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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D27 | E1 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 8, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Apr 8, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jan 17, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 18, 2019 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Dec 18, 2019 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jan 9, 2019 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 9, 2019 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D27 | E1 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 8, 2026 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2026 | |
| Apr 8, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2026 | |
| Apr 8, 2026 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
70 facilities in 3 states. CMS chain ID 763.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Robin Willmore | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 1, 2016 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Waters of Clinton, LLC 220 Longmire Rd, Clinton, TN 37716 CCN 445135 | 120 | Sep 23, 2025 | 26 | — | |
| The Waters of Union City , LLC 1105 Sunswept Dr, Union City, TN 38261 CCN 445138 | 80 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Gallatin Center for Rehabilitation and Healing 438 North Water Ave, Gallatin, TN 37066 CCN 445183 | 1.3 km | 207 | Apr 24, 2025 | 38 | — | |
| Nhc Place Sumner 140 Thorne Boulevard, Gallatin, TN 37066 CCN 445519 | 8 km | 92 | Mar 19, 2026 | 8 | — | |
| Nhc Healthcare, Hendersonville 370 Old Shackle Island Rd, Hendersonville, TN 37075 CCN 445191 | 18.2 km | 122 | Mar 18, 2026 | 201 IJ | $16k | |
| Pavilion-Ths, LLC 1406 Medical Center Drive, Lebanon, TN 37087 CCN 445500 | 21 km | 60 | Jun 17, 2026 | 13 | — | |
| Cedar Creek Post Acute 2650 North Mt Juliet Road, Mount Juliet, TN 37122 CCN 445439 | 21.5 km | 106 | Jul 30, 2025 | 4211 IJ1 open | $211k | |
| Lebanon Center for Rehabilitation and Healing, LLC 731 Castle Heights Court, Lebanon, TN 37087 CCN 445268 | 22.7 km | 60 | Aug 17, 2022 | 13 | — | |
| The Mckendree Post Acute & Rehabilitation 4347 Lebanon Road, Hermitage, TN 37076 CCN 445491SFF CandidateAbuse icon | 25.8 km | 180 | Nov 20, 2025 | 583 IJ1 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445124 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445124 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 11, 2026 |
| Apr 8, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 8, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 8, 2026 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2026 |
| Apr 8, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2026 |
| Apr 8, 2026 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 8, 2026 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 8, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 8, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 8, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 8, 2026 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Jan 17, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 19, 2025 | Complaint |
| Jan 17, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2025 | Complaint |
| Jan 17, 2025 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 19, 2025 | Complaint |
| Dec 18, 2019 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 30, 2020 |
| Dec 18, 2019 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 30, 2020 |
| Dec 18, 2019 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 30, 2020 |
| Dec 18, 2019 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 30, 2020 |
| Dec 18, 2019 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 30, 2020 |
| Dec 18, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 30, 2020 |
| Dec 18, 2019 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2020 |
| Dec 18, 2019 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2020 |
| Jan 9, 2019 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 21, 2019 |
| Jan 9, 2019 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 18, 2019 |
| Jan 9, 2019 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 23, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.41 (case-mix index 1.79).
| Mar 18, 2026 |
15 |
| — |
| Heritage Place Care & Rehabilitation LLC 1360 Bypass Road, Winchester, TN 37398 CCN 445145 | 132 | Apr 8, 2026 | 42 | — |
| Agape Rehabilitation & Nursing Center, a Waters Cm 505 N Roan Street, Johnson City, TN 37604 CCN 445162 | 84 | May 19, 2026 | 10 | — |
| The Waters of Shelbyville, LLC 835 Union Street, Shelbyville, TN 37160 CCN 445171 | 96 | Feb 27, 2026 | 381 IJ | — |
| Mabry Health Care 1340 N Grundy Quarles Hwy Po Box 7, Gainesboro, TN 38562 CCN 445272 | 80 | May 6, 2026 | 21 | — |
| The Waters of Cheatham, LLC 2501 River Road, Ashland City, TN 37015 CCN 445318 | 80 | Mar 26, 2026 | 39 | $2,117 |
| Waters of Mckenzie a Rehabilitation & Nursing Ctr 14510 US-Highway 79, Mc Kenzie, TN 38201 CCN 445357 | 66 | Jun 30, 2026 | 30 | — |