The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Nursing home report
THE WATERS OF UNION CITY , LLC
UNION CITY, TN · Medicare-certified · 80 beds
In good standing
For-profitChain member
5 of 5 overall
THE WATERS OF UNION CITY, LLC has an overall 5 out of 5 stars, with strong health inspection and quality ratings, but a low 2 out of 5 staffing rating and reported nurse staffing below the federal benchmark (3.31 vs 4.1 hours per resident per day). It had $0 in fines in the last 24 months and recent inspection citations related to resident rights, psychotropic medication practices, and food handling.
Facility ratings
Health inspections
Staffing
3.3084 hrs/resident/day
Quality measures
Last inspection: January 30, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3084.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.73
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.8%Worsening
Residents with a fall causing major injury
2.2%Improving
Residents with pressure ulcers (bedsores)
2.4%Worsening
Residents with a urinary tract infection
2.2%Worsening
Residents who lost too much weight
8.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.8%Worsening
Residents whose ability to walk got worse
4.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
31.4%Improving
Short-stay residents newly given an antipsychotic
0.9%Worsening
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
26.2%Improving
Residents with depressive symptoms
57.1%Worsening
Long-stay residents given the seasonal flu vaccine
97.9%Steady
Long-stay residents given the pneumonia vaccine
98.9%Worsening
Short-stay residents given the seasonal flu vaccine
84.4%Steady
Short-stay residents given the pneumonia vaccine
84.7%Worsening
What the inspectors found
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
The nursing home failed to update each resident’s assessment at least every three months. Cited September 2019 — isolated incident, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: D
The nursing home failed to keep medication mistakes below the allowed level. Cited September 2019 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of INFINITY HEALTHCARE CONSULTING · 70 homes · 2 stars avg
- Occupancy
- 55.8 residents on an average day (70% of 80 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 45 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.