PlainNursing
CMS Nursing Home Compare · August 2026

Eaton Creek Post Acute

4343 Ashland City Highway, Nashville, TN 37218

Eaton Creek Post Acute, a 124-bed for profit - limited liability company nursing facility in Nashville, TN, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing above the national norm. 11 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6157260492

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N/A
CMS overall · nat'l 3.0
5.04
Well above average · nurse hrs/day · nat'l 3.86
36
Inspection findings · 11 serious
$135K
Federal penalties (5)

The verdict

Eaton Creek Post Acute, a 124-bed for profit - limited liability company nursing facility in Nashville, TN, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing above the national norm. 11 inspection findings reached the actual-harm or immediate-jeopardy level.

N/A
CMS overall · national 3.0
5.04
Nurse hrs/resident-day · national 3.86
36
Inspection findings · 11 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 303 TN nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

N/A

Staffing

N/A

Quality Measures

N/A

Long-Stay Quality

N/A

Facility Information

Provider Number
445262
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
124
Residents
100
In Hospital
No
County
Davidson
Last Inspection
Mar 4, 2026
Special Focus
SFF

Staffing Data

How the 5.04 total nursing hours per resident-day are staffed:

RN Hours
0.58 (nat'l avg: 0.69)
LPN Hours
1.52
CNA Hours
2.94
Total Nursing Hours
5.04 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
52.9%
RN Turnover
53.8%

What the CMS Record Reveals About Eaton Creek Post Acute

Eaton Creek Post Acute operates 124 certified beds in Nashville, TN with approximately 100 residents currently in care, and carries a CMS overall rating of no current rating.

The inspection file contains 36 deficiency records from recent surveys, of which 11 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 5 penalties totaling $135K levied against this facility. Per resident day, this facility reports 5.04 total nursing hours (national average 3.86) and 0.58 RN hours. This facility is currently an active CMS Special Focus Facility, a small, published list reserved for providers with a persistent pattern of serious quality problems that puts them under enhanced federal oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Eaton Creek Post Acute falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 52.9% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (36 most recent)

D - Isolated - Minimal harm Mar 4, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 31, 2026

D - Isolated - Minimal harm Mar 4, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 31, 2026

E - Pattern - Minimal harm Mar 4, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 31, 2026

G - Isolated - Actual harm Feb 6, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2025

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0622

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.

Category: Resident Rights Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 9, 2024

J - Isolated - Jeopardy Nov 7, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 27, 2024

K - Pattern - Jeopardy Nov 7, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 9, 2024

K - Pattern - Jeopardy Nov 7, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 9, 2024

K - Pattern - Jeopardy Nov 7, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 9, 2024

L - Widespread - Jeopardy Nov 7, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Dec 9, 2024

L - Widespread - Jeopardy Nov 7, 2024 Tag: 0837

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.

Category: Administration Deficiencies

Corrected: Dec 9, 2024

L - Widespread - Jeopardy Nov 7, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Dec 9, 2024

L - Widespread - Jeopardy Nov 7, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 9, 2024

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2023

J - Isolated - Jeopardy Aug 30, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Sep 26, 2022

J - Isolated - Jeopardy Aug 30, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2022

D - Isolated - Minimal harm May 21, 2019 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 30, 2019

D - Isolated - Minimal harm May 21, 2019 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 30, 2019

D - Isolated - Minimal harm May 21, 2019 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2019

D - Isolated - Minimal harm May 21, 2019 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2019

D - Isolated - Minimal harm May 21, 2019 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2019

D - Isolated - Minimal harm May 21, 2019 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jun 30, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 27.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 64.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 25.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 29.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 12.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 37.7% No

Penalty History 5 penalties totaling $135K

Date Type Amount
Mar 4, 2026 Fine $7K
Mar 4, 2026 Fine $7K
Feb 6, 2025 Fine $16K
Nov 7, 2024 Fine $95K
Nov 7, 2024 Payment Denial -
Aug 30, 2023 Fine $11K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Eaton Creek Post Acute, both outside TN so the neighborhoods are not the same-state geography list below.

What the CMS records show for Eaton Creek Post Acute

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
  • Peer homes near 124 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What are the staffing levels at Eaton Creek Post Acute?
Eaton Creek Post Acute reports 5.04 total nursing hours per resident day (national average: 3.86). RN hours are 0.58 per resident day (national average: 0.69). Nursing staff turnover is 52.9%.
How many beds does Eaton Creek Post Acute have?
Eaton Creek Post Acute has 124 certified beds with approximately 100 residents. The facility is located at 4343 Ashland City Highway, Nashville, TN 37218.
Does Eaton Creek Post Acute have any deficiencies on record?
Yes, Eaton Creek Post Acute has 36 deficiencies on record from recent inspections. Of these, 11 are classified as causing actual harm or jeopardy.
Has Eaton Creek Post Acute received any fines or penalties?
Yes, Eaton Creek Post Acute has received 5 penalties totaling $135K.
Who owns Eaton Creek Post Acute?
Eaton Creek Post Acute is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Eaton Creek Post Acute last inspected?
The most recent health inspection for Eaton Creek Post Acute was on Mar 4, 2026.
What quality measures are tracked for Eaton Creek Post Acute?
Eaton Creek Post Acute is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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