Below average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hillcrest Healthcare Center during CMS and state inspections, most recent first.
COVID-19 Vaccine Not Offered to Newly Hired Employees: The facility failed to educate staff on COVID-19 vaccination, offer the vaccine to eligible employees after education, and document vaccination status. Review of the employee list showed 45 employees were hired after the vaccine was no longer offered, and the ICP stated the facility did not offer the COVID vaccine to employees and only provided education when a new vaccine was available.
Failure to provide timely ABN/Medicare non-coverage notices for 3 residents. Facility policy required written notice in advance when Medicare coverage was likely to end, but the notices for residents with pneumonia, COPD, HTN, diabetes, and other diagnoses were signed on or after the last covered day rather than far enough in advance for informed decision-making; the SSD confirmed the notice was not given 72 hours before coverage ended.
Medication administration errors exceeded the allowed rate when two errors were found in 25 opportunities. An LPN infused ceftriaxone at the wrong rate instead of the 30-minute infusion time on the bag, and another LPN gave a resident enteric-coated aspirin when the order was for chewable aspirin. The facility policy required medications to be given according to the MAR, label, and physician orders.
Unsecured Medication Cart Left Unattended: An LPN walked away from a medication cart during a survey observation, leaving it unsecured and unattended while out of sight of the cart. Facility policy stated medication carts must be locked when not attended, and the DON confirmed carts should be secured at all times when unattended.
COVID-19 Vaccine Not Offered to Newly Hired Employees
Penalty
Summary
The facility failed to educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status. Based on policy review, employee list review, and interview, the facility did not offer COVID-19 vaccinations to employees after February 2025. Review of the facility policy titled, Employee Immunization and Vaccination Status, dated January 2024, stated that employees are offered or provided with immunizations/vaccinations per state or local agency policies/regulations. Review of the employee list dated 1/14/2026 showed 45 employees were hired from 2/2025 to 1/14/2026, and the facility could not provide documentation that these employees were offered the COVID vaccine. During interview, the Infection Control Preventionist stated that the facility did not offer the COVID vaccine to employees and only educated them if a new vaccine was available, and that the vaccine was no longer offered to staff beginning in February 2025.
Failure to Provide Timely Medicare Non-Coverage Notices
Penalty
Summary
The facility failed to provide Advance Beneficiary Notice of Medicare Non-Coverage for 3 of 3 sampled residents reviewed for Advanced Beneficiary Notice. Facility policy titled, Medicare Advance Beneficiary and Medicare Non-Coverage Notices, dated 9/2024, stated that a Medicare beneficiary is to be informed in advance and in writing when Medicare payment denial or change in coverage is likely, and that written notices are to be provided as soon as the facility determines Medicare payment certainly or probably will not be made and before the service is furnished, far enough in advance for the beneficiary to make an informed decision without undue pressure. Resident #20, admitted with diagnoses including pneumonia, COPD, hypertension, and diabetes, had a Notice of Medicare Non-Coverage showing the last covered day as 12/23/2025 and the form was signed on that same day. Resident #82, admitted with diagnoses including amputation of lower limb, abscess of lower limb, gout, and hypertension, had a Notice of Medicare Non-Coverage showing the last covered day as 11/5/2025 and the form was signed on that same day. Resident #83, admitted with diagnoses including pneumonia, hypertension, and COPD, had a Notice of Medicare Non-Coverage showing the last covered day as 9/6/2025, but the form was signed on 9/5/2026. During interview, the SSD stated notices are usually given 72-hour notice, but confirmed the notice of end of Medicare services was not given 72 hours before coverage ended.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to ensure medication error rates remained below 5 percent for 2 of 4 nurses observed, with 2 errors identified in 25 medication administration opportunities for an overall error rate of 8%. Facility policy required medications to be administered according to safe standards of practice, including the right medication, right dose, right time, right person, right route, right position, right texture, and right documentation, and required comparison of the medication label with the MAR before administration. Resident #26 was admitted with diagnoses including heart failure and Enterococcus and had physician orders for ceftriaxone sodium 2 grams IV twice daily until 2/5/2026. During observation, an LPN prepared the ceftriaxone in 100 mL normal saline and set the infusion pump to run at 100 mL/hr for a total infusion time of 1 hour, even though the medication label directed the ceftriaxone to infuse over 30 minutes. The LPN stated she believed Rocephin did not have a rate and was running it at the same rate as ampicillin, which was ordered to run at 100 mL/hr. The progress note documented that both antibiotics were run at the rate of an hour and that the medication error was reported to the NP, with no adverse effect noted or reported. Resident #59, who had heart failure, diabetes, peripheral vascular disease, and a BIMS score of 13 indicating cognitive intactness, had an order for chewable aspirin 81 mg daily, but an LPN administered aspirin 81 mg enteric coated instead.
Unsecured Medication Cart Left Unattended
Penalty
Summary
The facility failed to ensure medications were properly stored and secured when an LPN left a medication cart unsecured and unattended. Facility policy titled, "Storage of Medications," stated that drugs and biologicals are to be stored in a safe, secure, and orderly manner, that only authorized persons may access locked medications, and that compartments containing drugs and biologicals are locked when not in use. The facility policy titled, "Medication Administration," also stated that the medication cart should always be locked when not attended by a nurse. During an observation and interview on the 600 Hall, the LPN walked away from the 600 Hall F/Bottom Medication Cart and went into a resident's room out of sight of the surveyor while the cart remained unsecured and unattended during a medication cart inspection. When asked if they should have left the surveyor alone with the medication cart unsecured and unsupervised, the LPN stated, "No, I should not have, but you are State." In a later interview, the DON stated that medication carts should be locked and secured at all times when unattended and that a nurse should not leave a medication cart unsecure and unattended while a surveyor performed a medication cart inspection if they were out of sight of the cart.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ashland City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Waters Of Cheatham, Llc | 3.7 mi | ★★★★★ | 14 | 0 |
| Eaton Creek Post Acute | 12.7 mi | — | 0 | 0 |
| Whites Creek Wellness And Rehabilitation Center | 15 mi | ★★★★★ | 3 | 0 |
| The Meadows | 15.2 mi | ★★★★★ | 0 | 0 |
| West Meade Place | 16.4 mi | ★★★★★ | 9 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.