Waters of Sweetwater a Rehabilitation & Nursing
978 Hwy 11 South, Sweetwater, TN 37874 · Monroe County · (423) 337-6631
90 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445456 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 6, 2025, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 19 health citations since October 2022, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.33 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
53.1% 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.
410/22
209/23
805/24
508/25
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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
4F
Potential for minimal harm
0A
0B
0C
August 6, 2025Standard inspection · 5 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to follow a physician's order related to monthly weight monitoring for 3 residents (Resident #32, #40, and #67) of 6 residents reviewed for weight monitoring.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure resident health information remained private and confidential for 1 resident (Resident #4) of 3 residents observed during medication administration, which had the potential to allow unauthorized individuals access to the resident's private health information.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) screen was accurate after new mental health diagnoses were identified for 2 residents (Resident #67, and #33) of 9 residents reviewed for PASARR.
- 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.
Inspectors wroteBased on facility policy review, manufacturer guidelines review, observation, and interview, the facility failed to properly store medications and biologicals in 1 of 2 medication rooms reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, and interview, the facility failed to offer hand hygiene assistance prior to meals for 3 residents (Resident #6, #16, and #77) of 2 of 4 hallways observed for meal tray distribution and staff failed to perform appropriate hand hygiene when serving residents' meal trays for 3 residents (Resident #63, #43, and #44) on 2 of 4 hallways.
May 15, 2024Standard inspection, Complaint inspection · 8 citations
- F Post nurse staffing information every day.
Inspectors wroteBased on facility policy review, record review, observation, and interview the facility failed to post accurate staffing information to reflect daily staffing levels and failed to document Registered Nurse (RN) hours.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview the facility failed to ensure food items were sealed properly, which had the potential to affect 69 of 70 residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, medical record review, review of a facility investigation, and interview the facility failed to prevent physical abuse for 1 resident (Resident #52) of 70 residents reviewed for abuse.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to identify related conditions that requires Level 2 PASRR (Preadmission Screening and Resident Review) evaluation for 1 resident (Resident #50) of 12 residents reviewed for an initial PASRR submission.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to revise a comprehensive care plan for 1 resident (Resident #44) of 19 residents reviewed for care plans.
- 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 2 of 2 dumpsters (dumpster A and B).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to obtain an updated physician order for 1 resident (Resident #44) of 19 residents reviewed for Physician's Orders.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interviews the facility failed to follow infection control practices during medication administration for 2 residents (Resident #63 and Resident #35) of 4 residents observed for medication administration.
September 7, 2023Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview the facility failed to properly store food items in 1 of 1 nourishment refrigerator which had the potential to affect 78 of 80 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, facility in-service documentation, observation, and interview the facility failed to assist or offer a resident the opportunity to perform hand hygiene before a meal on 1 of 4 hallways observed for meal service.
October 8, 2022Standard inspection · 4 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on facility policy review, review of national guidelines for Basic Life Support, medical record review, interview, and review of personnel records, the facility failed to honor resident wishes to receive Basic Life Support services (BLS, medical care requiring knowledge and skills in cardiopulmonary resuscitation [CPR] and use of an Automated External Defibrillator [AED], a portable lifesaving device designed to treat people experiencing sudden cardiac arrest) for 1 resident (Resident #65) of 8 residents reviewed for death. The facility's failure to provide basic life support for Resident #65 placed the resident in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). [...]
- J Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on facility policy review, review of national guidelines for Basic Life Support, medical record review, review of personnel files, and interview, the facility failed to follow the Quality Assurance Performance Improvement (QAPI) policy to develop corrective actions for an adverse event when Resident #65, who was a full code (a resident who is to receive basic life support [BLS] if found unresponsive or in cardiac arrest), was found unresponsive. The staff initiated cardiopulmonary resuscitation (CPR), then discontinued CPR without an order from a physician prior to EMS (Emergency Medical Services) arrival. The facility's failure placed Resident #65 in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of the facility policy, review of the facility's use by guidelines, observation, and interview, the facility failed to ensure expired foods were not available for resident consumption in 1 of 1 walk-in cooler which had the potential to affect 72 of 73 residents in the facility.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to administer an enteral feeding (liquid nutrition provided by a tube inserted into the abdomen) at the correct rate as ordered by the physician for 1 resident (Resident #11) of 1 resident reviewed for enteral feedings.
Fire safety inspections
9 fire safety citations on file: 3 on August 6, 2025, 2 on May 15, 2024, 4 on October 8, 2022.
Every fire safety citation9 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 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 Provide properly protected cooking facilities.
- D Have restrictions on the use of portable space heaters.
- F Provide a written emergency evacuation plan.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 3.33 | 3.80 | 3.86 |
| Registered nurses | 0.35 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.31 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 53.1% | 48.9% | 45.8% |
| Registered nurse turnover | 81.8% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.54 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 3.47 on weekdays and 3.00 on weekends, 14% 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 3.15 in April to June 2025 to 3.33 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 | 3.33 | 0.35 | 3.47 | 3.00 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.32 | 0.40 | 3.48 | 2.91 | 0.0% | 0 of 92 | 67 |
| Jul to Sep 2025 | 3.49 | 0.48 | 3.61 | 3.20 | 0.0% | 0 of 92 | 65 |
| Apr to Jun 2025 | 3.15 | 0.44 | 3.24 | 2.92 | 3.4% | 0 of 91 | 71 |
| 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.
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.
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 | 2.1 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 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 | 2.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.5 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 11.2 | 12.0 |
Owners and operators
Legal business name: WATERS OF SWEETWATER 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 |
|---|---|---|---|---|
| Griffin, Rita | W-2 managing employee | Individual | 03/27/2024 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 6, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on May 15, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 6, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 6, 2025: "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 3.00 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
- Wood Village Sweetwater, 2 mi · 4 of 5 stars · 4 citations
- Monroe Health and Rehabilitation Center Madisonville, 8.1 mi · 3 of 5 stars · 16 citations
- Life Care Center of Athens Athens, 11.3 mi · 2 of 5 stars · 16 citations
- NHC Healthcare, Athens Athens, 11.7 mi · 5 of 5 stars · 8 citations
- River Grove Health and Rehabilitation Loudon, 13.3 mi · 2 of 5 stars · 23 citations
- Starr Regional Health & Rehabilitation Etowah, 15.1 mi · 5 of 5 stars · 11 citations
- Etowah Health and Rehabilitation Etowah, 17.6 mi · 1 of 5 stars · 16 citations
- Decatur Wellness and Rehabilitation Center Decatur, 17.7 mi · 3 of 5 stars · 9 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 Sweetwater a Rehabilitation & Nursing's Medicare star rating?
- CMS rates Waters of Sweetwater a Rehabilitation & Nursing 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waters of Sweetwater a Rehabilitation & Nursing get at its last inspection?
- 5 health deficiencies at the standard inspection on August 6, 2025. The Tennessee average is 4.4.
- Has Waters of Sweetwater a Rehabilitation & Nursing been fined?
- CMS lists no fines in the last three years.
- Does Waters of Sweetwater a Rehabilitation & Nursing 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 Sweetwater a Rehabilitation & Nursing?
- CMS lists 1 owner or manager, and links the home to Infinity Healthcare Consulting. Legal business name: WATERS OF SWEETWATER 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.