Heritage Place Care & Rehabilitation LLC
1360 Bypass Road, Winchester, TN 37398 · Franklin County · (931) 967-7082
132 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445145 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 8, 2026, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 6 health citations since October 2019 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 3.17 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
54.8% 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 6 health citations on file.
April 8, 2026Standard inspection · 5 citations
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on facility policy review, facility Infection Surveillance documents review, and interviews, the facility failed to ensure implementation of an effective Antibiotic Stewardship Program to identify specific or potential infectious outbreaks, identify, report, and track antibiotic usage which had the potential to affect 75 of 75 residents.
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on facility policy review, job description review, current employee list review, and interviews, the facility failed to designate an individual as the Infection Preventionist with completion of specialized training in Infection Prevention and Control, which had the potential to affect 75 of 75 residents.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on facility policy review, activity calendar review, observations, and interviews, the facility failed to ensure an ongoing program of activities were implemented in the Alzheimer's Care Unit (ACU) to meet the needs and interests of the residents, which had the potential to affect 20 of 20 residents residing in the ACU.
- E 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.
Inspectors wroteBased on facility policy review, manufacturer guideline review, observations, and interviews, the facility failed to monitor refrigerator temperatures daily, maintain correct temperatures, and properly store medications and/or biologicals in 2 of 3 medication rooms reviewed.
- D Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure expired foods were not available for resident use for 3 residents (Residents #9, #65, and #8) of 11 resident personal refrigerators observed.
July 12, 2023Standard inspection · 1 citation
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interview, the facility failed to manage the Resident Trust Accounts for 8 (Resident #2, Resident #6, Resident #8, Resident #11, Resident #43, Resident #49, Resident #54 and Resident #60) of 43 residents' trust accounts reviewed to ensure they did not exceed the allowable Medicaid limit of $2,000.
October 23, 2019Standard inspection · 0 citations
Fire safety inspections
36 fire safety citations on file: 10 on April 8, 2026, 19 on July 12, 2023, 7 on October 23, 2019.
Every fire safety citation36 citations
- D Conduct risk assessment and an All-Hazards approach.
- D Include a process for Emergency Preparedness collaboration.
- D Establish policies and procedures for sheltering.
- D Establish roles under a Waiver declared by secretary.
- D List the names and contact information of those in the facility.
- D Establish methods for sharing information.
- D Provide a means of sharing information on occupancy/needs.
- D Provide family notifications of emergency plan.
- D Conduct testing and exercise requirements.
- D Have restrictions on the use of highly flammable decorations.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D Conduct risk assessment and an All-Hazards approach.
- D Provide emergency officials' contact information.
- D Establish staff and initial training requirements.
- D Conduct testing and exercise requirements.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Have simulated fire drills held at unexpected times.
- D Have restrictions on the use of portable space heaters.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- D Conduct testing and exercise requirements.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Construct fire resistant interior walls.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper medical gas storage and administration areas.
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) | 3.17 | 3.80 | 3.86 |
| Registered nurses | 0.34 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.31 | 3.42 |
| Nurse aides | 1.61 | ||
| Licensed practical nurses | 1.23 | ||
| Nursing staff turnover (share who left in a year) | 54.8% | 48.9% | 45.8% |
| Registered nurse turnover | 72.7% | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.78 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 3.31 on weekdays and 2.84 on weekends, 14% 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 4.09 in April to June 2025 to 3.17 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 | 3.17 | 0.34 | 3.31 | 2.84 | 0.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.33 | 0.32 | 3.44 | 3.05 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.79 | 0.33 | 3.88 | 3.55 | 0.2% | 1 of 92 | 75 |
| Apr to Jun 2025 | 4.09 | 0.42 | 4.26 | 3.67 | 3.1% | 0 of 91 | 74 |
| 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.
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 | 4.8 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.7 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.6 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.2 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.5 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.7 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.8 |
Owners and operators
Legal business name: WATERS OF WINCHESTER 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 |
|---|---|---|---|---|
| Davis, John | W-2 managing employee | Individual | 03/23/2022 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 8, 2026: "Implement a program that monitors antibiotic use."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 8, 2026: "Provide activities to meet all resident's needs."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 8, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 8, 2026: "Have a policy regarding use and storage of foods brought to residents by family and other visitors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Southern Tenn Medical Center SNF Winchester, 0.5 mi · 1 of 5 stars · 11 citations
- Elk River Health & Nursing Center of Winchester Winchester, 0.7 mi · 3 of 5 stars · 9 citations
- Signature Healthcare of Monteagle Rehab & Wellness Monteagle, 15 mi · 3 of 5 stars · 20 citations
- NHC Healthcare, Tullahoma Tullahoma, 15.8 mi · 3 of 5 stars · 13 citations
- Life Care Center of Tullahoma Tullahoma, 16 mi · 2 of 5 stars · 7 citations
- Lynchburg Nursing Center Lynchburg, 17.9 mi · 5 of 5 stars · 6 citations
- Legacy Health and Rehab Manchester, 19.8 mi · 2 of 5 stars · 24 citations
- Manchester Center for Rehabilitation and Healing L Manchester, 21.8 mi · 4 of 5 stars · 12 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 Heritage Place Care & Rehabilitation LLC's Medicare star rating?
- CMS rates Heritage Place Care & Rehabilitation LLC 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Place Care & Rehabilitation LLC get at its last inspection?
- 5 health deficiencies at the standard inspection on April 8, 2026. The Tennessee average is 4.4.
- Has Heritage Place Care & Rehabilitation LLC been fined?
- CMS lists no fines in the last three years.
- Does Heritage Place Care & Rehabilitation LLC 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 Heritage Place Care & Rehabilitation LLC?
- CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: WATERS OF WINCHESTER 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.