EATON CREEK POST ACUTE

4343 ASHLAND CITY HIGHWAY, NASHVILLE, TN 37218 · CCN 445262 · 124 certified beds · Data as of 2026-07-01

CMS overallnot ratedCMS inspectionsnot ratedCMS staffingnot ratedCMS qualitynot rated

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

Serious inspection findings

2025-02-06 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-07 IMMEDIATE JEOPARDY (tag F0835, severity L)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2024-11-07 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-07 IMMEDIATE JEOPARDY (tag F0837, severity L)
Administration Deficiencies · correction not recorded in CMS data
Establish 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 IMMEDIATE JEOPARDY (tag F0867, severity L)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2024-11-07 IMMEDIATE JEOPARDY (tag F0600, severity L)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-11-07 IMMEDIATE JEOPARDY (tag F0609, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-11-07 IMMEDIATE JEOPARDY (tag F0610, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.

Staffing, from payroll records

Nursing hours / resident / day

4.88

state median 3.29

Weekend staffing gap

+5%

more nursing hours on weekends · state median −8%

RN hours / resident / day

0.46

registered nurses only

Contract (agency) staff

42%

share of all nursing hours

Nursing staff turnover

53%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $122,242 in fines.

DateTypeAmount
2025-02-06Fine$15,512
2024-11-07Fine$95,384
2024-11-07Payment Denialpayment denial
2023-08-30Fine$11,346

Ownership

Ownership type: For profit - Corporation. Part of the PACS GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 23 · Immediate jeopardy: 10

Survey dateTagCategorySeverityCorrected
2025-02-06F0689Quality of Life and Care DeficienciesGnot recorded
2024-11-07F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesLnot recorded
2024-11-07F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-11-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-11-07F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-11-07F0622Resident Rights DeficienciesDnot recorded
2024-11-07F0625Resident Rights DeficienciesDnot recorded
2024-11-07F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-07F0677Quality of Life and Care DeficienciesDnot recorded
2024-11-07F0684Quality of Life and Care DeficienciesDnot recorded
2024-11-07F0686Quality of Life and Care DeficienciesDnot recorded
2024-11-07F0689Quality of Life and Care DeficienciesJnot recorded
2024-11-07F0692Quality of Life and Care DeficienciesKnot recorded
2024-11-07F0725Nursing and Physician Services DeficienciesDnot recorded
2024-11-07F0727Nursing and Physician Services DeficienciesDnot recorded
2024-11-07F0835Administration DeficienciesLnot recorded
2024-11-07F0837Administration DeficienciesLnot recorded
2024-11-07F0867Administration DeficienciesLnot recorded
2023-08-30F0565Resident Rights DeficienciesDnot recorded
2023-08-30F0584Resident Rights DeficienciesDnot recorded
2023-08-30F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-08-30F0623Resident Rights DeficienciesDnot recorded
2023-08-30F0625Resident Rights DeficienciesDnot recorded
2023-08-30F0684Quality of Life and Care DeficienciesDnot recorded
2023-08-30F0689Quality of Life and Care DeficienciesJnot recorded
2023-08-30F0867Administration DeficienciesJnot recorded
2023-08-30F0880Infection Control DeficienciesDnot recorded
2019-05-21F0583Resident Rights DeficienciesDnot recorded
2019-05-21F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2019-05-21F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2019-05-21F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2019-05-21F0761Pharmacy Service DeficienciesDnot recorded
2019-05-21F0812Nutrition and Dietary DeficienciesDnot recorded
2018-04-25F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2018-04-25F0689Quality of Life and Care DeficienciesGnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “EATON CREEK POST ACUTE, NASHVILLE” at medicare.gov/care-compare.