Waters of Bristol a Rehabilitation and Nursing — nursing home in Blountville, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 107.5 CMS, MDS-derived
CMS Certification Number: 445530
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 6, 2018
Ownership type: For profit - Limited Liability company
Operator (legal business name): Waters of Bristol a Rehabilitation & Nursing Center LLC
CMS chain: Infinity Healthcare Consulting 70 facilities
Phone: (423) 274-6191
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 26, 2025

Citations

7

3 health · 4 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E·	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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445530
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Mar 6, 2018
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 26, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 26, 2025	Health	Health Standard	1	Potential harm	—	Open →
Jun 12, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 12, 2024	Health	Health Standard	1	Potential harm	—	Open →
Mar 18, 2020	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 18, 2020	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E·	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Aug 26, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 20, 2025
Aug 26, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 20, 2025
Aug 26, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 20, 2025
Aug 26, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 11, 2025
Jun 12, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 28, 2024
Jun 12, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 29, 2024
Mar 18, 2020	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 Apr 7, 2020

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.00

State avg 3.82US avg 3.90

Registered nurse (RN)0.29

State avg 0.60US avg 0.69

Licensed practical nurse0.84

State avg 1.08US avg 0.86

Nurse aide1.86

State avg 2.14US avg 2.35

Weekend total nurse2.66

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.50 (case-mix index 1.68).

Staff turnover

Total nursing staff turnover31.6%

State avg 48.6%US avg 45.3%

Registered nurse turnover33.3%

State avg 43.2%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 26, 2025
Cycle 1 health score: 4
Total weighted score: 4

Operating entity

Waters of Bristol a Rehabilitation & Nursing Center LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Infinity Healthcare Consulting

70 facilities in 3 states. CMS chain ID 763.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

1

Organizations

0

Individuals

1

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cody Clark	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Oct 1, 2021

Same chain in Tennessee

All 69 in chain →

Facility	Beds	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	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

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2830 Highway 394, Blountville, TN 37617
ZIP: 37617
County: Sullivan County FIPS 47163
State: Tennessee
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Nhc Healthcare, Bristol 245 North Street, Bristol, VA 24201 CCN 495131	10.7 km	120	Aug 20, 2025	231 harm	$8,278
Greystone Health Care Center 181 Dunlap Road, Blountville, TN 37617 CCN 445242	12.2 km	160	Jul 22, 2026	391 harm	$15k
Life Care Center of Gray 791 Old Gray Station Road, Gray, TN 37615 CCN 445479	18.5 km	133	Jun 20, 2024	224 IJ	$10k
The Rehab Center at Bristol 301 Village Circle, Bristol, VA 24201 CCN 495425	19.1 km	90	Oct 1, 2025	451 harm	$10k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445530	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445530	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

Record-level source links for CCN 445530

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction