Home / Tennessee / Roan Mountain
The Waters of Roan Highlands,llc
146 Buck Creek Road, Roan Mountain, TN 37687 · Carter County · (423) 772-0161
80 certified beds, about 72 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445396 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 13, 2026, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
CMS lists no health citations for this home in the inspections on file.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.32 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
29.2% 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.
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 0 health citations on file.
May 13, 2026Standard inspection · 0 citations
April 8, 2025Standard inspection · 0 citations
March 16, 2022Standard inspection · 0 citations
Fire safety inspections
5 fire safety citations on file: 1 on May 13, 2026, 4 on April 8, 2025.
Every fire safety citation5 citations
- D Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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.
- D Have restrictions on the use of portable space heaters.
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) | 3.32 | 3.80 | 3.86 |
| Registered nurses | 0.38 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.31 | 3.42 |
| Nurse aides | 1.93 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 29.2% | 48.9% | 45.8% |
| Registered nurse turnover | 14.3% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.75 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 3.51 on weekdays and 2.85 on weekends, 19% 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 3.23 in April to June 2025 to 3.32 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 | 3.32 | 0.38 | 3.51 | 2.85 | 0.0% | 0 of 90 | 72 |
| Oct to Dec 2025 | 3.21 | 0.42 | 3.37 | 2.80 | 0.0% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.22 | 0.43 | 3.39 | 2.78 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 3.23 | 0.45 | 3.42 | 2.76 | 0.0% | 0 of 91 | 76 |
| 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 | 0.4 | 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 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 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 | 4.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.8 | 16.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: THE WATERS OF ROAN HIGHLANDS, 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 |
|---|---|---|---|---|
| A&f Realty LLC | 5% or greater direct ownership interest | Organization | 20% | 08/01/2016 |
| Cable, Erika | W-2 managing employee | Individual | 07/28/2019 |
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.
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.85 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Life Care Center of Banner Elk Banner Elk, 10.8 mi · 4 of 5 stars · 7 citations
- Signature Healthcare of Elizabethton Rehab & Welln Elizabethton, 14.3 mi · 5 of 5 stars · 2 citations
- Life Care Center of Elizabethton Elizabethton, 15.2 mi · 3 of 5 stars · 11 citations
- Ivy Hall Nursing Home Elizabethton, 15.2 mi · 5 of 5 stars · 2 citations
- Hillview Health Center Elizabethton, 15.3 mi · 4 of 5 stars · 7 citations
- Hermitage Health Center Elizabethton, 15.4 mi · 5 of 5 stars · 5 citations
- The Greens at Spruce Pines Spruce Pine, 19.7 mi · 3 of 5 stars · 12 citations
- The Foley Center at Chestnut Ridge Blowing Rock, 20.9 mi · 2 of 5 stars · 20 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 Roan Highlands,llc's Medicare star rating?
- CMS rates The Waters of Roan Highlands,llc 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Waters of Roan Highlands,llc get at its last inspection?
- 0 health deficiencies at the standard inspection on May 13, 2026. The Tennessee average is 4.4.
- Has The Waters of Roan Highlands,llc been fined?
- CMS lists no fines in the last three years.
- Does The Waters of Roan Highlands,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 Roan Highlands,llc?
- CMS lists 2 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: THE WATERS OF ROAN HIGHLANDS, 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.