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D
Poor

HILLCREST HEALTHCARE CENTER

111 E PEMBERTON STREET · ASHLAND CITY, TN 37015

6157929154 · For profit - Limited Liability company

95 beds71.4 residents194 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HILLCREST HEALTHCARE CENTER receives an overall staffing grade of D (Poor). With 3.9887 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2981 HPRD, below the recommended 0.75. It is 0.09 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 12.76% compared to weekdays. The facility relies heavily on temporary agency staff (15.98% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.2981 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️15.98% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.9887hrs/resident/day▲ 0.09
CMS benchmark: 3.48
RN HPRD
0.2981hrs/resident/day▼ 0.38
Recommended: 0.75
Weekend Drop-off
12.76%
4.1379 weekday → 3.6098 weekend
Agency Staff
15.98%
7.12% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2616hrs/resident/day
Direct care aides
LPN HPRD
1.429hrs/resident/day
Licensed practical nurses
Consistency
0.3817std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cheatham County Average+0.17 HPRD
3.81
03.99 HPRD
vs. Tennessee State Average+0.12 HPRD
3.87
03.99 HPRD
vs. National Average+0.09 HPRD
3.90
03.99 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HILLCREST HEALTHCARE CENTER ★
ASHLAND CITY · This facility
—
D
3.98870.2981★★★★☆
THE WATERS OF CHEATHAM, LLC
ASHLAND CITY
3.7 mi
B
3.63950.6672★★★☆☆
EATON CREEK POST ACUTE
NASHVILLE
12.6 mi
C
3.6910.5495☆☆☆☆☆
WHITES CREEK WELLNESS AND REHABILITATION CENTER
WHITES CREEK
15 mi
D
3.42620.3648★★★★☆
WEST MEADE PLACE
NASHVILLE
16.4 mi
A
4.29630.9812★★★★☆
THE HEALTH CENTER AT RICHLAND PLACE
NASHVILLE
17.4 mi
A
4.34110.9461★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
9
Total Deficiencies
$0
Fines Assessed
Jun 16, 2021Health
4 deficiencies cited
▼
May 21, 2019Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.