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The Waters of Smyrna, LLC

202 Enon Springs Road East, Smyrna, TN 37167 · Rutherford County · (615) 459-5600

91 certified beds, about 68 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2011

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445502 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 10, 2022, inspectors cited 17 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 35 health citations since June 2018, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 1 fine totaling $97,773 in the last three years; the largest was $97,773, and the latest is dated June 21, 2024.

Nurses and nurse aides worked 2.99 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.

69.3% 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.

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 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
3E
4F
Potential for minimal harm
0A
0B
0C
June 21, 2024Complaint inspection · 10 citations
  1. K
    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 · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure 3 of 4 vulnerable sampled residents (Residents #6, #7, and #18) reviewed for abuse were free from sexual abuse by Resident #10. On an unknown date, Resident #6, who had a Brief Interview of Mental Status (BIMS) score of 15, which indicated no cognitive impairment, and had a diagnosis of Spastic Quadriplegia with Cerebral Palsy, stated Resident #10, who had a BIMS score of 15, which indicated no cognitive impairment, made nonconsensual sexual advances toward her by touching her hair and rubbing her on the thighs without permission. Resident #6 stated Resident #10 continued to rub on her thighs and antagonized her during activities. Resident #6 stated she was fearful and uncomfortable around Resident #10. [...]
  2. K
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to conduct an investigation and take appropriate corrective actions for 3 of 3 sampled residents (Residents #6, #7, and #18) reviewed for allegations of sexual abuse by Resident #10. On an unknown date, Resident #6, who had a Brief Interview of Mental Status (BIMS) score of 15, which indicated no cognitive impairment, and had a diagnosis of Spastic Quadriplegia with Cerebral Palsy, stated Resident #10, who also had a BIMS score of 15, made nonconsensual sexual advances toward her by touching her hair and rubbing her on the thighs without permission. Resident #6 stated Resident #10 continued to rub on her thighs and antagonized her during activities to the point where she is fearful and uncomfortable around Resident #10. [...]
  3. J
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide an environment free from the use of physical restraint used for staff convenience, that unnecessarily inhibited a resident ' s freedom of movement or activity for 1 of 3 (Resident #15) sampled residents reviewed for restraints. The facility also failed to obtain an order for the physical restraint, failed to document the medical symptom for which the restraint was implemented, failed to document less restrictive alternatives were implemented prior to use of the physical restraint, failed to document direct monitoring and supervision provided during use of the restraint, and failed to assess, care plan, and re-evaluate the need for the restraint. [...]
  4. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide sufficient staff to provide care and services in assisting residents to attain or maintain their highest practicable level of physical, mental, and psycho-social well-being for all residents at the facility.
  5. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to have sufficient staff with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for 2 (Resident #1 and #15) of 7-sampled residents reviewed.
  6. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2024
    Inspectors wroteBased on facility policy review, temperature log review, observation, and interview, the facility failed to minimize the potential for foodborne illness transmission by not properly cleaning and sanitizing the inner components of the ice machine for 73 of 73 residents. The facility failed to document refrigerator temperatures to ensure the food was kept at a safe level for 3 of 3 nourishment room refrigerators which has the potential to effect all residents. The facility failed to ensure that food was not left in the refrigerator beyond safe to use by dates in all Nourishment Room Refrigerators.
  7. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on facility policy review, medical record review, police report review, and interview, the facility failed to report allegations of sexual abuse to the State Survey Agency (SSA) for 3 of 4 (Residents #6, #7, and #18) sampled residents reviewed. On an unknown date, Resident #6, who had a diagnosis of Spastic Quadriplegia with Cerebral Palsy, stated Resident #10 made nonconsensual sexual advances toward her by touching her hair and rubbing her on the thighs without permission. Resident #6 stated Resident #10 continued to rub on her thighs and antagonized her during activities to the point where she is fearful and uncomfortable around Resident #10. On an unknown date, Resident #7 stated Resident #10 made nonconsensual sexual propositions, grabbed her hand, and rubbed her thighs. [...]
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to assure that a resident received an accurate assessment by staff qualified to assess relevant care areas for 1 of 1 (Resident #15) sampled residents reviewed.
  9. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to implement a comprehensive person-centered care plan with appropriate interventions for 5 of 6 (Residents #6, #7, #10, #15, and #18) sampled residents reviewed.
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) July 9, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to follow physician's orders and ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 3 (Resident #15) residents reviewed.
August 10, 2022Standard inspection · 17 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide Activities of Daily Living (ADL) care for 8 of 39 sampled residents (Residents #2, #11, #18, #47, #52, #54, #55, #58, and #111) reviewed.
  2. E
