The Waters of Cheatham, LLC

2501 River Road · Ashland City, TN · 37015 · 6157924948

80 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 65
Federal penalties 15% 67
Trend 10% 67
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.313.48 min · 4.1 strong
RN hours / resident-day0.670.55–0.75
Weekend hours / resident-day3.00≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)2 · $6,350

Inspection citations (24 in the current record)

  • Potential for harm · D March 26, 2026

    Honor 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.

    Corrected April 23, 2026 · Resident Rights

  • Potential for harm · D March 26, 2026

    Provide activities to meet all resident's needs.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · E March 26, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 26, 2026

    Post nurse staffing information every day.

    Corrected April 23, 2026 · Nursing and Physician Services

  • Potential for harm · E March 26, 2026

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected April 23, 2026 · Administration

  • Potential for harm · F March 26, 2026

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected April 20, 2026 · Infection Control

  • Potential for harm · E April 27, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 14, 2022 · Resident Rights

  • Potential for harm · E April 27, 2022

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected June 14, 2022 · Resident Rights

  • Potential for harm · D April 27, 2022

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected June 14, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 27, 2022

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected June 14, 2022 · Resident Rights

  • Potential for harm · D April 27, 2022

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 14, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D April 27, 2022

    Ensure that residents are free from significant medication errors.

    Corrected June 14, 2022 · Pharmacy Service

  • Potential for harm · E April 27, 2022

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 14, 2022 · Pharmacy Service

  • Potential for harm · E April 27, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 14, 2022 · Nutrition and Dietary

  • Potential for harm · E April 27, 2022

    Provide and implement an infection prevention and control program.

    Corrected June 14, 2022 · Infection Control

  • Potential for harm · E October 23, 2019

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 12, 2019 · Resident Rights

  • Potential for harm · D October 23, 2019

    Assess the resident when there is a significant change in condition

    Corrected November 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 23, 2019

    Ensure each resident receives an accurate assessment.

    Corrected November 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 23, 2019

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 12, 2019 · Quality of Life and Care

  • Potential for harm · D October 23, 2019

    Provide activities to meet all resident's needs.

    Corrected November 12, 2019 · Quality of Life and Care

  • Potential for harm · D October 23, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 12, 2019 · Quality of Life and Care

  • Potential for harm · E October 23, 2019

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 12, 2019 · Pharmacy Service

  • Potential for harm · D October 23, 2019

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 23, 2019

    Provide and implement an infection prevention and control program.

    Corrected November 12, 2019 · Infection Control

Federal penalties

DateTypeAmount / length
October 23, 2023Fine$2,117
October 2, 2023Fine$4,233

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445318 · certified since November 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.