The home failed to respond appropriately to all reported abuse or neglect concerns. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: K
Nursing home report
The Waters of Smyrna Rehabilitation & Skilled Nursing Center
Registered name: THE WATERS OF SMYRNA, LLC
SMYRNA, TN · Medicare-certified · 91 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
1 of 5 stars overall, with 1-star health inspection and staffing ratings and an attention flag for the lowest overall rating. Reported nurse staffing is 2.99 hours per resident per day versus the 4.1 federal benchmark; there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9917 hrs/resident/day
Quality measures
Last inspection: April 14, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9917.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.98
- Nurse aides
- 1.65
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.5%7.1%Improving
Residents with a fall causing major injury
5.3%1.9%Improving
Residents with pressure ulcers (bedsores)
5.6%4.2%Improving
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
19.2%10.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%4.4%Improving
Residents whose ability to walk got worse
—5.6%—
Long-stay residents on antianxiety or sleep medication
15.4%29.2%Worsening
Short-stay residents newly given an antipsychotic
1.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.3%21.4%Improving
Residents with depressive symptoms
34.5%55.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—73.9%—
Short-stay residents given the pneumonia vaccine
98.9%97.1%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $97,773 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $97,773 in total fines · 1 payment denial.
- 12 days
Medicare/Medicaid payment denial
Jun 21, 2024
- $97,773
Federal fine
Jun 21, 2024
Operator & ownership
Recent ownership change · Aug 1, 2016
Now operated by The Waters of Smyrna, LLC, previously Christian Care Center of Rutherford County LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of INFINITY HEALTHCARE CONSULTING · 70 homes · 2.1 stars avg
- Occupancy
- 68.2 residents on an average day (75% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 15 years
The most recent standard health inspection was more than two years ago.
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.