The Rivers at Maryland Farms

What is The Rivers at Maryland Farms licensed for in Brentwood, TN?

The Rivers at Maryland Farms at 103 Arcaro Place, Brentwood, TN 37027 is an Assisted Care Living Facility licensed by the Tennessee Health Facilities Commission as ACLF #103, with 125 licensed beds, 25 of them secured memory-care beds. Its status in the Commission's October 2026 report is “Licensed”.

Does The Rivers at Maryland Farms have any state enforcement actions on record?

Yes. The Tennessee Health Facilities Commission's monthly Facility Action and Abuse Reports list 2 formal actions against ACLF #103 between January 2025 and September 2026, most recently in August 2026.

• August 2026: License placed on probation not to exceed six (6) months; must submit acceptable Plan of Correction to the region; In lieu of Civil Monetary Penalties, Respondent shall be liable for the costs of the Temporary Management Company appointed (Commission report)
• October 2025: Suspension of Admissions; Assessed three (3) Type A Civil Monetary Penalties of three thousand dollars ($3,000.00) each, for a total CMP assessment of nine thousand dollars ($9,000) (Commission report)

A civil monetary penalty (CMP) is a fine the Commission assesses for violations found during a survey or complaint investigation. The reports list the order, not the underlying findings, so ask The Rivers at Maryland Farms to show you the survey behind each action and its accepted plan of correction.

Does The Rivers at Maryland Farms offer memory care?

Yes. The Rivers at Maryland Farms reports 25 secured beds to the state, 20% of its 125 licensed beds. Secured beds are the dementia unit Tennessee counts within an ACLF license; there is no separate memory care license.

On a visit, ask how the secured unit is staffed at night, what dementia training staff complete, and which behaviors or care needs would mean a move to a nursing home.

How does The Rivers at Maryland Farms compare with other assisted living in Brentwood?

By licensed beds, The Rivers at Maryland Farms is the largest of 7 licensed ACLFs in the Brentwood area and 9th of 98 across the Nashville metro.

Sizes are licensed capacity from the October 2026 HFC report, not current occupancy. A larger community usually means more on-site services; a smaller one often means more consistent caregivers. See every metro ACLF.

How much licensed assisted living does Williamson County have?

Williamson County has 19 licensed ACLFs with 1,685 beds and 508 secured memory-care beds in the October 2026 HFC report, and The Rivers at Maryland Farms holds 7% of those beds.

6 of the county's 19 ACLFs appear in a Commission enforcement report between January 2025 and September 2026. Secured beds make up a sizable share of supply here, which gives families more than one memory care option to compare. See every licensed facility in the Brentwood area.

Where do The Rivers at Maryland Farms residents go if they need nursing home care?

An ACLF cannot provide 24-hour skilled nursing, so a resident who needs it moves to a nursing home. 1 CMS-certified nursing home serves the Brentwood area, the largest being Somerfield At The Heritage with 66 certified beds.

• Somerfield At The Heritage — Brentwood, 66 beds, CCN 445488

Ask The Rivers at Maryland Farms which of these it most often transfers residents to, whether it holds a resident's apartment during a short rehab stay, and how much notice it gives before a permanent move.

What level of care can The Rivers at Maryland Farms provide under its license?

As an ACLF, The Rivers at Maryland Farms may provide room, board, personal care, medication administration and limited intermittent nursing; its licensed mix is a 25-bed secured unit for residents with dementia, 100 general assisted living beds.

Tennessee's ACLF rule allows outside home health or hospice to serve residents, but a resident who needs continuous skilled nursing generally has to move to a nursing home. Residents can move from the general wing into the secured unit as dementia progresses, which avoids a second move for many families. Ask for the community's written admission and discharge criteria before signing.

What is the area around The Rivers at Maryland Farms like for seniors?

The Rivers at Maryland Farms sits in ZIP 37027, Brentwood, in Williamson County. Families usually shortlist communities within an easy drive of the people who visit most. Major hospitals serving the Brentwood area include TriStar Southern Hills Medical Center, Williamson Medical Center (nearby), Vanderbilt University Medical Center (nearby), Ascension Saint Thomas West (nearby).

Brentwood is the Nashville metro's premium anchor — a wealthy Williamson County city of about 45,000 bordering Nashville, consistently ranked among Tennessee's highest household-income communities, with a large and affluent aging population.

Brentwood is the Nashville metro's most expensive senior care market. Families here expect premium assisted living, resort-caliber memory care, and life-plan communities — and typically self-fund well above the metro average before tapping TennCare CHOICES.

Neighborhoods families in this area ask about include Maryland Farms, Brentwood Country Club, Governors Club, Concord, Owl Creek, Crockett Road corridor. See the Brentwood senior care guide for local resources.

What does assisted living near The Rivers at Maryland Farms cost in 2026?

Assisted living in the Brentwood area typically runs about $5,250–$6,350 a month in 2026, and memory care about $6,100–$7,550. These are this site's area estimates, not The Rivers at Maryland Farms's prices, which the community sets itself.

Ask for an itemized rate sheet: base rent, the care-level or points fee, medication management, and any one-time community fee. Compare the all-in monthly figure for your parent's actual needs, not the starting rate. TennCare CHOICES and VA Aid & Attendance can offset costs for those who qualify, so ask whether The Rivers at Maryland Farms participates. More on assisted living costs in Brentwood.

How should you evaluate The Rivers at Maryland Farms before signing?

A good decision rests on three checks: the state record, the contract and a second visit. Confirm ACLF #103 is active in the Tennessee Health Facilities Commission listings, read its enforcement history above, and request its most recent survey before you sign an admission agreement.

1. Verify the license and status in the HFC facility listings.
2. Request the latest survey and plan of correction through the Commission's records portal.
3. Ask what was corrected after the August 2026 action and how it is monitored now.
4. Read the admission agreement for discharge terms, rate-increase notice and care-level pricing.
5. Visit twice, once unannounced near a mealtime or shift change.
6. Ask the regional long-term care ombudsman whether there are complaint patterns you should know about.

What should you ask on a tour of The Rivers at Maryland Farms?

Ask The Rivers at Maryland Farms about overnight staffing, who gives medications, what the monthly rate includes, and which changes in health would require a move out.

• Do you accept TennCare CHOICES, VA Aid & Attendance or long-term care insurance?
• How are falls and hospital transfers communicated to family, day and night?
• How many caregivers are on duty overnight, and how many residents does each cover?
• Who administers medications, and how are errors reported to families?
• What is included in the base monthly rate, and how are care levels priced?
• How many staff cover the 25-bed secured unit overnight?