Eaton Creek Post Acute
Nashville, Davidson County, Tennessee · CCN 445262 · For-profit (LLC) · part of Pacs Group (274 facilities, chain average 2.9 stars)
CMS rates Eaton Creek Post Acute unrated overall as of August 2026. 124 certified beds, 100 residents a day on average. 36 citations on record from the current inspection cycles, 10 at immediate jeopardy; 5 fines totalling $135,407 and 1 payment denial.
On record
- Special Focus Facility. CMS has placed this facility in the program for homes with a history of serious quality issues, which brings more frequent inspection.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18) |
|---|---|
| Health inspections | Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18) |
| Staffing | Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18) |
| Quality measures | Did not submit staffing data, or submitted data that did not meet the criteria for a staffing rating (CMS footnote 18) |
Staffing
| Total nurse staffing | 5.03957 hours per resident per day |
|---|---|
| Registered nurses | 0.58085 hours per resident per day |
| Weekend total | 5.08021 hours per resident per day |
| Nursing staff turnover | 52.9% (registered nurses 53.8%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-31 |
| 2026-03-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-31 |
| 2026-03-04 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-31 |
| 2025-02-06 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-11 |
| 2024-11-07 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
L Immediate jeopardy to resident health or safety; widespread | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
L Immediate jeopardy to resident health or safety; widespread | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
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. Administration Deficiencies · tag F0837 |
L Immediate jeopardy to resident health or safety; widespread | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
L Immediate jeopardy to resident health or safety; widespread | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-06-27 |
| 2024-11-07 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
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. Resident Rights Deficiencies · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2024-11-07 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-09 |
| 2023-08-30 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2022-09-26 |
| 2023-08-30 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2022-09-26 |
| 2023-08-30 complaint survey |
Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-08-30 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-08-30 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-08-30 complaint survey |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-08-30 complaint survey |
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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-08-30 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-08-30 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2019-05-21 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-06-30 |
| 2019-05-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-06-30 |
| 2019-05-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-06-30 |
| 2019-05-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-06-30 |
| 2019-05-21 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-06-30 |
| 2019-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-06-30 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-04 | Fine | $6,583 |
| 2026-03-04 | Fine | $6,582 |
| 2025-02-06 | Fine | $15,512 |
| 2024-11-07 | Payment denial for 25 days from 2024-11-14 | — |
| 2024-11-07 | Fine | $95,384 |
| 2023-08-30 | Fine | $11,346 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Branch Banking & Trust Company Organization | 5% or greater security interest | — | 2025-02-01 |
| Truist Bank Organization | 5% or greater security interest | — | 2025-02-01 |
| 4343 Ashland City Highway Tn LLC Organization | adp of the snf | — | 2025-03-12 |
| Providence Administrative Consulting Services Inc. Organization | adp of the snf | — | 2025-04-16 |
| Providence Administrative Consulting Services Inc. Organization | operational/managerial control | — | 2025-02-01 |
| Collins, Millard Individual | adp of the snf | — | 2025-02-07 |
| Hearns, Edward Individual | adp of the snf | — | 2025-03-12 |
| Apt, Frederick Individual | corporate officer | — | 2025-02-01 |
| Jergensen, Joshua Individual | corporate officer | — | 2025-02-01 |
| Mitchell, John Individual | corporate officer | — | 2025-02-01 |
| Collins, Millard Individual | managing control - governing body | — | 2025-02-01 |
| Miller, Gina Individual | managing control - governing body | — | 2025-02-01 |
| Perkins, Toni Individual | managing control - governing body | — | 2025-02-01 |
| Smith, Michael Individual | managing control - governing body | — | 2025-02-01 |
| Wakefield, Tanisha Individual | managing control - governing body | — | 2025-02-01 |
| Hearns, Edward Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Eaton Creek Post Acute.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Davidson County.