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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E4 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 19, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | 1 | Open → |
| Feb 23, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 20, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 20, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jul 25, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jul 25, 2024 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Oct 19, 2023 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Jul 8, 2021 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 8, 2021 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 23, 2026 | Civil money penalty (fine) | $16,985 | — | 445480|Fine|138425 |
| Oct 19, 2023 | Civil money penalty (fine) | $9,422 | — | 445480|Fine|33406 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E4 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 19, 2026 | 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 | No plan of correction Sep 14, 2026 | Complaint |
| Feb 23, 2026 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated |
“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 |
| Benton Welsh | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 5, 2020 |
| 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 |
|---|---|---|---|---|---|---|
| Nhc Healthcare, Springfield 608 8th Ave East, Springfield, TN 37172 CCN 445088 | 0.4 km | 107 | Dec 3, 2025 | 331 IJ1 harm | $79k | |
| White House Health Care Inc 2871 Highway 31w, White House, TN 37188 CCN 445513 | 17 km | 84 | Nov 19, 2025 | 26 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445480 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445480 | 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
| Corrected Feb 27, 2026 |
| Complaint |
| May 20, 2025 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| May 20, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| May 20, 2025 | 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 Jun 18, 2025 |
| May 20, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| May 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| May 20, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| May 20, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 14, 2025 |
| May 20, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 14, 2025 |
| May 20, 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 | E · Potential harm Pattern | Corrected Jul 14, 2025 |
| May 20, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 14, 2025 |
| Jul 25, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 24, 2024 |
| Jul 25, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 24, 2024 |
| Jul 25, 2024 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Jul 25, 2024 | 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 Sep 23, 2024 |
| Jul 25, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Jul 25, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Jul 25, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2024 |
| Jul 25, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Jul 25, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Jul 25, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 24, 2024 |
| Jul 25, 2024 | 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 | E · Potential harm Pattern | Past non-compliance Mar 18, 2024 | Complaint |
| Jul 25, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 24, 2024 | Complaint |
| Jul 25, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 24, 2024 |
| Jul 25, 2024 | 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 | F · Potential harm Widespread | Corrected Aug 24, 2024 |
| Oct 19, 2023 | 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 7, 2022 | Complaint |
| Oct 19, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2023 | Complaint |
| Oct 19, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2023 | Complaint |
| Oct 19, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 29, 2023 | Complaint |
| Oct 19, 2023 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 29, 2023 | Complaint |
| Oct 19, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 29, 2023 | Complaint |
| Jul 8, 2021 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Aug 20, 2021 |
| Jul 8, 2021 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Aug 20, 2021 |
| Jul 8, 2021 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 20, 2021 |
| Jul 8, 2021 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 20, 2021 |
| Jul 8, 2021 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| Jul 8, 2021 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2021 |
| Jul 8, 2021 | 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 Aug 10, 2021 |
| Jul 8, 2021 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 10, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.52 (case-mix index 1.81).
| 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 | — |
| 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 |