Elder Care Record

Tennessee › Wilson County › Mount Juliet

Cedar Creek Post Acute

2650 North Mt Juliet Road, Mount Juliet, TN 37122

CCN 445439 · For-profit, limited liability company · 106 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Cedar Creek Post Acute, in Mount Juliet, Tennessee, is certified for 106 beds under for-profit, limited liability company ownership.

CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.

Inspectors recorded 32 health deficiencies across the three most recent survey cycles (5, 10, 17 by cycle, most recent first), 11 of them at the actual-harm or immediate-jeopardy level. That is 30.2 per 100 beds, more than the state median of 12.2.

CMS lists 2 penalties in the period covered: fines totalling $211K and 1 payment denial.

Reported nurse staffing is 5.0 hours per resident per day (0.4 RN), above the Tennessee median of 3.6; nursing staff turnover is 67.0%.

32health deficiencies, 3 survey cycles11 at actual harm or worse
$211Kfines listed by CMS2 penalties in period
5.0nurse hours per resident per daystate median 3.6
87%occupancy (residents ÷ beds)92 residents a day

Compared with county, state and nation

MeasureThis facilityWilson Co. medianTennessee medianUS average
Overall star rating1533.0
Health citations, 3 cycles32191328.7
Citations per 100 beds30.213.312.226.8
Total nurse hours per resident day5.04.43.63.9
RN hours per resident day0.40.60.50.7
Nursing staff turnover67.0%59.1%50.0%45.8%
Fines listed$211,244$0$0—

County and state figures are medians across facilities (4 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 210
Cycle 317

Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jul 2025, 15 Dec 2021.

Severity mix: J ×9 K ×2 D ×16 E ×3 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey29 Aug 2025
30 Jul 2025F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey29 Aug 2025
30 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey29 Aug 2025
30 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey29 Aug 2025
30 Jul 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint investigation29 Aug 2025
11 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation25 Apr 2024
11 Apr 2024F0880Provide and implement an infection prevention and control program.KComplaint investigation25 Apr 2024
11 Apr 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation25 Apr 2024
11 Apr 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation25 Apr 2024
11 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Apr 2024
11 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Apr 2024
11 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigationDeficient, Provider has no plan of correction
15 Dec 2021F0809Ensure 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.FStandard survey18 Jan 2022
15 Dec 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Jan 2022
15 Dec 2021F0880Provide and implement an infection prevention and control program.EStandard survey18 Jan 2022
15 Dec 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Jan 2022
15 Dec 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Jan 2022
15 Dec 2021F0727Have 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.DStandard survey18 Jan 2022
15 Dec 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey18 Jan 2022
15 Dec 2021F0758Implement 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.DStandard survey18 Jan 2022
15 Dec 2021F0761Ensure 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.DStandard survey18 Jan 2022
15 Dec 2021F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey18 Jan 2022
10 Mar 2020F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard survey24 Apr 2020
10 Mar 2020F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JStandard survey24 Apr 2020
10 Mar 2020F0610Respond appropriately to all alleged violations.JStandard survey24 Apr 2020
10 Mar 2020F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JStandard survey24 Apr 2020
10 Mar 2020F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard survey24 Apr 2020
10 Mar 2020F0693Ensure 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.JStandard survey24 Apr 2020
10 Mar 2020F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.JStandard survey24 Apr 2020
10 Mar 2020F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.JStandard survey24 Apr 2020
10 Mar 2020F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard survey24 Apr 2020
10 Mar 2020F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey24 Apr 2020

Penalties

DateTypeAmountDetail
11 Apr 2024Payment denial—8 days
11 Apr 2024Fine$211,244

Staffing

Total nursing4.95 h
Nurse aides3 h
LPN1.56 h
RN0.39 h
Weekend total4.92 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 67.0%, RNs 61.5%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTennessee medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.6%12.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.4%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.7%1.2%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.3%15.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.2%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.5%15.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Wilson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Lebanon Center For Rehabilitation and Healing, LLCLebanon6054246.7—17 Aug 2022
Pavilion-Ths, LLCLebanon60545813.3—27 Mar 2025
Quality Center For Rehabilitation and Healing LLCLebanon280122196.8—7 Jan 2026

All 4 facilities in Wilson County

Questions and answers

How many deficiencies has Cedar Creek Post Acute been cited for?

32 health deficiencies across the three most recent survey cycles, 11 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.

Has Cedar Creek Post Acute been fined?

Yes. CMS lists fines totalling $211K in the period covered, plus 1 payment denial.

How does staffing at Cedar Creek Post Acute compare?

Reported total nurse staffing is 5.0 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.

Who operates Cedar Creek Post Acute?

Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Cedar Creek Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jul 2025; the most recent standard health survey was 30 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.