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Whites Creek Wellness and Rehabilitation Center

3425 Knight Drive, Whites Creek, TN 37189 · Davidson County · (615) 876-2754

127 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445281 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 11, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 18 health citations since March 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.21 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

66.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Ahava Healthcare, an affiliated group of 16 nursing homes.

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 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
1E
0F
Potential for minimal harm
0A
0B
0C
March 11, 2026Standard inspection · 3 citations
  1. 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) April 7, 2026
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain and ensure the prevention and spread of infection during medication administration and catheter care for 4 of 7 (Resident #1, #22, #69, #88) sampled residents reviewed.
  2. 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) April 7, 2026
    Inspectors wroteBased on policy review, American Association of Post-Acute Care Nursing article review, observation, and interview, the facility failed to ensure neurological (neuro) checks were performed after falls and failed to follow the care plan for 1 of 3 (Resident #20) sampled residents reviewed for falls.
  3. 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) April 7, 2026
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 1 of 5 staff members (Licensed Practical Nurse (LPN) C) left medication unattended, and out of sight during Percutaneous Endoscopic Gastrostomy (PEG) medication administration.
March 12, 2024Complaint inspection · 6 citations
  1. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to notify the Resident's representative that the resident contracted Covid for 3 (Residents #2, #7, #8) of 10 sampled residents reviewed.
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to protect a resident's right to be free from misappropriation and/or exploitation when a staff member borrowed money from a resident and failed to immediately report the alleged violation to the state agency and other authorities for 1 (Resident #25) of 3 sampled residents reviewed.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility document, facility investigation, and interview, the facility failed to ensure an alleged violation involving exploitation and misappropriation of a resident's property was reported within 24 hours to the state agency for 1 (Resident #25) of 2 sampled residents reviewed.
  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 · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on facility policy review, medical record review, treatment administration record review, and interview, the facility failed to follow wound care as ordered by the physician to meet professional standards of practice for 1 (Resident #16) of 4 sampled residents reviewed.
  5. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to ensure 1 (Resident #13) of 3 residents reviewed were free of significant medication errors.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to place signage on a resident's door based upon the means of transmission in order to prevent or control infections for 2 (Resident #4 and Resident #7) of 10 sampled residents reviewed.
September 13, 2023Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2023
    Inspectors wroteBased on facility policy review, facility documentation review, medical record review, and interview, the facility failed to ensure that an alleged violation involving abuse was reported immediately to officials (including to the State Survey Agency, Adult Protective Services, and the Police Department ) for 1 of 10 sampled residents (Resident #9) reviewed.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2023
    Inspectors wroteBased on facility policy review, facility documentation review, medical record review, and interviews, the facility failed to adequately investigate an allegation of abuse for 1 of 10 sampled residents (Resident #9) reviewed.
July 14, 2021Standard inspection · 3 citations
  1. 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) September 2, 2021
    Inspectors wroteBased on medical record review, observation, and interview the facility failed to cover a catheter bag for 1 of 6 sampled residents (Resident #42) observed.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 2, 2021
    Inspectors wroteBased on medical record review, observation, and interview the facility failed to have a call light in reach for 1 of 34 sampled residents (Resident #42) observed.
  3. D
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 2, 2021
    Inspectors wroteBased on facility policy review, medical record review, facility documentation review, observations and interviews the facility failed to ensure that the mattress and bed were compatible for 1 of 34 sample residents (Resident #47).
March 20, 2019Standard inspection · 4 citations
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2019
    Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to ensure the call light was within reach for 2 residents (#59 and #79) of 105 residents reviewed.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to accurately code the Minimum Data Set (MDS) assessment for falls of 2 residents (#55 and #62) of 33 residents reviewed.
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2019
    Inspectors wroteBased on facility policy review, medical record review, and observation, the facility failed to follow the care plan for 2 residents (#59 and #79) of 33 residents reviewed.
  4. D
    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, isolated · Corrected (the home has a date of correction) April 27, 2019
    Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to serve food in a safe and sanitary manner for 1 resident (#62) of 14 residents during the noon meal on 3/18/19.

Fire safety inspections

12 fire safety citations on file: 12 on March 20, 2019.

Every fire safety citation12 citations
  1. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 20, 2019 · Corrected (the home has a date of correction)
  2. D
    Provide emergency officials' contact information.
    E 31 · March 20, 2019 · Corrected (the home has a date of correction)
  3. D
    Conduct testing and exercise requirements.
    E 39 · March 20, 2019 · Corrected (the home has a date of correction)
  4. D
    Implement emergency and standby power systems.
    E 41 · March 20, 2019 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 20, 2019 · Corrected (the home has a date of correction)
  6. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 20, 2019 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 20, 2019 · Corrected (the home has a date of correction)
  8. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 20, 2019 · Corrected (the home has a date of correction)
  9. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 20, 2019 · Corrected (the home has a date of correction)
  10. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 20, 2019 · Corrected (the home has a date of correction)
  11. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 20, 2019 · Corrected (the home has a date of correction)
  12. D
    Have proper medical gas storage and administration areas.
    K 923 · March 20, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)3.213.803.86
Registered nurses0.380.600.69
All nursing staff on weekends2.813.313.42
Nurse aides2.02
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)66.1%48.9%45.8%
Registered nurse turnover78.9%43.2%42.9%
Administrators who left0

CMS expects 4.13 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 3.37 on weekdays and 2.81 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.21 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.210.383.372.81 0.0%0 of 90111
Oct to Dec 20253.200.493.372.76 2.4%0 of 92107
Jul to Sep 20253.420.363.612.95 0.0%0 of 92110
Apr to Jun 20253.550.423.753.06 2.2%0 of 91105
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.

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
2.314.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.43.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.217.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.65.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.016.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.122.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.011.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.8

Owners and operators

Legal business name: WHITES CREEK OPERATING GROUP LLC. CMS links this home to Ahava Healthcare, a group of 16 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Whites Creek Holdco LLC5% or greater direct ownership interestOrganization100%06/01/2019
Ecm Holdings LLC5% or greater indirect ownership interestOrganization10%06/01/2019
Vnb New York LLC5% or greater security interestOrganization06/01/2019
Leech, TracieW-2 managing employeeIndividual06/01/2019
McGovern, BenjaminW-2 managing employeeIndividual06/01/2019
Niederman, AnshelCorporate officerIndividual06/01/2019

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 12, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. 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 March 12, 2024: "Protect each resident from the wrongful use of the resident's belongings or money."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 11, 2026: "Provide and implement an infection prevention and control program."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 11, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.81 hours per resident per day, below the Tennessee average of 3.31.

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Common questions

What is Whites Creek Wellness and Rehabilitation Center's Medicare star rating?
CMS rates Whites Creek Wellness and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Whites Creek Wellness and Rehabilitation Center get at its last inspection?
3 health deficiencies at the standard inspection on March 11, 2026. The Tennessee average is 4.4.
Has Whites Creek Wellness and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Whites Creek Wellness and Rehabilitation Center 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 Whites Creek Wellness and Rehabilitation Center?
CMS lists 6 owners and managers, and links the home to Ahava Healthcare. Legal business name: WHITES CREEK OPERATING GROUP LLC.

Sources

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