The home failed to monitor antibiotic use properly. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
Nursing home report
The Waters of Winchester, LLC
Registered name: HERITAGE PLACE CARE & REHABILITATION LLC
WINCHESTER, TN · Medicare-certified · 132 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
1-star overall. The Waters of Winchester, LLC has the lowest overall rating, with 1 star for staffing and 2 stars for health inspections; reported nurse staffing is 3.17 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months. Quality measures are 4 stars, but recent inspection citations included antibiotic-use monitoring, infection prevention leadership, and resident activities.
Facility ratings
Health inspections
Staffing
3.1714 hrs/resident/day
Quality measures
Last inspection: April 8, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1714.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.23
- Nurse aides
- 1.61
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 73%
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
12.9%13.7%Worsening
Residents with a fall causing major injury
4.7%3%Improving
Residents with pressure ulcers (bedsores)
6.5%4.8%Improving
Residents with a urinary tract infection
4.8%3.1%Improving
Residents who lost too much weight
15.8%5.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.9%3.8%Worsening
Residents whose ability to walk got worse
—4.8%—
Long-stay residents on antianxiety or sleep medication
50.8%46.6%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.6%25.8%Worsening
Residents with depressive symptoms
77.8%81.8%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
—91.7%—
Long-stay residents given the pneumonia vaccine
48.4%40.9%Worsening
Short-stay residents given the seasonal flu vaccine
—78.9%—
Short-stay residents given the pneumonia vaccine
80.2%79.2%Worsening
What the inspectors found
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to provide activities that met all residents’ needs. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to have and follow a policy for how food brought in by family and visitors should be used and stored safely. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 813 — 42 CFR §483.60 — 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 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Sep 1, 2016
Now operated by Waters of Winchester LLC, previously Ggnsc Winchester LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of INFINITY HEALTHCARE CONSULTING · 70 homes · 2.1 stars avg
- Occupancy
- 79 residents on an average day (60% of 132 beds)
- Resident voice
- Resident council
- 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.