The Waters of Smyrna, LLC

Nursing Home · Smyrna, TN

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number445502

Contact & location

202 Enon Springs Road East
Smyrna, TN 37167
Rutherford County
Phone
(615) 459-5600
ZIP code
37167 – all care providers

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Facility details

Certified beds
91
Residents per day
68.2 (75% occupied)
Ownership
For profit - Limited Liability company
Chain
Infinity Healthcare Consulting (69 facilities, avg 2.0★)
Medicare certified since
March 24, 2011
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 3.0
Staffing★★★★★ 1/5
State avg 2.5
Quality measures★★★★★ 3/5
State avg 3.6
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.99 (state 3.80 · U.S. 3.86)
Registered nurses (RN)
0.36 (state 0.60 · U.S. 0.69)
Licensed practical nurses
0.98 (state 1.09 · U.S. 0.86)
Nurse aides
1.65 (state 2.12 · U.S. 2.32)
Weekend total
2.77 (state 3.31 · U.S. 3.42)
Nursing staff turnover
69.3 (state 48.9 · U.S. 45.8)%
RN turnover
66.7 (state 43.2 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
August 10, 2022
Health deficiencies (last cycle)
17.0 (state 4.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
36 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2024-06-21 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-06-24
2024-06-21 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-06-24
2024-06-21 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-06-24
2024-06-21 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2024-06-21 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2024-06-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-07-08
2024-06-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2024-06-21 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2024-06-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2024-06-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-09
2023-08-15 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-07
2022-08-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2022-08-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-08-22
2019-08-07 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-02
2019-08-07 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-02
2019-08-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-02
2018-06-13 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2018-07-28
2018-06-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-07-28
2018-06-13 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-07-28
2018-06-13 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-07-28
2018-06-13 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-07-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $97,773 in fines.

DateTypeAmount
2024-06-21Payment Denial12 days payment denial
2024-06-21Fine$97,773

Ownership & management

NameRoleSince
Gubin Enterprises Limited Partnership (organization)5%+ Direct Ownership Interest · 50%
Hall, Alan (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of The Waters of Smyrna, LLC?

The Waters of Smyrna, LLC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Tennessee.

How many beds does The Waters of Smyrna, LLC have?

It has 91 certified beds and cares for about 68 residents per day.

Has The Waters of Smyrna, LLC been fined?

Yes. CMS lists 2 penalties totaling $97,773 in the last three years.

Who owns The Waters of Smyrna, LLC?

It is part of Infinity Healthcare Consulting and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Waters of Smyrna, LLC?

(615) 459-5600. The facility is located at 202 Enon Springs Road East, Smyrna, TN 37167.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.