Home / Tennessee / Johnson City
Agape Rehabilitation & Nursing Center, a Waters Cm
505 N Roan Street, Johnson City, TN 37604 · Washington County · (423) 975-2000
84 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1983
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445162 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 19, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 7 health citations since July 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.18 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
54.4% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Infinity Healthcare Consulting, an affiliated group of 70 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
May 19, 2026Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument Manual 3.0 (RAI), medical record review, observation, and interview, the facility failed to accurately complete Minimum Data Set (MDS) assessments for 2 residents (Resident #13 and #62) of 18 residents reviewed for MDS assessments.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to develop a person-centered care plan related to a left-hand contracture for 1 resident (Resident #13) of 4 residents reviewed for care plans for range of motion (ROM) and resident mobility.
February 22, 2024Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations and interview, the facility failed to ensure kitchen cooking/serving equipment was maintained in a sanitary condition, failed to ensure food items were sealed properly, and failed to ensure dented cans were discarded, which had the potential to affect 65 of 65 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review and interviews, the facility failed to report an allegation of abuse timely for 1 resident (Resident #20) of 24 residents reviewed for abuse.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) screen was accurate after a mental health diagnosis was identified for 2 of 5 residents (Resident #2 and #38) reviewed for PASARR.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observations and interview, the facility failed to ensure garbage and refuse were properly contained in 2 of 2 dumpsters (dumpster A and B).
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation and interview, the facility failed to repair the handwashing soap dispensers in 2 of 4 handwashing stations (station A and C), failed to ensure hot water was available in 1 of 4 handwashing stations (station D), and failed to repair 2 of 4 paper towel dispensers (station A and C) observed during the initial kitchen tour.
July 20, 2021Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 1 on May 19, 2026, 2 on February 22, 2024.
Every fire safety citation3 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.18 | 3.80 | 3.86 |
| Registered nurses | 0.39 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.95 | 3.31 | 3.42 |
| Nurse aides | 1.78 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 54.4% | 48.9% | 45.8% |
| Registered nurse turnover | 57.1% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.28 on weekdays and 2.95 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.18 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.18 | 0.39 | 3.28 | 2.95 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.49 | 0.44 | 3.63 | 3.14 | 0.0% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.49 | 0.68 | 3.59 | 3.24 | 0.0% | 0 of 92 | 65 |
| Apr to Jun 2025 | 3.64 | 0.77 | 3.74 | 3.37 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 0.0 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.0 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.2 | 16.9 | 15.4 |
Owners and operators
Legal business name: AGAPE REHABILITATION & NURSING CENTER A WATERS COMMUNITY LLC. CMS links this home to Infinity Healthcare Consulting, a group of 70 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Call, Andrew | W-2 managing employee | Individual | 07/25/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 19, 2026: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 22, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 22, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on February 22, 2024: "Keep all essential equipment working safely."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Abundant Christian Living Community Rehabilitation Johnson City, 0.2 mi · 5 of 5 stars · 6 citations
- Princeton Transitional Care & Assisted Living Johnson City, 0.8 mi · 5 of 5 stars · 3 citations
- The Waters of Johnson City, LLC Johnson City, 1.3 mi · 2 of 5 stars · 12 citations
- NHC Healthcare, Johnson City Johnson City, 1.7 mi · 5 of 5 stars · 1 citation
- Lakebridge, a Waters Community, LLC Johnson City, 2.6 mi · 3 of 5 stars · 7 citations
- Life Care Center of Gray Gray, 5.7 mi · 1 of 5 stars · 16 citations
- Four Oaks Health Care Center Jonesborough, 7.4 mi · 4 of 5 stars · 10 citations
- Hermitage Health Center Elizabethton, 7.5 mi · 5 of 5 stars · 5 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Agape Rehabilitation & Nursing Center, a Waters Cm's Medicare star rating?
- CMS rates Agape Rehabilitation & Nursing Center, a Waters Cm 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Agape Rehabilitation & Nursing Center, a Waters Cm get at its last inspection?
- 2 health deficiencies at the standard inspection on May 19, 2026. The Tennessee average is 4.4.
- Has Agape Rehabilitation & Nursing Center, a Waters Cm been fined?
- CMS lists no fines in the last three years.
- Does Agape Rehabilitation & Nursing Center, a Waters Cm accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Agape Rehabilitation & Nursing Center, a Waters Cm?
- CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: AGAPE REHABILITATION & NURSING CENTER A WATERS COMMUNITY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.