Nursing HomeInspections

The Waters of Smyrna, LLC

Nursing home in Smyrna, TN

Medicare & Medicaid certified1★ overall (CMS)

Call (615) 459-5600Send a messageMap ↗

Public-record details

Address
202 Enon Springs Road East, Smyrna, TN 37167
Phone
(615) 459-5600
Listed under
For-profit
Medicare CCN
445502
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
91
Average residents per day
68
Ownership
For-profit, limited Liability company
Chain
Infinity Healthcare Consulting (69 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 24, 2011
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 445502. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 10, 2022. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 13, 2018 to Jun 21, 2024): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 21, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 21, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 21, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 21, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 21, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 21, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 21, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 21, 2024Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Jun 21, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		K
Immediate jeopardy, pattern
Jun 21, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		K
Immediate jeopardy, pattern
Aug 15, 2023Honor 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 · complaint inspection		F
Potential for more than minimal harm, widespread
Aug 10, 2022Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 36. 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 1 fine totalling $97,773 and 1 denial of Medicare payment for new admissions in the last three years.

Jun 21, 2024Fine: $97,773
Jun 21, 2024Payment denial for 12 days from Jun 27, 2024

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
2.99 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
1.65 hours
Total nurse staffing on weekends
2.77 hours
Nursing staff turnover (yearly)
69%
RN turnover (yearly)
67%
Administrators who left in the past year
2

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.

Other nursing homes in Smyrna

Smyrna Care Center200 Mayfield Drive · Smyrna, TN 37167 · (615) 355-0350 · For-profit30 health citations in 3 inspection cycles · last standard inspection Feb 26, 2020 · $174,615 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Smyrna →