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Fairview officials urge support for proposed ERs; certificate-of-need hearing set for May 27

Fairview Town Hall · May 1, 2026
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Summary

City leaders and residents discussed two proposed freestanding emergency rooms, encouraged public attendance at a May 27 certificate‑of‑need hearing in Nashville, and addressed concerns about helipads, ambulance traffic and local outreach. Officials said the state will set helipad requirements.

Fairview officials and residents on April’s town‑hall-style meeting pressed attendees to attend a May 27 certificate‑of‑need hearing in Nashville as two hospital systems pursue freestanding emergency rooms in the area.

Commissioner Rafalini, who spoke for the board, said the hospitals have been holding public information sessions and that residents should take their questions directly to the providers rather than rely on secondhand answers. "They will get back to you on anything you want," Rafalini said, urging attendance at the hearing in Cordell Hall.

Officials said the state will determine helipad requirements and that hospitals are unlikely to create regular helicopter traffic. "I don't think they wanna pour a helipad because that's gonna be very costly to the ERs," Rafalini said, adding that both applicants have designs that would allow helicopter use for life‑saving transport if needed.

Several residents expressed safety and access concerns. Aileen Brogan, a county resident, said she welcomed the ERs and asked whether both would come; officials said the certificate‑of‑need process will determine the outcome and that both applicants could be approved. "These ERs are not just for Fairview City residents... everyone's gonna be able to utilize this," a commissioner said, noting potential regional benefits.

Board members also addressed noise and ambulance traffic. Officials said ambulances already serve the area and that local ERs could reduce long transport times to more distant hospitals. "If somebody has a life‑threatening emergency ... you'd want that ER here where they can stabilize you," one resident told the board, describing a past medical emergency in which nearby care was decisive.

The board said it has prewritten letters of support and QR codes to collect public comments and that copies of a letter of support are available at a commissioner’s business for residents to sign and submit to hospital associations. The board encouraged Fairview residents and neighbors to attend the May 27 hearing and to speak in favor of one or both proposals if they so choose.

Next steps: the certificate‑of‑need hearing is scheduled for 9 a.m. on May 27 at Cordell Hall in Nashville; board members said they plan to be present and will share more information as the date approaches.