What is The Waters of Gallatin's Medicare star rating?

CMS rates The Waters of Gallatin 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Waters of Gallatin get at its last inspection?

6 health deficiencies at the standard inspection on April 8, 2026. The Tennessee average is 4.4.

Has The Waters of Gallatin been fined?

CMS lists no fines in the last three years.

Does The Waters of Gallatin 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 The Waters of Gallatin?

CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: WATERS OF GALLATIN LLC.

The Waters of Gallatin: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 8, 2026, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 12 health citations since January 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 3.14 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.

53.2% 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.

101/19

212/19

301/25

604/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

11D

Potential for minimal harm

April 8, 2026Standard inspection · 6 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 15, 2026

Inspectors wroteBased on policy review, facility Infection Control Program document review, observation, and interview, the facility failed to ensure the prevention and spread of infections for 1 of 1 (Resident #97) when reusable medical equipment was not properly cleaned, and failed to establish and implement an infection control program to identify, report, investigate, and control infections and communicable diseases when the facility failed to ensure the tracking and trending of infections were conducted monthly for 1 of 3 months (February 2026) reviewed. This facility's failure to ensure tracking and trending of infections were conducted had the potential to affect 86 of the 86 residents residing in the facility.
D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to reimburse funds within 30 days to 1 of 1 (Resident #101) sampled residents reviewed for personal fund accounts.
D

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026

Inspectors wroteBased on facility policy review, Certified Nursing Assistant (CNA) in-service review, and interview, the facility failed to ensure 4 of 11 CNA's (CNA A, B, C, and D) received at least 12 hours of required in-service training annually.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to store medications in accordance with facility policy when medications were found unsecured and unattended at the resident's bedside and failed to ensure equipment was properly cleaned after use for 1 of 1 (Resident #97) residents.
D

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2026

Inspectors wroteBased on facility policy review, Patient & Family Fridge Notice review, Bistro Fridge Notice review, observation, and interview, the facility failed to properly store resident food when 2 of 2 (Patient & Family and Bistro) refrigerators contained unlabeled, undated, and uncovered food items.
D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026

Inspectors wroteBased on facility policy review, Certified Nursing Assistant (CNA) in-service review, and interview, the facility failed to ensure 4 of 11 CNA's (CNA A, B, C, and D) received at least 12 hours of required in-service training annually.

January 17, 2025Complaint inspection · 3 citations

D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 19, 2025

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to initiate an investigation related to allegations of sexual abuse for 1 (Resident #6) of 3 sampled residents.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 19, 2025

Inspectors wroteBased on facility policy review, video footage review, medical record review, facility document review, and interview, the facility failed to provide an environment that is free from accident hazards over which the facility has control for 1 of 3 (Resident #10) sampled residents reviewed for falls.
D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 19, 2025

Inspectors wroteBased on the Facility Assessment Tool review, facility policy review, medical record review, and interview, the facility failed to ensure all nursing staff possessed the competencies and skill sets necessary to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being for 1 of 3 (Resident #5) sampled residents.

December 18, 2019Standard inspection · 2 citations

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2020

Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to ensure 1 (#66) of 94 residents was free from abuse. Facility policy review Resident Rights & Facility Responsibilities, undated, revealed .The right to live in a caring environment free from abuse, mistreatment and neglect . Facility policy review Abuse Prevention Program, dated 1/19/17, revealed .It is the policy of this facility to prevent resident abuse, neglect, mistreatment and misappropriation of resident property .This facility will not tolerate resident abuse or mistreatment by anyone, including staff members, other residents, consultants, volunteers, staff of other agencies, family members, legal guardians, friends or other individuals . Review of facility investigation initiated on 11/11/19 revealed Resident #24 was observed with his hand on Resident #66's torso. [...]
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2020

Inspectors wroteBased on medical record review and interview, the facility failed to accurately assess 1 (#87) resident of 32 residents reviewed for Minimum Data Set (MDS) accuracy.

January 9, 2019Standard inspection · 1 citation

D

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2019

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to serve hot food at or greater than 135 degrees Fahrenheit (F) for 1 of 5 halls.

