Eaton Creek Post Acute - 1-Star Rehab Facility in Nashville, TN | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 7.21%Falls causing major injury 2.51%Pressure ulcers (high-risk) 7.8%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Feb 2025 (484 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
3/5
★★★☆☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 37 min · US avg: 41 min
Total Nurse / Resident / Day
3h 41m
State avg: 3h 52m · US avg: 3h 53m
0 min
State avg: 5 min · US avg: 4 min
62 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
66%≈ avg
US avg: 64%
Total Nurse Weekend
3h 14m
Federal Penalties
45 penalties · $1,091,466 total
| Date | Type | Fine | Denial Days |
|---|
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 2/6/2025 | Fine | $14,544 | - |
| 2/6/2025 | Payment Denial | - | 3 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 11/7/2024 | Fine | $95,384 | - |
| 11/7/2024 | Payment Denial | - | 25 |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
| 8/30/2023 | Fine | $11,346 | - |
Inspection Citations
Survey: February 6, 2025(3 citations)
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
Survey: November 7, 2024(51 citations)
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for Harm
N/A
State avg: 22.2 · US avg: 23.9
N/A
State avg: 11.3 · US avg: 12.0
2.5 per 100
State avg: 3.6 · US avg: 3.3
7.8 per 100
State avg: 5.4 · US avg: 5.1
0.0 per 100
State avg: 1.6 · US avg: 1.6
37.7 per 100
State avg: 79.8 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
0/100
Incentive Payment
-1.97% penalty
Healthcare-Assoc. Infections
8.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
37.2 days
Avg Payment / Stay
$15,403.56
Patient Complexity
2.95 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
Survey: August 30, 2023(27 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyAdministration DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
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