Nursing homeActiveSpecial Focus Facility · what this means

Eaton Creek Post Acute

4343 Ashland City Highway, Nashville, TN 372186157260492124 certified beds · 100 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2019
Deficiencies
36
02511
Penalties · 3 yrs
$124,061
4 fines · 1 action
Last survey
2026-03-04
Standard
CMS overall
stars as published by CMS
CMS overall /5
Health
Staffing
Quality
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Tennessee Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-04Standard030CMS-2567 (Care Compare)
2025-02-06Complaint001CMS-2567 (Care Compare)
2024-11-07Complaint098CMS-2567 (Care Compare)
2023-08-30Standard072CMS-2567 (Care Compare)
2019-05-21Standard060CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-04Standard survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 445262-20260304-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 445262-20260304-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 445262-20260304-F812
2025-02-06Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-11Record 445262-20250206-F689
2024-11-07Complaint survey · 17 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity LHarm
Abuse & neglect
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F609
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-27Record 445262-20241107-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F692
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F835
F837Establish 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.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F837
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-12-09Record 445262-20241107-F867
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F602
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F622
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F625
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F686
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F725
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 445262-20241107-F727
2023-08-30Standard survey · 9 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-09-26Record 445262-20230830-F689
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity JHarm
Records
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-09-26Record 445262-20230830-F867
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F565
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F625
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F684
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445262-20230830-F880
2019-05-21Standard survey · 6 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-30Record 445262-20190521-F583
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-30Record 445262-20190521-F644
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-30Record 445262-20190521-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-30Record 445262-20190521-F657
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-30Record 445262-20190521-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-30Record 445262-20190521-F812

Penalties & enforcement

DateActionAmountSource
2026-03-04Civil money penalty$6,582CMS · Penalties
2026-03-04Civil money penalty$6,583CMS · Penalties
2025-02-06Civil money penalty$15,512CMS · Penalties
2024-11-07Civil money penalty$95,384CMS · Penalties
2024-11-07Denial of payment for new admissions
Payment denial for 25 days, from 2024-11-14
CMS · Penalties
2023-08-30Civil money penalty$11,346CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.58
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day5.04
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours5.08
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover53%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover54%
Facility
Tennessee
National
Tennessee 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTennesseeNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.0%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.8%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
5.1%16.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.7%1.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
27.2%14.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.4%6.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
29.2%31.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Hearns, Edward
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Providence Administrative Consulting Services Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
4343 Ashland City Highway Tn LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Apt, Frederick
Individual
CORPORATE OFFICERNOT APPLICABLE
Branch Banking & Trust Company
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Collins, Millard
Individual
ADP OF THE SNFNOT APPLICABLE
Collins, Millard
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Hearns, Edward
Individual
ADP OF THE SNFNOT APPLICABLE
Jergensen, Joshua
Individual
CORPORATE OFFICERNOT APPLICABLE
Miller, Gina
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mitchell, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Perkins, Toni
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Providence Administrative Consulting Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Smith, Michael
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Truist Bank
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Wakefield, Tanisha
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Part of a chain
Pacs Group274 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.

No county cost figures on file for Davidson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Whites Creek Wellness And Rehabilitation Center
Whites Creek
4.0 mi2026-03-110110
Advanced Health Care Of Nashville
Nashville
4.5 mi2024-10-02023
The Health Center At Richland Place
Nashville
6.0 mi2026-03-13062
Nashville Center For Rehabilitation And Healing Ll
Nashville
6.6 mi2023-03-16000
Green Hills Center For Rehabilitation And Healing
Nashville
7.4 mi2026-04-290185
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01