EATON CREEK POST ACUTE
4343 ASHLAND CITY HIGHWAY, NASHVILLE, TN 37218 · CCN 445262
SFF
Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 96.7
- Phone
- 6157260492
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 | 2023-08-30 | 9 | 5.8 | 9.5 | +3.2 worse |
| 2 | 2019-05-21 | 24 | 4.6 | 9.8 | +19.4 worse |
| 3 | 2018-04-25 | 2 | 4.6 | 9.3 | -2.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident rights | 4 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.69 | 61.9% |
| RN staffing (reported) | 0.55 | 45.5% |
| Total nurse staffing (adjusted) | 3.22 | — |
Fines & penalties
- Total fines
- $122,242
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (35)10 immediate jeopardy2 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-03-11
Actual harm
- LF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-07 · Health · corrected 2024-12-09
Immediate jeopardy
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-07 · Health · corrected 2024-12-09
Immediate jeopardy
- KF0610Respond appropriately to all alleged violations.2024-11-07 · Health · corrected 2024-12-09
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.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-07 · Health · corrected 2024-06-27
Immediate jeopardy
- KF0692Provide enough food/fluids to maintain a resident's health.2024-11-07 · Health · corrected 2024-12-09
Immediate jeopardy
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-07 · Health · corrected 2024-12-09
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.2024-11-07 · Health · corrected 2024-12-09
Potential for more than minimal harm
- LF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-11-07 · Health · corrected 2024-12-09
Immediate jeopardy
- LF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-11-07 · Health · corrected 2024-12-09
Immediate jeopardy
- LF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-11-07 · Health · corrected 2024-12-09
Immediate jeopardy
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- 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.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-30 · Health · corrected 2022-09-26
Immediate jeopardy
- JF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-30 · Health · corrected 2022-09-26
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2023-08-30 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2019-05-21 · Health · corrected 2019-06-30
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2019-05-21 · Health · corrected 2019-06-30
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-05-21 · Health · corrected 2019-06-30
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-05-21 · Health · corrected 2019-06-30
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.2019-05-21 · Health · corrected 2019-06-30
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-05-21 · Health · corrected 2019-06-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2018-04-25 · Health · corrected 2018-06-02
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-04-25 · Health · corrected 2018-06-02
Actual harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-02-01 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| HEARNS, EDWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2025-02-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2025-02-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2025-02-01 |
| BRANCH BANKING & TRUST COMPANY | Organization | 5% OR GREATER SECURITY INTEREST | — | 2025-02-01 |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2025-02-01 |
Other facilities in NASHVILLE
| Name | Overall | Beds |
|---|---|---|
| WOODCREST AT BLAKEFORD | ★★★★★ | 83 |
| WEST MEADE PLACE | ★★★★☆ | 120 |
| TREVECCA CENTER FOR REHABILITATION AND HEALING LLC | ★★★★☆ | 240 |
| NHC PLACE AT THE TRACE | ★★★★☆ | 90 |
| THE HEALTH CENTER AT RICHLAND PLACE | ★★★☆☆ | 107 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.