Fire safety inspections

16 fire safety citations on file: 8 on April 8, 2026, 6 on December 18, 2019, 2 on January 9, 2019.

Every fire safety citation16 citations

D
Have exits that are accessible at all times.

K 271 · April 8, 2026 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · April 8, 2026 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 8, 2026 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · April 8, 2026 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · April 8, 2026 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · April 8, 2026 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · April 8, 2026 · Corrected (the home has a date of correction)
D
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · April 8, 2026 · Corrected (the home has a date of correction)
D
Address subsistence needs for staff and patients.

E 15 · December 18, 2019 · Corrected (the home has a date of correction)
D
Provide primary/alternate means for communication.

E 32 · December 18, 2019 · Corrected (the home has a date of correction)
D
Conduct testing and exercise requirements.

E 39 · December 18, 2019 · Corrected (the home has a date of correction)
D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · December 18, 2019 · Corrected (the home has a date of correction)
D
Have exits that are accessible at all times.

K 271 · December 18, 2019 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · December 18, 2019 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · January 9, 2019 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · January 9, 2019 · Corrected (the home has a date of correction)

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)	3.14	3.80	3.86
Registered nurses	0.28	0.60	0.69
All nursing staff on weekends	2.86	3.31	3.42
Nurse aides	1.83
Licensed practical nurses	1.04
Nursing staff turnover (share who left in a year)	53.2%	48.9%	45.8%
Registered nurse turnover	66.7%	43.2%	42.9%
Administrators who left	1

CMS expects 4.40 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 3.26 on weekdays and 2.86 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.14 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	3.14	0.28	3.26	2.86	0.3%	0 of 90	97
Oct to Dec 2025	3.29	0.34	3.43	2.94	0.0%	0 of 92	92
Jul to Sep 2025	3.23	0.35	3.38	2.85	0.0%	1 of 92	87
Apr to Jun 2025	3.33	0.31	3.48	2.95	6.0%	0 of 91	87
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. If you work here, your report helps start one.

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.

How staff pay reports work · CNA pay by state

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	6.0	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	2.6	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.6	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.5	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	12.9	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.6	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	24.9	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	38.4	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	1.9	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.0	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Waters of Gallatin's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

45.2% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 63 eligible stays.

Potentially preventable readmissions

11.4% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 73 eligible stays.

Infections that led to a hospital stay

6.4% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 50 eligible stays.

Self-care and mobility at discharge

62.5% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 32 residents counted.

Falls with major injury

7.3% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 55 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 54 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WATERS OF GALLATIN 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
Willmore, Robin	W-2 managing employee	Individual		09/01/2016

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 many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on April 8, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
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 April 8, 2026: "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 2 problems in this area, most recently on January 17, 2025: "Respond appropriately to all alleged violations."
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 April 8, 2026: "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 2.86 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

Gallatin Center for Rehabilitation and Healing
Gallatin, 0.8 mi · 4 of 5 stars · 25 citations
NHC Place Sumner
Gallatin, 5 mi · 5 of 5 stars · 7 citations
Signature Health of Portland Rehab & Wellness Cent
Portland, 9.7 mi · 1 of 5 stars · 24 citations
NHC Healthcare, Hendersonville
Hendersonville, 11.3 mi · 3 of 5 stars · 16 citations
Pavilion-Ths, LLC
Lebanon, 13 mi · 5 of 5 stars · 8 citations
Cedar Creek Post Acute
Mount Juliet, 13.4 mi · 1 of 5 stars · 32 citations
Lebanon Center for Rehabilitation and Healing, LLC
Lebanon, 14.1 mi · 5 of 5 stars · 4 citations
Life Care Center of Old Hickory Village
Old Hickory, 15.3 mi · 3 of 5 stars · 17 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 The Waters of Gallatin's Medicare star rating?: CMS rates The Waters of Gallatin 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Waters of Gallatin get at its last inspection?: 6 health deficiencies at the standard inspection on April 8, 2026. The Tennessee average is 4.4.
Has The Waters of Gallatin been fined?: CMS lists no fines in the last three years.
Does The Waters of Gallatin 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 The Waters of Gallatin?: CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: WATERS OF GALLATIN 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.