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Home / Tennessee / Mount Juliet

Cedar Creek Post Acute

2650 North Mt Juliet Road, Mount Juliet, TN 37122 · Wilson County · (615) 758-4100

106 certified beds, about 92 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445439 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 30, 2025, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 32 health citations since March 2020, 11 were rated as actual harm or immediate jeopardy to residents (11 immediate jeopardy).

CMS lists 1 fine totaling $211,244 in the last three years; the largest was $211,244, and the latest is dated April 11, 2024.

Nurses and nurse aides worked 4.95 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

67.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
9J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
3E
2F
Potential for minimal harm
0A
0B
0C
July 30, 2025Standard inspection, Complaint inspection · 5 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on the policy review, observation, interview, and product information sheets, the facility failed to provide an environment free of accident hazards for 1of 4 common hallways (200 hall) when the facility left a bleach germicidal spray cleaner and a disinfectant spray easily accessible to residents on the 200 hall, and when unsecured sharps were observed in 5 of 52 (Resident #2, #75, #76, #88, and 90) resident rooms observed for accident hazards. There were 5 residents with wandering behaviors in the facility.
  2. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on policy review, resident fund statement review, medical record review, and interview, the facility failed to notify the resident and/or resident representative when the amount in the residents' account exceeded the eligibility limit for 4 of 37 residents (Resident #45, #59, #86, and #87) and when the facility failed to refund the resident's funds within 30 days of death or discharge for 1 of 1 sampled residents (Resident #103) reviewed for personal fund account statements.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on policy review, medical record review, and interview the facility failed to follow physician orders to meet professional standards of practice for 7 of 21 (Resident #3, #6, #7, #11, #12, #14 and #45) sampled residents.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure infection control practices were followed to prevent the spread of infection when 2 of 4 (Licensed Practical Nurse (LPN) B and D) staff failed to perform hand hygiene for 3 of 9 (Resident #1, #18 and #75) residents, 2 of 4 (LPN B and Registered Nurse (RN) C) nurses failed to clean reusable equipment between residents for 2 of 9 (Resident #18 and #45) during medication administration.
  5. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on policy review, observation and interview, the facility failed to ensure a safe, sanitary, and comfortable environment for 2 of 53 (Resident #5, #46, #55, and #93) shared resident bathrooms, and for 2 of 53 (Resident #64, #76, and #92) shared resident rooms observed.
April 11, 2024Complaint inspection · 7 citations
  1. K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on facility policy review, www.hopkinsmedicine.org/health, Police Incident Report dated [DATE] review, facility investigation review, medical record review and interviews, the facility failed to ensure residents were free from abuse/sexual for 6 of 9 (Residents #3, #7, #9, #11, #14, and #15) sampled residents reviewed for abuse/neglect. On [DATE] during group activities Resident #11, who had a BIMS of 12, approached Resident #15, who had a BIMS of 4, began to rub across her shoulders and back, and then tried to kiss her. Resident #15 told Resident #11 to stop and pushed him away. Resident #11 then put some money on the table in front of Resident #15 and pushed it towards her while saying, If this isn't enough, let me know. On [DATE] Resident #11 approached Resident #15 during activities and pulled up his shirt and began rubbing his nipples. Resident #15 pushed him away from her. [...]
  2. K
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on facility policy review, (Named Glucometer- a device used to check blood sugar levels with the use of a blood sample) User's Guide review, Guidelines for General Use of (Named germicidal cloth) wipes used by the facility review, DME (Durable Medical Equipment) supplier recommendation letter review, medical record review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were maintained when a multi-use blood glucose meter was not cleaned and disinfected with facility required cleansing wipes to prevent cross-contamination of bloodborne pathogens for 2 of 11 (Residents #17 and Resident #18) sampled residents reviewed for blood glucose monitoring. [...]
  3. J
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to notify and consult the Physician/Nurse Practitioner (NP) of a change in condition related to falls 1 of 6 (Resident #7) sampled residents reviewed for change in condition. On [DATE], Resident #7 had an unwitnessed fall and was found on the floor with his head under the bed. Resident #7 hit his head while being placed back in bed by staff. The Physician/NP was not notified of Resident #7's unwitnessed fall on [DATE], and on [DATE], Resident #7 experienced a change in mental status. The NP was notified on [DATE] (1 day after the change in mental status and 4 days after the unwitnessed fall) of Resident #7's change in condition and again, was not notified of the unwitnessed fall the resident sustained on [DATE]. [...]
  4. D
