Eaton Creek Post Acute
4343 Ashland City Highway · Nashville, TN · 37218 · 6157260492
124 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $110,896 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$110,896 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 3 · $122,242 |
Inspection citations (35 in the current record)
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Actual harm · G February 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 11, 2025 · Quality of Life and Care
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Immediate jeopardy · L November 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 7, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2024 · Quality of Life and Care
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Immediate jeopardy · K November 7, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 9, 2024 · Quality of Life and Care
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Immediate jeopardy · L November 7, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 9, 2024 · Administration
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Immediate jeopardy · L November 7, 2024 · found via complaint
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.
Corrected December 9, 2024 · Administration
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Immediate jeopardy · L November 7, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 9, 2024 · Administration
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Potential for harm · D November 7, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · D November 7, 2024 · found via complaint
Notify 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.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · D November 7, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 9, 2024 · Nursing and Physician Services
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Potential for harm · D November 7, 2024 · found via complaint
Have 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.
Corrected December 9, 2024 · Nursing and Physician Services
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Immediate jeopardy · J August 30, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2022 · Quality of Life and Care
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Immediate jeopardy · J August 30, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 26, 2022 · Administration
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Potential for harm · D August 30, 2023 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 29, 2023 · Resident Rights
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Potential for harm · D August 30, 2023 · found via complaint
Honor 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.
Corrected September 29, 2023 · Resident Rights
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Potential for harm · D August 30, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 30, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 29, 2023 · Resident Rights
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Potential for harm · D August 30, 2023 · found via complaint
Notify 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.
Corrected September 29, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2025 | Fine | $15,512 |
| November 7, 2024 | Fine | $95,384 |
| November 7, 2024 | Payment Denial | 25 days |
| August 30, 2023 | Fine | $11,346 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445262 · certified since March 8, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.