Nursing HomeInspections

The Waters of Cheatham, LLC

Nursing home in Ashland City, TN

Medicare & Medicaid certified2★ overall (CMS)

Call (615) 792-4948Send a messageMap ↗

Public-record details

Address
2501 River Road, Ashland City, TN 37015
Phone
(615) 792-4948
Listed under
For-profit
Medicare CCN
445318
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
80
Average residents per day
49
Ownership
For-profit, limited Liability company
Chain
Infinity Healthcare Consulting (69 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445318. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 23, 2019 to Mar 26, 2026): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 26, 2026Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide activities to meet all resident's needs.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 26, 2026Post nurse staffing information every day.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Mar 26, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
E
Potential for more than minimal harm, pattern
Mar 26, 2026Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control
F
Potential for more than minimal harm, widespread
Apr 27, 2022Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Apr 27, 2022Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 27, 2022Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 27, 2022Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 27, 2022Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
E
Potential for more than minimal harm, pattern
Apr 27, 2022Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $6,350 in the last three years.

Oct 23, 2023Fine: $2,117
Oct 2, 2023Fine: $4,233

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.09 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
1.79 hours
Total nurse staffing on weekends
2.90 hours
Nursing staff turnover (yearly)
68%
RN turnover (yearly)
88%
Administrators who left in the past year
4

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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