    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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure the appropriate information for transfer or discharge was communicated to the receiving healthcare facility or provider for 1 of 3 residents (Resident #7) sampled residents reviewed. Resident #7 was transferred to Hospital #1 Emergency Department (ED) on 1/29/2024 for evaluation of a change in mental status. Facility nursing staff failed to communicate information related to Resident #7's unwitnessed fall on 1/25/2024 on the written report to Hospital #1.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to implement a comprehensive person-centered care plan for 3 (Resident #3, Resident #10, and Resident #15) of 20 residents reviewed.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, hospital record review, and interview, the facility failed to assess after a fall, care for a resident after a fall, and monitor after a fall for 1 of 6 (Resident #7) sampled residents reviewed for falls. On [DATE] at 5:30 PM, Resident #7, known to have a history of falls with injury, was found on the floor following an unwitnessed fall from bed. There was no documentation to show a post-fall assessment was completed prior to moving Resident #7 from the floor to the bed. There was no documentation to show neuro checks were conducted. There was no incident report or investigation documented following the unwitnessed fall to determine the root cause. There were no immediate interventions documented following the fall. [...]
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, hospital record review, and interview, the facility failed to provide an environment that is free from accident hazards for 1 of 6 (Resident #7) sampled residents reviewed for falls. On [DATE] at 5:30 PM, Resident #7, known to have a history of falls with injury, was found on the floor following an unwitnessed fall from bed. LPN G documented staff (CNA AA and CNA CC) assisted Resident #7 off the floor and Resident #7 hit his head on the bed. CNA AA and CNA CC then placed Resident #7 back in bed. There was no documentation to show a post-fall assessment was completed prior to moving Resident #7 from the floor to the bed. There was no documentation to show neuro checks were conducted. There was no incident report or investigation documented following the unwitnessed fall to determine the root cause. [...]
December 15, 2021Standard inspection · 10 citations
  1. F
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on policy review, documentation review, and interview, the facility failed to provide a nourishing snack at bedtime between the evening and breakfast meal which was 15 hours affecting 84 of the 90 resident census.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, observations and interview, the facility failed to maintain dietary equipment in a sanitary manner for 2 of 2 observations in the dietary department.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to handle soiled Transmission Based Precaution linen in a manner to prevent spread of infection and the facility failed to ensure oxygen tubing was kept off the floor for Residents #70 and #79.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on medical record review, observations and interviews, the facility failed to ensure positioning needs were in accordance with professional standards of practice for 1 of 5 sampled residents (Resident #45) reviewed. The facility failed to follow Physician's Orders for 1 of 10 residents (Resident #381) reviewed.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to change the humidifier bottle weekly for 2 of 15 sampled residents (Resident #29 and Resident #38) and failed to change oxygen tubing weekly for 3 of 15 sampled residents (Resident #29, Resident #38, and Resident #70) and failed to store a nebulizer mask in a safe and sanitary manner for 1 of 15 sampled residents (Resident #79) reviewed receiving respiratory treatments.
  6. D
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, facility documentation review, and interview, the facility failed to have eight hours of consecutive Registered Nurse (RN) coverage for four days out of eighteen months reviewed.
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on Manufacturer Guidelines, medical record review, and interviews, the facility failed to perform an Abnormal Involuntary Movement Assessment (AIMS) for the use of Reglan for 1 of 6 sampled residents (Resident #45) reviewed for unneccessary medications.
  8. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to provide a duration for the use of PRN (as needed) psychotropic (chemical substance that alters perception, mood, consciousness, cognition or behavior) medication for 3 of 61 sampled residents (#28, #32, and #36) reviewed for unnecessary medications. Review of the facility policy Use of Psychotropic Drugs Policy, dated 5/1/2017 and revised on 6/8/2021, revealed .PRN orders for psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that is documented in the clinical record, and for a limited duration (i.e. [...]
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to assure drugs and biologicals were properly labeled, were stored in sanitary conditions, were not expired and were stored in a locked compartment for 1 of 5 medication carts. Review of the facility policy titled, Medication Administration: [...]
  10. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide a sanitary environment for 2 of 6 sampled residents (Resident #45 and #74) receiving enteral feeding. Review of the facility policy titled, Housekeeping-Cleaning and Disinfection, dated 11/30/2018 and revised 7/12/2021, revealed, .It is the policy of this facility to ensure the provision of routine cleaning and disinfection in order to provide a safe, sanitary environment and to prevent the development and transmission of infections to the extent possible .Routine cleaning of environmental surfaces and non-critical resident care items shall be performed according to a predetermined schedule to keep surfaces clean and dust free .Horizontal surfaces with infrequent hand contact .in routine resident-care areas should be cleaned: a. On a regular basis b. [...]
March 10, 2020Standard inspection · 10 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on facility policy review, medical record review, facility documentation review, and interview the facility failed to ensure 1 of 38 residents (Resident #33) was free from abuse placing the resident in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident) when Resident #33 sustained a left humerus (long bone that extends from the shoulder to the elbow) fracture during an attempted transfer, without a mechanical lift, on 10/22/2019. [...]
