Eaton Creek Post Acute

Nursing Home · Nashville, TN

Special Focus Facility For profit - Limited Liability company

CMS certification number445262
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

4343 Ashland City Highway
Nashville, TN 37218
Davidson County
Phone
(615) 726-0492
ZIP code
37218 – all care providers

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Facility details

Certified beds
124
Residents per day
99.6 (80% occupied)
Ownership
For profit - Limited Liability company
Legal name
Nashville SNF Healthcare LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
March 8, 1991
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

OverallNot rated
State avg 3.0
Health inspectionsNot rated
State avg 3.0
StaffingNot rated
State avg 2.5
Quality measuresNot rated
State avg 3.6
Long-stay qualityNot rated
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.04 (state 3.80 · U.S. 3.86)
Registered nurses (RN)
0.58 (state 0.60 · U.S. 0.69)
Licensed practical nurses
1.52 (state 1.09 · U.S. 0.86)
Nurse aides
2.94 (state 2.12 · U.S. 2.32)
Weekend total
5.08 (state 3.31 · U.S. 3.42)
Nursing staff turnover
52.9 (state 48.9 · U.S. 45.8)%
RN turnover
53.8 (state 43.2 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
March 4, 2026
Health deficiencies (last cycle)
3.0 (state 4.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
36 health · 29 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-03-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2025-02-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 Corrected 2024-12-09
2024-11-07 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 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.
F0837 · Administration Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 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.
F0867 · Administration Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 Corrected 2024-12-09
2024-11-07 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-12-09
2024-11-07 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-12-09
2024-11-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-06-27
2024-11-07 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0622 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0625 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-09
2024-11-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-09
2024-11-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-09
2024-11-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0867 · Administration Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2022-09-26
2023-08-30 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-08-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0623 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0625 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-08-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-08-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2019-05-21 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-06-30
2019-05-21 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-06-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $135,407 in fines.

DateTypeAmount
2026-03-04Fine$6,583
2026-03-04Fine$6,582
2025-02-06Fine$15,512
2024-11-07Payment Denial25 days payment denial
2024-11-07Fine$95,384
2023-08-30Fine$11,346

Ownership & management

NameRoleSince
Branch Banking & Trust Company (organization)5%+ Security Interest · NOT APPLICABLE
Truist Bank (organization)5%+ Security Interest · NOT APPLICABLE
4343 Ashland City Highway TN LLC (organization)Administrator · NOT APPLICABLE
Collins, Millard (individual)Administrator · NOT APPLICABLE
Hearns, Edward (individual)Administrator · NOT APPLICABLE
Providence Administrative Consulting Services INC (organization)Administrator · NOT APPLICABLE
Apt, Frederick (individual)Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)Corporate Officer · NOT APPLICABLE
Collins, Millard (individual)Managing Control - Governing Body · NOT APPLICABLE
Miller, Gina (individual)Managing Control - Governing Body · NOT APPLICABLE
Perkins, Toni (individual)Managing Control - Governing Body · NOT APPLICABLE
Smith, Michael (individual)Managing Control - Governing Body · NOT APPLICABLE
Wakefield, Tanisha (individual)Managing Control - Governing Body · NOT APPLICABLE
Hearns, Edward (individual)Operational/managerial Control · NOT APPLICABLE
Providence Administrative Consulting Services INC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

How many beds does Eaton Creek Post Acute have?

It has 124 certified beds and cares for about 100 residents per day.

Has Eaton Creek Post Acute been fined?

Yes. CMS lists 6 penalties totaling $135,407 in the last three years.

Who owns Eaton Creek Post Acute?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Eaton Creek Post Acute?

(615) 726-0492. The facility is located at 4343 Ashland City Highway, Nashville, TN 37218.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.