# The Waters of Roan Highlands,LLC

The Waters of Roan Highlands,LLC is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Roan Mountain, TN, CMS Certification Number 445396, with 80 certified beds and about 70 residents per day. CMS rates it 5/5 overall (health inspections 5/5, staffing 1/5, quality measures 5/5).

## Key facts
- Status: Active CMS certification
- Address: 146 Buck Creek Road, Roan Mountain, TN 37687 (Carter County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [The Waters of Roan Highlands, LLC](https://carefield.site/operator/op-the-waters-of-roan-highlands-llc)
- CMS chain: [Infinity Healthcare Consulting](https://carefield.site/chain/cms-chain-763) — 70 facilities

- Phone: 4237720161
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445396

## Inspection record
7 inspections in the CMS window (latest 2026-05-13); 5 citations (0 health, 5 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.
- 2026-05-13 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-04-08 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-04-08 — [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
- 2025-04-08 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-04-08 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity F (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: 3.18932 (state avg 3.81924, US 3.90085)
- RN: 0.31435
- Nursing staff turnover: 33.8%

## 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 2016-08-01

## Nearby nursing homes
- [Life Care Center of Banner Elk](https://carefield.site/facility/cms-345203) — 17.4 km, CMS overall 4/5

## 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=445396&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=445396&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=445396&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=445396&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=445396&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=445396&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-445396 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.