Cedar Creek Post Acute
2650 NORTH MT JULIET ROAD, MOUNT JULIET, TN 37122 · CCN 445439
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 106
- Avg residents/day
- 88.3
- Phone
- 6157584100
Inspection history vs Tennessee & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Tennessee avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-30 | 5 | 5.8 | 9.5 | -0.8 better |
| 2 | 2021-12-15 | 17 | 4.6 | 9.8 | +12.4 worse |
| 3 | 2020-03-10 | 12 | 4.6 | 9.3 | +7.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident rights | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.95 | 72.4% |
| RN staffing (reported) | 0.45 | 36.4% |
| Total nurse staffing (adjusted) | 3.45 | — |
Fines & penalties
- Total fines
- $211,244
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (34)11 immediate jeopardy
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2025-07-30 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-30 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-30 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-30 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-07-30 · Health · corrected 2025-08-29
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-11 · Health · corrected 2024-04-25
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-11 · Health · corrected 2024-04-25
Immediate jeopardy
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-04-11 · Health · corrected 2024-04-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-11 · Health · corrected 2024-04-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-11 · Health · corrected 2024-04-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-11 · Health
Potential for more than minimal harm
- KF0880Provide and implement an infection prevention and control program.2024-04-11 · Health · corrected 2024-04-25
Immediate jeopardy
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-07-11 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-06 · Health · corrected 2023-05-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-12-15 · Health · corrected 2022-01-18
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2020-03-10 · Health · corrected 2020-04-24
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- JF0610Respond appropriately to all alleged violations.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- JF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2020-03-10 · Health · corrected 2020-04-24
Potential for more than minimal harm
- JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
- JF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2020-03-10 · Health · corrected 2020-04-24
Immediate jeopardy
Ownership
No ownership records.
Other facilities in MOUNT JULIET
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.