three meals a day in a dining room, weekly housekeeping and laundry, and full landscaping and lawn care around the campus. Residents can relax or join activities in recreational areas, and daily life carries the scent of fresh, nutritious meals prepared with quality ingredients that help promote overall health, so people living here can enjoy both independence and support. The staff, led by an administrator, includes caring administrators, social workers, nurses, therapists, activities directors, dining staff, and receptionists who work together to provide a friendly, joyful, and welcoming atmosphere, and reviews often point out how helpful and kind the team is, giving a sense of community and comfort to residents and their families. Lakeshore Heartland supports a wide range of care needs, from minimal help with bathing and dressing, to 24-hour skilled nursing care with medication management and health status monitoring by licensed professionals, including a post-acute healthcare center for both short- and long-term recovery, backed by specialized physician and therapist teams. Dementia and Alzheimer's care comes in a safe, calming environment designed to prevent wandering and reduce confusion, and there's a strong focus on personalized care and dignity for everyone, with individual care plans that involve both patients and their families while promoting independence as much as possible. The center offers therapy services-physical, occupational, and speech-on both inpatient and outpatient bases, with programs like the LSVT program for Parkinson's disease, and participation in Caris Hospice brings support for seniors needing end-of-life, comfort-oriented services. There's also CNA training and education that now runs virtually due to COVID-19, and Lakeshore Heartland places a big value on networking and continuing education through events like its Convention & Trade Show. With transport and parking close by, safety features like emergency call buttons, and amenities like community info with maps and directions, residents and families can navigate daily life easily, and the campus tries to strike a balance between promoting independence and offering the right support at every stage. Lakeshore Heartland's skilled nursing home services meet federal requirements for Medicare and Medicaid, make use of weekly cleaning and laundry help, and ensure medication is properly stored and dispensed, and long-term care focuses on ongoing support in a home-like setting. The community's Better Way™ approach includes a set of 20 promises to keep care consistent and respectful, aiming to celebrate life for residents, support dignity, and keep privacy and trust at the center, so residents and families can focus on living instead of worrying about the details. Lakeshore Heartland regularly receives positive feedback and awards, such as Best of Senior Living and Best Activities, which speaks to their effort in making daily life meaningful-physically, mentally, socially, and emotionally-while never losing sight of the fact that moving to a care community is a big adjustment, and the main goal is steady, reliable care as the years go by, surrounded by green hills and friendly faces.

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