    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, pattern · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, observation, and interview, the Dietary Department failed to label, date, dispose of expired food, and failed to maintain dietary equipment in a sanitary manner on 2 of 5 observations.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to promote and protect the dignity of 1 of 39 sampled residents (Resident #2) reviewed.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to notify the physician when a resident refused gastrostomy supplemental feeding, blood glucose checks, and medication for 1 of 39 sampled residents (Resident #20) reviewed; the facility also failed to notify the family of a Resident to Resident interaction for 1 of 39 sampled residents (Resident #211) reviewed.
  5. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to maintain patient confidentiality related to a computer screen open with resident health information in view with no staff in attendance.
  6. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to promote a clean and sanitary homelike environment for 1 of 39 sampled residents (Resident #22).
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to report a resident to resident interaction incident to the State Agency within the required time for Resident #16 and #211.
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to complete a thorough investigation of resident to resident interaction incident between Resident #16 and Resident #211.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to have quarterly care plan conference meetings with resident or resident's representative for 5 of 39 sampled residents (Residents #9, #15, #34, #36 and #47) reviewed for care plan conference meetings. The facility also failed to revise care plans for 3 of 39 sampled residents (Residents #11, #16 and #47) reviewed.
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to turn and reposition 2 of 39 sampled residents (Residents #11 and #51) and failed to obtain a doctor's order for 1 of 39 sampled residents (Resident #58) reviewed.
  11. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to treat a stage 4 pressure ulcer upon admission for 4 days for 1 of 4 sampled residents (Resident #110) reviewed.
  12. 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 · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, record review, and interview, the facility failed to ensure adequate supervision and interventions to prevent repetition of behaviors which include wandering into resident rooms and getting into unknown beds for 1 resident (Resident #16) reviewed for resident to resident interaction incidents.
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to label and date the oxygen equipment for 5 of 14 sampled residents (Resident #27, #40, #43, #54, and #58) who received respiratory therapy and failed to administer oxygen at the physician's prescribed rate for 2 of 14 sampled residents (Residents #35 and #44) who recieved respiratory therapy.
  14. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, facility record review and interview, the facility failed to ensure Registered Nurse (RN) coverage 8 consecutive hours a day 7 days a week for 6 days ranging from July 17, 2022 through August 7, 2022.
  15. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility nurses failed to document medication administrations for 3 of 4 sampled residents (Resident #20, Resident #111, and Resident #112) reviewed.
  16. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to adequately monitor 2 of 2 sampled residents (Resident #40 and #52) receiving anticoagulant therapy.
  17. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2022
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to ensure accurate documentation in the medical records for 1 of 39 sampled residents (Resident #54) reviewed.
August 7, 2019Standard inspection · 3 citations
  1. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 2, 2019
    Inspectors wroteBased on Medical Record Review and Interview the facility failed to complete a Pre-admission Screening and Resident Review (PASRR) for 1 (#46) of 20 residents reviewed.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 2, 2019
    Inspectors wroteBased on policy review, medical record review, observation and interview the facility failed to label and date oxygen tubing for 2 (#18 and #45) of 21 residents reviewed receiving respiratory therapy.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 2, 2019
    Inspectors wroteBased on facility policy, medical record review, observation and interview the facility failed to ensure oxygen tubing was stored in a sanitary manner related to oxygen tubing with the nasal cannula lying on the floor in a resident's room for 1 (#18) of 21 residents reviewed receiving respiratory therapy. Facility policy review, Infection Prevention and Control - Policy and Procedure, undated, revealed .It is the policy of the facility to ensure that a comprehensive system is in place that prevents, identifies, investigates reports, records and controls infections and prevent the development and transmission of communicable disease process .to determine the most effective practices to reduce infection rates as well as identifying ways to integrate these practices into the everyday workday to create a culture of safety as related to Infection Control . [...]
June 13, 2018Standard inspection · 5 citations
  1. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 28, 2018
    Inspectors wroteBased on observation and interview the facility failed to maintain the walk in cooler for the dietary department in a safe, operating condition.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 28, 2018
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to ensure 1 of 69 residents (Resident #49) reviewed, had clean and groomed finger nails.
  3. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 28, 2018
    Inspectors wroteBased on medical record review, and interview the facility failed to ensure 1 of 12 sampled residents (Resident #12) reviewed received a follow up vision appointment.
  4. 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) July 28, 2018
    Inspectors wroteBased on observation, and interview the facility failed to remove 4 expired Meclizine (antihistamine) 12.5 mg (milligram) bottles from 1 of 3 medication storage rooms observed.
  5. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 28, 2018
    Inspectors wroteBased on observation and interview the facility failed to keep dumpster doors closed and failed to keep the dumpster area free from debris and medical garbage.

