Hillcrest Healthcare Center

111 E Pemberton Street · Ashland City, TN · 37015 · 6157929154

95 certified beds For profit - Limited Liability company

  • No federal fines or payment denials in CMS’s 3-year window.

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.

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Red flags

RN staffing in the bottom 10% nationally

0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 69
Serious harm & abuse 20% 100
Staffing 20% 64
Federal penalties 15% 100
Trend 10% 46
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.013.48 min · 4.1 strong
RN hours / resident-day0.290.55–0.75
Weekend hours / resident-day3.57≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • Potential for harm · D January 14, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected February 26, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 26, 2026 · Pharmacy Service

  • Potential for harm · D January 14, 2026

    Ensure 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.

    Corrected February 26, 2026 · Pharmacy Service

  • Potential for harm · F January 14, 2026

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected February 26, 2026 · Infection Control

  • Potential for harm · D June 16, 2021

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 2, 2021 · Resident Rights

  • Potential for harm · D June 16, 2021

    Ensure 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.

    Corrected July 2, 2021 · Pharmacy Service

  • Potential for harm · E June 16, 2021

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 31, 2021 · Nutrition and Dietary

  • Potential for harm · D June 16, 2021

    Provide and implement an infection prevention and control program.

    Corrected July 31, 2021 · Infection Control

  • Potential for harm · D May 21, 2019

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 25, 2019 · Resident Rights

  • Potential for harm · D May 21, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 25, 2019 · Quality of Life and Care

  • Potential for harm · D May 21, 2019

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 11, 2019 · Quality of Life and Care

  • Potential for harm · D May 21, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 14, 2019 · Quality of Life and Care

  • Potential for harm · D May 21, 2019

    Provide and implement an infection prevention and control program.

    Corrected June 25, 2019 · Infection Control

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 445316 · certified since November 20, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.