The Waters of Smyrna, LLC
202 Enon Springs Road East · Smyrna, TN · 37167 · 6154595600
91 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $97,773 |
Inspection citations (36 in the current record)
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Immediate jeopardy · K June 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 21, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 21, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected July 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 21, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 9, 2024 · Quality of Life and Care
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Potential for harm · F June 21, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 9, 2024 · Nursing and Physician Services
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Potential for harm · F June 21, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected July 9, 2024 · Nursing and Physician Services
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Potential for harm · F June 21, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 8, 2024 · Nutrition and Dietary
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Potential for harm · F August 15, 2023 · found via complaint
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 September 7, 2023 · Resident Rights
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Potential for harm · D August 10, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 22, 2022 · Resident Rights
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Potential for harm · D August 10, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 22, 2022 · Resident Rights
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Potential for harm · D August 10, 2022
Keep residents' personal and medical records private and confidential.
Corrected August 22, 2022 · Resident Rights
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Potential for harm · D August 10, 2022
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 August 22, 2022 · Resident Rights
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Potential for harm · D August 10, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 22, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 10, 2022
Respond appropriately to all alleged violations.
Corrected August 22, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 10, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 22, 2022 · Resident Assessment and Care Planning
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Potential for harm · E August 10, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 22, 2022 · Quality of Life and Care
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Potential for harm · D August 10, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 22, 2022 · Quality of Life and Care
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Potential for harm · D August 10, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2022 · Quality of Life and Care
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Potential for harm · D August 10, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2022 · Quality of Life and Care
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Potential for harm · D August 10, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 22, 2022 · Quality of Life and Care
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Potential for harm · D August 10, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected August 22, 2022 · Nursing and Physician Services
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Potential for harm · D August 10, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 22, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2024 | Fine | $97,773 |
| June 21, 2024 | Payment Denial | 12 days |
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 445502 · certified since March 24, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.