Home / Tennessee / Johnson City
Lakebridge, a Waters Community, LLC
115 Woodlawn Drive, Johnson City, TN 37604 · Washington County · (423) 975-0095
109 certified beds, about 105 residents a day · For profit - Individual · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445358 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 25, 2023, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
None of its 7 health citations since November 2018 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 3.26 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
41.8% 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 7 health citations on file.
July 25, 2023Standard inspection · 1 citation
- 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, observation, and interview the facility failed to maintain a sanitary kitchen, which had the potential to affect 95 of 98 residents in the facility.
November 5, 2019Standard inspection · 3 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 policies review, observation, and interview, the facility failed to maintain a sanitary kitchen in 1 of 1 walk in freezer observed, and failed to maintain resident foods in a sanitary manner in 1 of 2 nourishment rooms observed, potentially affecting 88 of 88 residents.
- 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 Center for Medicare and Medicaid (CMS's) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, observation and interview the facility failed to develop a care plan for pain for 1 resident (#5) of 20 residents reviewed.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure a fall intervention was properly maintained for 1 resident (#64) of 3 residents reviewed for falls.
November 7, 2018Standard inspection · 3 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteMedical record review of Resident #49's Plan of Care dated 7/27/18 revealed .Goal .Resident will have a regular bowel elimination pattern as evidenced by soft/formed bowel movements at least once every three days . Medical record review of the resident's BM Report dated 9/2018, revealed the resident did not have a BM from 9/12/18 to 9/18/18 (7 days). Continued review of the BM Report dated 10/2018, revealed the resident did not have a BM from 10/4/18 to 10/10/18 (7 days). Medical record review of Resident #49's MAR for 9/2018 and 10/2018 revealed no documentation the resident received a laxative or an enema. Telephone interview with Resident #49's physician on 11/7/18 at 12:50 PM, confirmed he would have expected the facility to implement the physician's standing order for acute constipation for Resident #49. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to obtain a physician's order for the use of a Continuous Positive Airway Pressure (CPAP) machine (a continuous pressure machine to improve oxygen delivery in residents with sleep apnea) for 1 resident (#94) of 23 residents reviewed for respiratory treatments of 25 residents sampled.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of manufacturer's recommendations, medical record review, observation, and interview, the facility failed to ensure a Continuous Positive Airway Pressure (CPAP) device (a continuous pressure machine to improve oxygen delivery in residents with sleep apnea) was cleaned for 1 resident (#94) of 23 residents reviewed for the use of respiratory equipment of 25 sampled residents.
Fire safety inspections
6 fire safety citations on file: 1 on July 25, 2023, 1 on November 5, 2019, 4 on November 7, 2018.
Every fire safety citation6 citations
- D Install corridor and hallway doors that block smoke.
- D Have restrictions on the use of portable space heaters.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that testing and maintenance of electrical equipment is performed.
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) | 3.26 | 3.80 | 3.86 |
| Registered nurses | 0.28 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.94 | 3.31 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 41.8% | 48.9% | 45.8% |
| Registered nurse turnover | 63.6% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.67 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 3.39 on weekdays and 2.94 on weekends, 13% 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 3.43 in April to June 2025 to 3.26 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 | 3.26 | 0.28 | 3.39 | 2.94 | 0.0% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.30 | 0.25 | 3.42 | 2.97 | 0.0% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.29 | 0.27 | 3.45 | 2.88 | 0.0% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.43 | 0.35 | 3.60 | 3.01 | 0.0% | 0 of 91 | 102 |
| 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 | 1.2 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.4 | 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 | 1.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.9 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.8 |
Owners and operators
Legal business name: LAKEBRIDGE, 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 |
|---|---|---|---|---|
| Garland, Wesley | W-2 managing employee | Individual | 10/05/2019 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on November 5, 2019: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 July 25, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 5, 2019: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on November 7, 2018: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- The Waters of Johnson City, LLC Johnson City, 1.9 mi · 2 of 5 stars · 12 citations
- Agape Rehabilitation & Nursing Center, a Waters Cm Johnson City, 2.6 mi · 4 of 5 stars · 7 citations
- Abundant Christian Living Community Rehabilitation Johnson City, 2.7 mi · 5 of 5 stars · 6 citations
- Princeton Transitional Care & Assisted Living Johnson City, 3.4 mi · 5 of 5 stars · 3 citations
- NHC Healthcare, Johnson City Johnson City, 4.1 mi · 5 of 5 stars · 1 citation
- Four Oaks Health Care Center Jonesborough, 5.3 mi · 4 of 5 stars · 10 citations
- Life Care Center of Gray Gray, 7.1 mi · 1 of 5 stars · 16 citations
- Hillview Health Center Elizabethton, 8.9 mi · 4 of 5 stars · 7 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 Lakebridge, a Waters Community, LLC's Medicare star rating?
- CMS rates Lakebridge, a Waters Community, LLC 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lakebridge, a Waters Community, LLC get at its last inspection?
- 1 health deficiency at the standard inspection on July 25, 2023. The Tennessee average is 4.4.
- Has Lakebridge, a Waters Community, LLC been fined?
- CMS lists no fines in the last three years.
- Does Lakebridge, a Waters Community, 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 Lakebridge, a Waters Community, LLC?
- CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: LAKEBRIDGE, 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.