Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Whites Creek Wellness And Rehabilitation Center during CMS and state inspections, most recent first.
Infection prevention and control failures occurred during medication administration and catheter care for multiple residents. An LPN administered oral meds without hand hygiene, another LPN handled eye drops and blood pressure equipment without disinfecting items or performing hand hygiene, a third LPN failed to perform hand hygiene and disinfect an insulin pen after it touched a dirty bag, and a CNA emptied a resident’s catheter bag without the gown required under EBP. The DON confirmed the expected hand hygiene, disinfection, and PPE practices.
Failure to Perform Neuro Checks and Follow Fall Care Plan: A resident with a history of weakness, impaired gait, and high fall risk had repeated falls, including one with a forehead hematoma and another with facial and shoulder pain. The resident’s call light was found out of reach, required fall signage was not in the room, and the facility did not complete neuro checks after the falls. The DON confirmed the lack of neuro checks and the absence of a neuro check policy.
Medication was left unattended during PEG administration when an LPN placed Valproic Acid Oral Solution on an over-bed table and went into the bathroom, leaving it out of sight more than once. The resident had a PEG tube, seizures, and severe cognitive impairment, and the facility policy required medications to remain under the direct observation of the person administering them.
Infection Prevention and Control Failures During Medication Administration and Catheter Care
Penalty
Summary
The facility failed to maintain and ensure infection prevention and control during medication administration and catheter care for four sampled residents. The report cites facility policies requiring hand hygiene before preparing or handling medications, proper use of PPE, disinfection of reusable equipment, and use of enhanced barrier precautions for residents with indwelling devices such as urinary catheters. For one resident with dementia, respiratory failure, and hypertension, an LPN retrieved multiple oral medications from the medication cart and administered them without performing hand hygiene before preparing the medications. When asked, the LPN stated she did not perform hand hygiene and acknowledged she should have done so. The DON also stated hand hygiene should be performed prior to preparing medication for administration. For another resident with dementia, osteoarthritis, chronic pancreatitis, and diverticulosis, an LPN entered the room with eye drops, used two blood pressure machines in the room, donned gloves, wiped the resident’s eyes with dry tissue, and administered the eye drops without performing hand hygiene. The LPN returned the eye drop bottle and bag to the medication cart drawer without disinfecting them and did not disinfect the blood pressure machines used on the resident. The LPN and DON both stated the bottle, bag, and blood pressure machines should have been cleaned. For a resident with diabetes mellitus, hypertension, and polyneuropathy, an LPN donned gloves without hand hygiene, cleaned a glucometer, handled an insulin pen and supplies in plastic cups, and repeatedly doffed and donned gloves without hand hygiene. The insulin pen touched a dirty plastic bag, and the end of the pen was not disinfected before the needle was attached. The LPN stated hand hygiene should be performed before and after touching a resident and before preparing medication, and the DON stated the end of the insulin pen should have been disinfected after touching the dirty bag. For a resident with acute pyelonephritis, hypertension, benign prostatic hyperplasia, severe cognitive impairment, and an indwelling catheter, the resident had an order for enhanced barrier precautions related to the catheter. During observation, a CNA emptied the catheter bag without wearing a gown. The CNA stated she was not sure what PPE was required, and the DON stated a gown and gloves should be worn when urine is emptied from the catheter bag.
Failure to Perform Neuro Checks and Follow Fall Care Plan
Penalty
Summary
The facility failed to ensure neurological checks were performed after Resident #20’s falls and failed to follow the resident’s fall care plan. Resident #20 was admitted with diagnoses including malignant neoplasm of the pancreas, bipolar disorder, and hypertension. The resident’s assessments showed a high fall risk, impaired and weak gait, and a care plan that identified the resident as at risk for falls related to weakness and needing assistance with mobility. The record also showed the resident had intact cognition on admission and required partial to moderate assistance with transfers and walking. After an unwitnessed fall on 2/26/2026, the resident reported falling while trying to get up off the toilet. The incident report noted no injuries observed at the time, and the revised care plan included keeping the call light within reach and encouraging the resident to ask for assistance. On 3/1/2026, the resident had a witnessed fall and was found face down on the floor beside the bed with a hematoma to the right forehead that was growing in size. The resident was sent to the hospital at family request. The facility did not conduct neuro checks after this fall. On 3/3/2026, the resident had another witnessed fall after getting tangled up on slides and hitting the right side of the face and right shoulder against a door frame. The resident complained of pain to the right side of the face and right shoulder, and the skin check noted bruising/redness to the face around the right eye. The facility again did not conduct neuro checks after the fall. During observation on 3/10/2026, the resident’s call light was found under the bedframe and out of reach, and the LPN stated rounds had not been made to check call lights. The DON confirmed the room had no fall signage despite stating that visual cues were part of the intervention, and later confirmed the facility had no neuro checks related to the resident’s falls and could not provide a neuro check policy.
Medication Left Unattended During PEG Administration
Penalty
Summary
The facility failed to ensure medications were properly stored and secured when an LPN left Valproic Acid Oral Solution unattended and out of sight during PEG medication administration. The facility policy titled Medication Storage stated that during a medication pass, medications must be under the direct observation of the person administering them. Resident #8 was admitted with diagnoses including neurogenic bladder, gastrostomy, tracheostomy, seizures, and cocaine abuse, and the annual MDS showed a BIMS score of 3, indicating severe cognitive impairment. During medication administration in the resident's room, the LPN entered with 5 ml of Valproic Acid Oral Solution in a medication cup, placed it on the over-bed table, and went to the bathroom to wash his hands, leaving the medication unattended. The LPN then returned to the room, went back into the bathroom to obtain water in a plastic cup, and again left the medication unattended. When asked about leaving the medication out of sight, the LPN stated, 'No ma'am.' The DON also stated that medications should not be left unattended.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 123 citations issued within 25 miles in the last 12 months — including the 8 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Whites Creek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eaton Creek Post Acute | 4 mi | — | 0 | 0 |
| Creekside Center For Rehabilitation And Healing | 5.3 mi | ★★★★★ | 0 | 0 |
| Advanced Health Care Of Nashville | 5.6 mi | — | 0 | 0 |
| Alta Heights Post Acute | 6.6 mi | ★★★★★ | 0 | 0 |
| Trevecca Center For Rehabilitation And Healing Llc | 7.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Whites Creek Wellness And Rehabilitation Center.
100% money-back within 48 hours.
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.