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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E2 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 27, 2026 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Feb 27, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Nov 29, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 6, 2019 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Nov 6, 2019 | Health | Health Standard | 4 | Immediate jeopardy | — | Open → |
| Dec 5, 2018 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 5, 2018 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E2 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 27, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 | |
| Feb 27, 2026 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 | |
| Feb 27, 2026 | E-0015 |
“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% | Aug 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% | Aug 1, 2016 |
| Thomas Tackett | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 16, 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 |
|---|---|---|---|---|---|---|
| Lynchburg Nursing Center 40 Nursing Home Road, Lynchburg, TN 37352 CCN 445279 | 23.7 km | 88 | Dec 4, 2025 | 8 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445171 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445171 | 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
| Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness |
| D · Potential harm Isolated |
| Corrected Apr 9, 2026 |
| Feb 27, 2026 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 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 9, 2026 |
| Feb 27, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 2026 | 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 Apr 9, 2026 |
| Feb 27, 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 Apr 9, 2026 |
| Feb 27, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2026 |
| Feb 27, 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 9, 2026 |
| Nov 29, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 11, 2024 | Complaint |
| Nov 29, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 11, 2024 | Complaint |
| Nov 6, 2019 | 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 | J · Immediate jeopardy Isolated | Past non-compliance Aug 20, 2019 |
| Nov 6, 2019 | 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 Dec 18, 2019 |
| Nov 6, 2019 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2019 |
| Nov 6, 2019 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2019 |
| Nov 6, 2019 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2019 |
| Nov 6, 2019 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2019 |
| Nov 6, 2019 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2019 |
| Nov 6, 2019 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2019 |
| Nov 6, 2019 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 9, 2019 |
| Nov 6, 2019 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 9, 2019 |
| Nov 6, 2019 | 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 | E · Potential harm Pattern | Corrected Dec 9, 2019 |
| Dec 5, 2018 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 15, 2019 |
| Dec 5, 2018 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2019 |
| Dec 5, 2018 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2019 |
| Dec 5, 2018 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2019 |
| Dec 5, 2018 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2019 |
| Dec 5, 2018 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.43 (case-mix index 1.82).
| Sep 23, 2025 |
26 |
| — |
| The Waters of Union City , LLC 1105 Sunswept Dr, Union City, TN 38261 CCN 445138 | 80 | 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 | — |
| 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 | — |