  2. J
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to report an abuse allegation to the State Survey Agency for 1 of 38 residents (Resident #33) reviewed or abuse. The Administrator, Director of Nursing (DON), and Regional Nurse Consultants were notified of the Immediate Jeopardy (IJ) on 3/3/2020 at 7:31 PM in the Administrator's office. The facility was cited Immediate Jeopardy at F-609. The facility was cited at F-609 at a scope and severity of J, which is Substandard Quality of Care. The Immediate Jeopardy was removed onsite and was effective from 10/2/2019 through 3/5/2020. An Immediate Action Removal Plan, which removed the immediacy of the jeopardy was received on 3/6/2020 at 2:55 PM. The corrective actions were validated onsite by the surveyors on 3/6/2020. [...]
  3. J
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to investigate an abuse allegation for 1 of 38 residents (Resident #33) reviewed for abuse. The facility was cited Immediate Jeopardy at F-610. The facility was cited at F-610 at a scope and severity of J, which is Substandard Quality of Care. The Immediate Jeopardy was removed onsite and was effective from 10/2/2019 through 3/5/2020. An Immediate Action Removal Plan, which removed the immediacy of the jeopardy was received on 3/6/2020 at 2:55 PM. The corrective actions were validated onsite by the surveyors on 3/6/2020. The facility's noncompliance at F-610 continues a a scope and severity of, D for monitoring of the effectiveness of the corrective actions. The facility is required to submit a Plan of Correction.
  4. J
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to develop and implement a person centered care plan with interventions related to blood sugar monitoring and tube feeding residual to prevent hypoglycemia for 1 of 38 residents (Resident #77) reviewed for implementation of care plans placing Resident #77 in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident) when Resident #77 became unresponsive, hypoglycemic, and required emergent hospitalization. The Administrator and the Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on 3/5/2020 at 3:50 PM in the Administrators office. The facility was cited Immediate Jeopardy at F-656. [...]
  5. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure a resident's Advance Directive preference was accurately reflected in the medical record for 2 of 91 residents (Resident #49 and #6) reviewed for Advance Directives, placing the residents in an Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). The facility's failure to follow their procedures for processing Advance Directives, had the potential for staff not intervening with life saving measures, (CPR [Cardiopulmonary Resuscitation]) for Resident #49 when Resident #49 wanted CPR and intervening with life saving measures (CPR) for Resident #6, when Resident #6 wanted to be a DNR [Do Not Resuscitate]. [...]
  6. J
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure the prescribed tube feeding formula was available for 1 of 5 residents (Resident #77) reviewed for tube feedings when Resident #77's prescribed tube feeding was substituted with a tube feeding formula that required an increase in rate to equal the nutritional value. The increase in the tube feeding rate resulted in Resident #77's increased residuals, tube feedings held frequently, and rate had to be decreased, so the resident was not provided the required caloric intake to sustain him in his severely malnourished state, which resulted in unresponsiveness, hypoglycemia, and emergent hospitalization. The Administrator, Director of Nursing (DON), and Regional Nurse Consultants were notified of the Immediate Jeopardy (IJ) on 3/3/2020 at 7:31 PM in the Administrator's office. [...]
  7. J
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on facility policy review, facility documentation review, medical record review, and interview facility administration failed to recognize, report, and investigate an abuse allegation for 1 resident (Resident #33) reviewed for reporting an abuse allegation and failed to ensure the residents' Physician Orders for Scope of Treatment (POST) forms for 2 residents (Resident #6 and #49) reviewed for Advance Directives were accurately reflected in the resident's Electronic Medical Record (EMR) regarding the residents' Code status preferences, and failed to implement a Comprehensive care plan for hypoglycemia for 1 of 38 residents (Resident #77) reviewed for Comprehensive care plans. [...]
  8. J
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on the facility's Quality Assurance Performance Improvement (QAPI) Plan review, policy review, medical record review, and interview, the QAPI committee failed to identify deficient practice for investigating allegations of abuse for 1 of 38 residents (Resident #33) reviewed for abuse; failed to identify no person centered care plan was implemented for 1 of 38 residents (Resident #77) reviewed for care plan implementation and interventions; and failed to identify the prescribed tube feeding formula was unavailable for 1 of 5 residents (Resident #77) reviewed for tube feedings which resulted in Immediate Jeopardy (IJ) (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). [...]
  9. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on medical record review, observation and interview, the facility failed to change, date, and initial a PICC (peripherally inserted central catheter) (a form of intravenous access that can be used for prolonged period of time) line dressing for 3 (Resident #58, #68, and #135) of 5 residents reviewed with PICC lines.
  10. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2020
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to maintain dignity for 1 of 5 residents (Resident #18) reviewed who required an indwelling urinary catheter.

