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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E· | 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 | |
|---|---|---|---|---|---|---|
| Mar 18, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 18, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jan 30, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 25, 2019 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 25, 2019 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E· | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 18, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2026 | |
| Mar 18, 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 Mar 19, 2026 | |
| Mar 18, 2026 | F-0694 |
“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 |
|---|---|---|---|---|---|
| A&F Realty LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| A&F Realty LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2016 |
| David Keeling | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 1, 2019 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Waters of Gallatin 555 East Bledsoe Street, Gallatin, TN 37066 CCN 445124 | 124 | Apr 8, 2026 | 28 | — | |
| The Waters of Clinton, LLC 220 Longmire Rd, Clinton, TN 37716 CCN 445135 | 120 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Union City Health and Rehabilitation 1630 E Reelfoot Ave, Union City, TN 38261 CCN 445381 | 0.3 km | 115 | Aug 21, 2025 | 101 IJ | $10k | |
| Obion County Nursing Home 1084 East County Home Road, Union City, TN 38261 CCN 445508 | 8.3 km | 56 | Feb 19, 2026 | 241 IJ1 harm | $24k | |
| Vanayer Senior Living and Rehabilitation 460 Hannings Lane, Martin, TN 38237 CCN 445423 | 17.1 km | 91 | Nov 21, 2025 | 91 harm | $8,589 | |
| Fulton Nursing and Rehabilitation, LLC 1004 Holiday Lane, Fulton, KY 42041 CCN 185047 | 17.2 km | 60 | Jun 4, 2026 | 26 | — | |
| Diversicare of Martin 158 Mt Pelia Rd, Martin, TN 38237 CCN 445249 | 17.4 km | 150 | Jun 24, 2026 | 16 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445138 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445138 | 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
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Apr 20, 2026 |
| Mar 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 20, 2026 |
| Jan 30, 2025 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 30, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 30, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 30, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 3, 2025 |
| Jan 30, 2025 | 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 Feb 3, 2025 |
| Sep 25, 2019 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 24, 2019 |
| Sep 25, 2019 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 4, 2019 |
| Sep 25, 2019 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 4, 2019 |
| Sep 25, 2019 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 4, 2019 |
| Sep 25, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 4, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.73 (case-mix index 1.80).
| Sep 23, 2025 |
26 |
| — |
| 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 | — |