Cedar Creek Post Acute

2650 North Mt Juliet Road · Mount Juliet, TN · 37122 · 6157584100

106 certified beds For profit - Limited Liability company Chain: Pacs Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

Red flags

11 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

4 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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

77% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 60
Staffing 20% 68
Federal penalties 15% 34
Trend 10% 92
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.283.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day3.62≈ weekday level
Nursing turnover / year77%median 45%
Fines (3-yr window)1 · $211,244

Inspection citations (33 in the current record)

  • Potential for harm · D July 30, 2025

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected August 29, 2025 · Resident Rights

  • Potential for harm · D July 30, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · E July 30, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D July 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 29, 2025 · Infection Control

  • Potential for harm · D July 30, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 29, 2025 · Environmental

  • Immediate jeopardy · J April 11, 2024 · found via complaint

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

    Corrected April 25, 2024 · Resident Rights

  • Immediate jeopardy · K April 11, 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 April 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K April 11, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 25, 2024 · Infection Control

  • Potential for harm · D April 11, 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 April 25, 2024 · Resident Rights

  • Potential for harm · D April 11, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 11, 2024 · found via complaint

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

    Corrected April 25, 2024 · Quality of Life and Care

  • Potential for harm · D April 11, 2024 · found via complaint

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

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · D July 11, 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 July 31, 2023 · Resident Rights

  • Potential for harm · D December 15, 2021

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

    Corrected January 18, 2022 · Quality of Life and Care

  • Potential for harm · D December 15, 2021

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 18, 2022 · Quality of Life and Care

  • Potential for harm · D December 15, 2021

    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 January 18, 2022 · Nursing and Physician Services

  • Potential for harm · D December 15, 2021

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected January 18, 2022 · Pharmacy Service

  • Potential for harm · D December 15, 2021

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected January 18, 2022 · Pharmacy Service

  • Potential for harm · D December 15, 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 January 18, 2022 · Pharmacy Service

  • Potential for harm · F December 15, 2021

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected January 18, 2022 · Nutrition and Dietary

  • Potential for harm · F December 15, 2021

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

    Corrected January 18, 2022 · Nutrition and Dietary

  • Potential for harm · E December 15, 2021

    Provide and implement an infection prevention and control program.

    Corrected January 18, 2022 · Infection Control

  • Potential for harm · D December 15, 2021

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected January 18, 2022 · Environmental

  • Immediate jeopardy · J March 10, 2020

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 24, 2020 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J March 10, 2020

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 24, 2020 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 11, 2024Fine$211,244
April 11, 2024Payment Denial8 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445439 · certified since January 7, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.