Home / Tennessee / Johnson City
The Waters of Johnson City, LLC
140 Technology Lane, Johnson City, TN 37604 · Washington County · (423) 434-2016
84 certified beds, about 78 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445487 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 25, 2025, inspectors cited 7 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 12 health citations since June 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 3.26 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
57.3% 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 12 health citations on file.
February 25, 2025Standard inspection · 7 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteMedical record review revealed Resident #14 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including PTSD, Hemiplegia, and Heart Failure. Review of a PASARR for Resident #14 dated 5/11/2017, revealed .Level 1 Form .no documented diagnosis of major mental illness .no known mental health behaviors . Review of a comprehensive care plan dated 8/27/2024, revealed Resident #14 had a Care plan for .Trauma .PTSD . Review of a quarterly MDS assessment dated [DATE], revealed Resident #14 scored a 3 on the BIMS assessment which indicated the resident had severe cognitive impairment. Review of the Psychiatric Notes for Resident #14 dated 2/21/2025 revealed, .Psychiatric . Evaluation .PTSD . Review of a Psychiatric Nurse Practitioner Note for Resident #14 dated 2/21/2025, revealed, .Psychiatric Periodic Evaluation .PTSD . [...]
- 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, observations, and interviews, the facility failed to develop a care plan for 1 resident (Resident #9) and failed to implement a care plan for 2 residents (Residents #32 and #38) for Enhanced Barrier Precautions (EBP) of 19 residents reviewed for care plans.
- 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, observation, and interview the facility failed to secure medications for 1 resident (Resident #4) of 19 residents reviewed for medication storage.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to label and date oxygen tubing for 1 resident (Resident #176) and failed to change the oxygen tubing and humidifier bottle weekly for 1 resident (Resident #2) of 18 sampled residents reviewed receiving oxygen. The facility failed to properly store hand-held nebulizer (a drug delivery device used to administer medication in the form of a mist inhaled into the lungs) for 2 residents (Resident #2 and Resident #176) of 24 sampled residents reviewed receiving respiratory treatments.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to complete dialysis communications records for 1 resident (Resident #38) of 1 resident reviewed for dialysis.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 1 dumpster (Dumpster A) of 2 dumpsters observed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to implement Enhanced Barrier Precautions (EBP) for 3 residents (Residents #9, #32 and #38) of 15 residents reviewed for EBP.
February 5, 2024Complaint inspection, Infection control · 3 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policy, medical record review, review of a facility investigation, and interview, the facility failed to prevent abuse for 1 resident (#7) of 13 residents reviewed for abuse.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility policy, medical record review, review of facility investigation and interview the facility failed to ensure an allegation of abuse was reported timely to the State Survey agency for 1 resident (Resident #7) of 13 residents reviewed for abuse.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of a facility policy, medical record review, facility documentation, and interview, the facility failed to follow a physician's order for medication administration for 1 resident (#2) of 4 residents reviewed for medication administration.
January 20, 2022Standard inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide showers as scheduled for 1 resident (#56) of 15 residents reviewed for bathing.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to properly store a nebulizer [device used to administer inhaled medications] mask and tubing in a sanitary manner and failed to change oxygen tubing for 1 resident (#56) of 3 residents reviewed for respiratory care.
June 19, 2019Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 3 on February 25, 2025, 4 on January 20, 2022, 2 on June 19, 2019.
Every fire safety citation9 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Have restrictions on the use of portable space heaters.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Meet other general requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F 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 | 0.29 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.31 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 57.3% | 48.9% | 45.8% |
| Registered nurse turnover | 70.0% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.79 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 3.41 on weekdays and 2.89 on weekends, 15% 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 3.47 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 | 0.29 | 3.41 | 2.89 | 0.0% | 0 of 90 | 78 |
| Oct to Dec 2025 | 3.50 | 0.37 | 3.63 | 3.16 | 0.0% | 1 of 92 | 74 |
| Jul to Sep 2025 | 3.51 | 0.45 | 3.67 | 3.11 | 0.0% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.47 | 0.42 | 3.61 | 3.11 | 2.5% | 0 of 91 | 72 |
| 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 | 0.5 | 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 | 1.6 | 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 | 1.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.7 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.8 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 28.4 | 11.2 | 12.0 |
Owners and operators
Legal business name: THE WATERS OF JOHNSON CITY, 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 |
|---|---|---|---|---|
| Woods, Brian | 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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on February 25, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 25, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- 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 February 5, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 February 25, 2025: "Dispose of garbage and refuse properly."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 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
- Agape Rehabilitation & Nursing Center, a Waters Cm Johnson City, 1.3 mi · 4 of 5 stars · 7 citations
- Abundant Christian Living Community Rehabilitation Johnson City, 1.5 mi · 5 of 5 stars · 6 citations
- Princeton Transitional Care & Assisted Living Johnson City, 1.9 mi · 5 of 5 stars · 3 citations
- Lakebridge, a Waters Community, LLC Johnson City, 1.9 mi · 3 of 5 stars · 7 citations
- NHC Healthcare, Johnson City Johnson City, 2.2 mi · 5 of 5 stars · 1 citation
- Life Care Center of Gray Gray, 5.3 mi · 1 of 5 stars · 16 citations
- Four Oaks Health Care Center Jonesborough, 6.1 mi · 4 of 5 stars · 10 citations
- Hermitage Health Center Elizabethton, 8.7 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 The Waters of Johnson City, LLC's Medicare star rating?
- CMS rates The Waters of Johnson City, LLC 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Waters of Johnson City, LLC get at its last inspection?
- 7 health deficiencies at the standard inspection on February 25, 2025. The Tennessee average is 4.4.
- Has The Waters of Johnson City, LLC been fined?
- CMS lists no fines in the last three years.
- Does The Waters of Johnson City, 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 The Waters of Johnson City, LLC?
- CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: THE WATERS OF JOHNSON CITY, 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.