36/100
Poor
4343 Ashland City Highway, Nashville, TN 37218
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
12 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$122,242 in federal fines
CMS has fined this facility across 3 penalty action(s).
Last inspection was more than 2 years ago
Ratings here are based on older survey data than at most facilities.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 30, 2023 (2 years ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Immediate jeopardy to resident health or safety
Administration Deficiencies
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.
Immediate jeopardy to resident health or safety
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Immediate jeopardy to resident health or safety
Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BRANCH BANKING & TRUST COMPANY | Organization | 5% OR GREATER SECURITY INTEREST | — |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — |
| COLLINS, MILLARD | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| MILLER, GINA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| PERKINS, TONI | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SMITH, MICHAEL | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| WAKEFIELD, TANISHA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HEARNS, EDWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Eaton Creek Post Acute holds an ElderGrade of F (36 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 5.04 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 12 of the 35 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Eaton Creek Post Acute is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.