The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Nursing home report
THE WATERS OF JOHNSON CITY, LLC
JOHNSON CITY, TN · Medicare-certified · 84 beds
In good standing
For-profitChain member
2 of 5 overall
2 out of 5 stars overall. Staffing is a major concern with a 1-star staffing rating and 3.50 reported nurse staffing hours per resident per day, below the federal benchmark of 4.1; health inspections are 3 stars, quality measures are 4 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4963 hrs/resident/day
Quality measures
Last inspection: February 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4963.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 1.15
- Nurse aides
- 1.98
- Weekend nursing
- 3.16
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26.5%Worsening
Residents with a fall causing major injury
6.1%Improving
Residents with pressure ulcers (bedsores)
3.9%Improving
Residents with a urinary tract infection
2.5%Steady
Residents who lost too much weight
12.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
2.2%Improving
Residents whose ability to walk got worse
3.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
36.4%Improving
Short-stay residents newly given an antipsychotic
2.1%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
28.5%Improving
Residents with depressive symptoms
62.6%Improving
Long-stay residents given the seasonal flu vaccine
90.5%Steady
Long-stay residents given the pneumonia vaccine
98.8%Steady
Short-stay residents given the seasonal flu vaccine
86.3%Steady
Short-stay residents given the pneumonia vaccine
95.2%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of INFINITY HEALTHCARE CONSULTING · 70 homes · 2 stars avg
- Occupancy
- 73.8 residents on an average day (88% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 18 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.