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Nursing HomeMedicaid

Hillcrest Healthcare Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

111 E Pemberton Street, Ashland City, TN 3701595 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 10 Google reviews

Hillcrest Healthcare Center Nursing Home in Ashland City, TN — Street View
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What this means for your family

Hillcrest Healthcare Center is highly regarded for its compassionate staff and excellent communication with families, making it a strong candidate for those prioritizing patient dignity. Because the reviews are consistently positive across several years, it appears to be a stable and reliable facility for both rehab and long-term care.

Google Reviews

Google Reviews

10 reviews on Google
Hillcrest Healthcare Center is consistently praised for its compassionate and attentive nursing staff who prioritize patient dignity and comfort. Families highlight the facility's ability to provide high-quality care for complex medical needs and note that staff maintain excellent communication with relatives throughout the stay.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Strong communication with family members
  • High-quality care for complex medical needs
  • Patient-centered approach to personal care

Rating Trends

Tap a year to see what changed

2344.52017(2)5.02018(2)5.02022(2)5.02023(3)5.02024(1)5.02025(1)

Distribution · 11 analyzed

5
10
4
1
3
0
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how attentive the nursing staff is here; how do you ensure that level of personalized care remains consistent during shift changes?
  • 2Since we value staying connected, what is your preferred method for keeping family members updated on daily care and any changes in health?
  • 3With the complex medical needs some residents have, what specific protocols are in place to manage sudden medical emergencies or changes in condition?
  • 4What are some of the favorite daily activities or social groups that help residents stay engaged and connected with each other?
  • 5How does the facility approach staffing and training to ensure that the high standard of care mentioned by families is always maintained?
  • 6How do you work with families to create a truly patient-centered care plan that respects each resident's unique personal preferences?

Personalized based on this facility's data


Key Review Excerpts

Hillcrest is the first place that treated her with care and respect. They got to know her and her likes and dislikes.

Long-term resident's family · 2023★★★★★

They took real good care of him and kept my mother updated on any important info. They made real easy on my mom and kept my dad comfortable.

Long-term resident's family · 2018★★★★★

The care has been ,for the patient and family, absolutely stellar. I have seen my brother progress over and beyond my expectations.

Long-term resident's family · 2017★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
38%
Registered nurses for medical care
Total Nursing
4.01hrs
98%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TN
12.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.1%
Mixed vs Avgs
Here
31.1%
US
19.5%
TN
31.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
15.3%
TN
18.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
15.5%
TN
16.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.2%
Worse than Avg
Here
22.2%
US
14.4%
TN
14.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
95.5%
TN
94.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.5%
Better than Avg
Here
95.5%
US
79.8%
TN
79.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.1%
Better than Avg
Here
90.1%
US
81.8%
TN
79.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.3%
Worse than Avg
Here
3.3%
US
1.6%
TN
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Near state avg (5.9)

Hillcrest Healthcare Center has 18 deficiencies across three surveys, all corrected by the facility. The most recurring issues involve fire safety systems and infection control, with additional problems in resident care quality and medication management. Earlier surveys focused heavily on fire safety compliance, while more recent inspections found issues with infection prevention and resident rights, suggesting some care quality concerns persist despite corrections.

Jan 14, 2026Routine
13
0887Potential for harm · WidespreadCorrected

Infection Control Deficiencies

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 16, 2021Routine
4
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 21, 2019Routine
5
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hillcrest Healthcare Center

Organization Type

for profit

Ownership & Management

Owners

Hightower, James

Owner

Hightower, Patricia

Owner

Key personnel

Hightower, JamesW-2 Managing EmployeeHightower, PatriciaW-2 Managing EmployeeHightower, ToddOfficer / DirectorHightower, JamesOfficer / DirectorHightower, PatriciaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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