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CMS Nursing Home Compare · March 2026

The Waters of Roan Highlands,llc

146 Buck Creek Road, Roan Mountain, TN 37687

The Waters of Roan Highlands,llc, a 80-bed for profit - limited liability company nursing facility in Roan Mountain, TN, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. No deficiencies are on record.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4237720161

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5 / 5
Much above average · CMS overall · nat'l 3.0
3.22
Well below average · nurse hrs/day · nat'l 3.89
0
Inspection findings
$0
Federal penalties (0)

Health Inspection

5/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
445396
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
80
Residents
73
In Hospital
No
County
Carter
Last Inspection
Apr 8, 2025

Staffing Data

How the 3.22 total nursing hours per resident-day are staffed:

RN Hours
0.43 (nat'l avg: 0.68)
LPN Hours
0.93
CNA Hours
1.86
Total Nursing Hours
3.22 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
27.6%
RN Turnover
16.7%

What the CMS Record Reveals About The Waters of Roan Highlands,llc

The Waters of Roan Highlands,llc operates 80 certified beds in Roan Mountain, TN with approximately 73 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 2★ · quality 5★).

The current inspection file contains no deficiency records, a meaningful signal since the CMS survey process reliably surfaces issues when they exist. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 3.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.43 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Waters of Roan Highlands,llc falls into a category where comparative context matters. Reported nursing turnover at this facility is 27.6%, within a range generally associated with stable care teams.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History

No deficiencies on record.

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 64.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 58.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.2% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for The Waters of Roan Highlands,llc?
The Waters of Roan Highlands,llc has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at The Waters of Roan Highlands,llc?
The Waters of Roan Highlands,llc reports 3.22 total nursing hours per resident day (national average: 3.89). RN hours are 0.43 per resident day (national average: 0.68). Nursing staff turnover is 27.6%.
How many beds does The Waters of Roan Highlands,llc have?
The Waters of Roan Highlands,llc has 80 certified beds with approximately 73 residents. The facility is located at 146 Buck Creek Road, Roan Mountain, TN 37687.
Does The Waters of Roan Highlands,llc have any deficiencies on record?
The Waters of Roan Highlands,llc has no deficiencies on record from recent inspections.
Has The Waters of Roan Highlands,llc received any fines or penalties?
No, The Waters of Roan Highlands,llc has no fines or penalties on record.
Who owns The Waters of Roan Highlands,llc?
The Waters of Roan Highlands,llc is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was The Waters of Roan Highlands,llc last inspected?
The most recent health inspection for The Waters of Roan Highlands,llc was on Apr 8, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for The Waters of Roan Highlands,llc?
The Waters of Roan Highlands,llc is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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