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.
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.