Fire safety inspections

12 fire safety citations on file: 1 on April 14, 2025, 4 on August 10, 2022, 4 on August 7, 2019, 3 on June 13, 2018.

Every fire safety citation12 citations
  1. D
    Ensure proper usage of power strips and extension cords.
    K 920 · April 14, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · August 10, 2022 · Corrected (the home has a date of correction)
  3. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 10, 2022 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 10, 2022 · Corrected (the home has a date of correction)
  5. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 10, 2022 · Corrected (the home has a date of correction)
  6. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 7, 2019 · Corrected (the home has a date of correction)
  7. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 7, 2019 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 7, 2019 · Corrected (the home has a date of correction)
  9. D
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · August 7, 2019 · Corrected (the home has a date of correction)
  10. 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.
    K 222 · June 13, 2018 · Corrected (the home has a date of correction)
  11. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 13, 2018 · Corrected (the home has a date of correction)
  12. D
    Have proper medical gas storage and administration areas.
    K 923 · June 13, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 21, 2024Fine $97,773
June 21, 2024Payment Denial 12 days from June 27, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)2.993.803.86
Registered nurses0.360.600.69
All nursing staff on weekends2.773.313.42
Nurse aides1.65
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)69.3%48.9%45.8%
Registered nurse turnover66.7%43.2%42.9%
Administrators who left2

CMS expects 4.72 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 3.08 on weekdays and 2.77 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 2.99 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.990.363.082.77 1.1%0 of 9068
Oct to Dec 20253.370.443.433.22 0.0%1 of 9263
Jul to Sep 20253.550.403.673.24 0.0%0 of 9263
Apr to Jun 20253.800.463.893.58 9.5%3 of 9162
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.714.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.63.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.617.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.25.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.216.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.522.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.511.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.61.8

Owners and operators

Legal business name: THE WATERS OF SMYRNA, LLC. CMS links this home to Infinity Healthcare Consulting, a group of 70 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Hall, AlanW-2 managing employeeIndividual02/21/2023

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on June 21, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on June 21, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 21, 2024: "Ensure each resident receives an accurate assessment."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on August 10, 2022: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.77 hours per resident per day, below the Tennessee average of 3.31.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Waters of Smyrna, LLC's Medicare star rating?
CMS rates The Waters of Smyrna, LLC 1 out of 5 stars overall, with 1 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 Smyrna, LLC get at its last inspection?
17 health deficiencies at the standard inspection on August 10, 2022. The Tennessee average is 4.4.
Has The Waters of Smyrna, LLC been fined?
Yes. CMS lists 1 fine totaling $97,773 in the last three years.
Does The Waters of Smyrna, 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 Smyrna, LLC?
CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: THE WATERS OF SMYRNA, LLC.

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