Nursing homes › Tennessee › Eaton Creek Post Acute
4343 Ashland City Highway, Nashville, TN 37218 · 6157260492 · 124 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines.
Total nurse staffing: 5.04 (Tennessee median: 3.64). RN hours: 0.58. Weekend total: 5.08. Nursing staff turnover: 53%.
All-time on record: 35 deficiency citations, including 10 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-02-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-03-11 |
| 2024-11-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | complaint | corrected 2024-12-09 |
| 2024-11-07 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | complaint | corrected 2024-12-09 |
| 2024-11-07 | 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. | L | complaint | corrected 2024-12-09 |
| 2024-11-07 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L | complaint | corrected 2024-12-09 |
| 2024-11-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | complaint | corrected 2024-12-09 |
| 2024-11-07 | Respond appropriately to all alleged violations. | K | complaint | corrected 2024-12-09 |
| 2024-11-07 | Provide enough food/fluids to maintain a resident's health. | K | complaint | corrected 2024-12-09 |
| 2024-11-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-06-27 |
| 2024-11-07 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | 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. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | 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. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2024-12-09 |
| 2024-11-07 | 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. | D | complaint | corrected 2024-12-09 |
| 2023-08-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2022-09-26 |
| 2023-08-30 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | J | complaint | corrected 2022-09-26 |
| 2023-08-30 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | complaint | corrected 2023-09-29 |
| 2023-08-30 | 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. | D | complaint | corrected 2023-09-29 |
| 2023-08-30 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-09-29 |
| 2023-08-30 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2023-09-29 |
| 2023-08-30 | 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. | D | complaint | corrected 2023-09-29 |
| 2023-08-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-09-29 |
| 2023-08-30 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2023-09-29 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-06 | Fine | $15,512 |
| 2024-11-07 | Fine | $95,384 |
| 2024-11-07 | Payment Denial | 25 days payment denial |
| 2023-08-30 | Fine | $11,346 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| COLLINS, MILLARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2025 |
| MILLER, GINA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2025 |
| PERKINS, TONI | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2025 |
| SMITH, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2025 |
| WAKEFIELD, TANISHA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2025 |
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2025 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2025 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2025 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2025 |
| HEARNS, EDWARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 445262. Corrections: data@carerecords.org.