Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Cedar Creek Post Acute

MOUNT JULIET, TN · 106 certified beds · Last Life Safety survey July 30, 2025

CMS Certification Number 445439 · first certified January 2002

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TN

10 citations — more than 60% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was July 2025. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

3 of the 10 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility10TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12020-0312021-1282025-07
Citations at each Life Safety survey
Survey dateCitations
March 10, 20201
December 15, 20211
July 30, 20258

Most-cited tags

Most-cited tags at this facility
K-07411E-00201K-09231K-07611E-00151K-09201K-02321K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12025-07-30
E-0020Establish policies and procedures including evacuation.12025-07-30
K-0923Have proper medical gas storage and administration areas.12025-07-30
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-07-30
E-0015Address subsistence needs for staff and patients.12025-07-30
K-0920Ensure proper usage of power strips and extension cords.12020-03-10
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12021-12-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-07-30

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies3
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 30, 2025 — 8 citations

Citations issued on July 30, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (December 12, 2025)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (August 29, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 29, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 29, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 2, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 29, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 29, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 19, 2025)

December 15, 2021 — 1 citation

Citations issued on December 15, 2021
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (January 15, 2022)

March 10, 2020 — 1 citation

Citations issued on March 10, 2020
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 24, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.