Fire safety inspections

10 fire safety citations on file: 8 on July 30, 2025, 1 on December 15, 2021, 1 on March 10, 2020.

Every fire safety citation10 citations
  1. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 30, 2025 · Corrected (the home has a date of correction)
  2. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 30, 2025 · Corrected (the home has a date of correction)
  3. D
    Address subsistence needs for staff and patients.
    E 15 · July 30, 2025 · Corrected (the home has a date of correction)
  4. D
    Establish policies and procedures including evacuation.
    E 20 · July 30, 2025 · Corrected (the home has a date of correction)
  5. D
    Conduct testing and exercise requirements.
    E 39 · July 30, 2025 · Corrected (the home has a date of correction)
  6. D
    Have simulated fire drills held at unexpected times.
    K 712 · July 30, 2025 · Corrected (the home has a date of correction)
  7. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 30, 2025 · Corrected (the home has a date of correction)
  8. D
    Have proper medical gas storage and administration areas.
    K 923 · July 30, 2025 · Corrected (the home has a date of correction)
  9. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · December 15, 2021 · Corrected (the home has a date of correction)
  10. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 10, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 11, 2024Fine $211,244
April 11, 2024Payment Denial 8 days from April 17, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.953.803.86
Registered nurses0.390.600.69
All nursing staff on weekends4.923.313.42
Nurse aides3.00
Licensed practical nurses1.56
Nursing staff turnover (share who left in a year)67.0%48.9%45.8%
Registered nurse turnover61.5%43.2%42.9%
Administrators who left2

CMS expects 4.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.97 on weekdays and 4.92 on weekends, 1% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 40.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.71 in April to June 2025 to 4.95 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.950.394.974.92 40.9%0 of 9092
Oct to Dec 20254.280.604.543.62 23.6%0 of 9286
Jul to Sep 20253.950.454.293.08 32.6%0 of 9288
Apr to Jun 20253.710.603.973.06 24.3%0 of 9186
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Tennessee

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.614.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.71.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.317.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.25.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.516.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.422.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.411.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cedar Creek Post Acute's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

46.4% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 57 eligible stays.

Potentially preventable readmissions

8.7% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 68 eligible stays.

Infections that led to a hospital stay

7.6% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 42 eligible stays.

Self-care and mobility at discharge

53.9% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 39 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 78 residents counted.

New or worsened pressure ulcers

2.5% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 78 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 26 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on July 30, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on July 30, 2025: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on April 11, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on July 30, 2025: "Provide and implement an infection prevention and control program."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Cedar Creek Post Acute's Medicare star rating?
CMS rates Cedar Creek Post Acute 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cedar Creek Post Acute get at its last inspection?
5 health deficiencies at the standard inspection on July 30, 2025. The Tennessee average is 4.4.
Has Cedar Creek Post Acute been fined?
Yes. CMS lists 1 fine totaling $211,244 in the last three years.
Does Cedar Creek Post Acute accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cedar Creek Post Acute?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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