# The Waters of Union City , LLC

The Waters of Union City , LLC is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Union City, TN, CMS Certification Number 445138, with 80 certified beds and about 62 residents per day. CMS rates it 5/5 overall (health inspections 5/5, staffing 2/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 1105 Sunswept Dr, Union City, TN 38261 (Obion County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [The Waters of Union City LLC](https://carefield.site/operator/op-the-waters-of-union-city-llc)
- CMS chain: [Infinity Healthcare Consulting](https://carefield.site/chain/cms-chain-763) — 70 facilities

- Phone: 7318856400
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445138

## Inspection record
6 inspections in the CMS window (latest 2026-03-18); 15 citations (9 health, 6 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-03-18 — [K-0781](https://carefield.site/deficiency/cms-k0781) Have restrictions on the use of portable space heaters. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-18 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-18 — [F-0694](https://carefield.site/deficiency/cms-f0694) Provide for the safe, appropriate administration of IV fluids for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-18 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [F-0758](https://carefield.site/deficiency/cms-f0758) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-30 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-09-25 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-09-25 — [F-0638](https://carefield.site/deficiency/cms-f0638) Assure that each resident’s assessment is updated at least once every 3 months. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-09-25 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-09-25 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-09-25 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.50421 (state avg 3.81924, US 3.90085)
- RN: 0.61978
- Nursing staff turnover: 44.2%

## Owners and managers of record (CMS disclosures)
- [A&F Realty LLC](https://carefield.site/owner/org-a-and-f-realty-llc) — Direct owner, 20%, since 2016-09-01

## Nearby nursing homes
- [Union City Health and Rehabilitation](https://carefield.site/facility/cms-445381) — 0.3 km, CMS overall 1/5
- [Obion County Nursing Home](https://carefield.site/facility/cms-445508) — 8.3 km, CMS overall 2/5
- [Vanayer Senior Living and Rehabilitation](https://carefield.site/facility/cms-445423) — 17.1 km, CMS overall 3/5
- [Fulton Nursing and Rehabilitation, LLC](https://carefield.site/facility/cms-185047) — 17.2 km, CMS overall 1/5
- [Diversicare of Martin](https://carefield.site/facility/cms-445249) — 17.4 km, CMS overall 5/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445138&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445138&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445138&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445138&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445138&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445138&conditions%5B0%5D%5Boperator%5D=%3D

---
Source page: https://carefield.site/facility/cms-445138 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.
