Waters of McKenzie a Rehabilitation & Nursing Ctr
14510 Us-Highway 79, Mc Kenzie, TN 38201 · Carroll County · (731) 352-5317
66 certified beds, about 43 residents a day · For profit - Individual · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445357 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 17, 2025, inspectors cited 8 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 13 health citations since October 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 3.41 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
66.0% 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 13 health citations on file.
April 17, 2025Standard inspection · 8 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility document review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when 1 of 1 ice machine was observed to have a dark slimy buildup on the inner seal. The census was 46 with 44 residents receiving a tray from the kitchen.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy, medical record review, observation and interview the facility failed to ensure dignity and resident choice was met for 1 (Resident #33) of 1 sampled resident reviewed for activities of daily living.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to assess 1 of 1 resident (Resident #197) reviewed for self-administration of medication.
- 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 medical record review, observation, and interview the facility failed to implement interventions on care plan for 1 of 3 (Resident #26) sampled residents reviewed for accidents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policies, record review, observations, and interviews the facility failed to provide Oxygen therapy as ordered by the Physician for 1 of 1 (Resident #13) reviewed for Respiratory Care.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure PRN (as needed) psychotropic medications for 1 (Resident #26) of 5 sampled residents reviewed for unnecessary medications were limited to 14 days duration. The facility failed to obtain a physician's assessment or documented rationale for continued use of the medication.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to accommodate dietary preferences for 2 of 2 (Resident #33 and #42) sampled residents reviewed for dietary preferences.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, record review, observations and interviews the facility failed to ensure staff followed hand hygiene guidelines during wound care for 1 of 1 (Resident #13) reviewed for wound care.
August 3, 2022Standard inspection · 2 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to provide information regarding a resident's right to formulate an Advance Directive to residents or the residents' responsible parties for 3 of 16 sampled residents (Resident #13, #17, and #35) reviewed for Advanced Directives.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on policy review, medical record review, and interview the facility failed to ensure Physician Orders were followed for notification to the Physician for 1 of 6 sampled residents (Resident #26) reviewed for unnecessary medication.
October 10, 2019Standard inspection · 3 citations
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to document treatments and provide treatment orders for pressure ulcers for 2 of 3 (Resident #3 and #27) sampled residents reviewed with pressure ulcers.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure physician orders were followed for 1 of 5 (Resident #25) sampled residents reviewed for unnecessary medications.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure accurate documentation related to insulin administration for 1 of 5 (Resident #25) sampled residents reviewed for unnecessary medications and failed to ensure medical information was kept private and confidential for 1 of 13 (Resident #24) sampled residents.
Fire safety inspections
17 fire safety citations on file: 11 on April 17, 2025, 2 on March 4, 2025, 3 on August 3, 2022, 1 on October 10, 2019.
Every fire safety citation17 citations
- D Include a process for Emergency Preparedness collaboration.
- D Conduct testing and exercise requirements.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have simulated fire drills held at unexpected times.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have properly located and lighted "Exit" signs.
- D Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have proper medical gas storage and administration areas.
- D Have properly located and lighted "Exit" signs.
- E Install an approved automatic sprinkler system.
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) | 3.41 | 3.80 | 3.86 |
| Registered nurses | 0.30 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.31 | 3.42 |
| Nurse aides | 1.81 | ||
| Licensed practical nurses | 1.31 | ||
| Nursing staff turnover (share who left in a year) | 66.0% | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.63 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 3.53 on weekdays and 3.13 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.41 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 | 3.41 | 0.30 | 3.53 | 3.13 | 1.6% | 0 of 90 | 43 |
| Oct to Dec 2025 | 3.43 | 0.42 | 3.55 | 3.11 | 0.0% | 0 of 92 | 44 |
| Jul to Sep 2025 | 3.44 | 0.34 | 3.65 | 2.88 | 0.0% | 0 of 92 | 47 |
| Apr to Jun 2025 | 3.54 | 0.30 | 3.71 | 3.12 | 2.8% | 0 of 91 | 50 |
| 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 | 2.3 | 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 | 4.9 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.6 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.7 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.6 | 1.8 |
Owners and operators
Legal business name: WATERS OF MCKENZIE A REHABILITATION & NURSING CENTER 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 |
|---|---|---|---|---|
| Caldwell, Donna | W-2 managing employee | Individual | 06/05/2024 |
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 4 problems in this area, most recently on April 17, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 17, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- 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 17, 2025: "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 2 problems in this area, most recently on April 17, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- AHC McKenzie Mc Kenzie, 2.6 mi · 4 of 5 stars · 3 citations
- Huntingdon Health & Rehabilitation Center Huntingdon, 9.2 mi · 3 of 5 stars · 18 citations
- Hillview Community Living Center Dresden, 14.4 mi · 4 of 5 stars · 11 citations
- Weakley Rehabilitation and Nursing Center Dresden, 15.7 mi · 1 of 5 stars · 27 citations
- Life Care Center of Bruceton-Hollow Rock Bruceton, 16.3 mi · 5 of 5 stars · 14 citations
- Patriot Health and Rehabilitation Center Paris, 17.5 mi · 4 of 5 stars · 17 citations
- Henry County Health and Rehabilitation Paris, 17.5 mi · 5 of 5 stars · 9 citations
- NHC Healthcare, Milan Milan, 19.6 mi · 4 of 5 stars · 13 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 Waters of McKenzie a Rehabilitation & Nursing Ctr's Medicare star rating?
- CMS rates Waters of McKenzie a Rehabilitation & Nursing Ctr 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 Waters of McKenzie a Rehabilitation & Nursing Ctr get at its last inspection?
- 8 health deficiencies at the standard inspection on April 17, 2025. The Tennessee average is 4.4.
- Has Waters of McKenzie a Rehabilitation & Nursing Ctr been fined?
- CMS lists no fines in the last three years.
- Does Waters of McKenzie a Rehabilitation & Nursing Ctr 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 Waters of McKenzie a Rehabilitation & Nursing Ctr?
- CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: WATERS OF MCKENZIE A REHABILITATION & NURSING CENTER 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.