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THE WATERS OF SPRINGFIELD LLC

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THE WATERS OF SPRINGFIELD LLC is a for profit - limited liability company facility in SPRINGFIELD, TN with 66 certified beds and a 4-star overall CMS rating. The facility has 19 deficiency records on file. Total penalties: $9K.

704 5TH AVENUE EAST, SPRINGFIELD, TN 37172

Phone: 6153847977

Overall Rating

4/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
445480
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
66
Residents
38
In Hospital
No
County
Robertson
Last Inspection
May 20, 2025

Staffing Data

RN Hours
0.96 (nat'l avg: 0.68)
LPN Hours
0.82
CNA Hours
1.68
Total Nursing Hours
3.46 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
61.5%
RN Turnover
44.4%

What the CMS Record Reveals About THE WATERS OF SPRINGFIELD LLC

THE WATERS OF SPRINGFIELD LLC operates 66 certified beds in SPRINGFIELD, TN with approximately 38 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (5★). 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.

The inspection file contains 19 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $9K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.46 total nursing hours per resident day (national average 3.89), with RN coverage at 0.96 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, THE WATERS OF SPRINGFIELD LLC falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 61.5%, above the level where continuity of care typically begins to suffer. 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 (19 most recent)

D — Isolated - Minimal harm May 20, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 14, 2025

E — Pattern - Minimal harm May 20, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 14, 2025

D — Isolated - Minimal harm May 20, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 14, 2025

D — Isolated - Minimal harm May 20, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jul 14, 2025

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 24, 2024

E — Pattern - Minimal harm Jul 25, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2024

F — Widespread - Minimal harm Jul 25, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 24, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Aug 24, 2024

D — Isolated - Minimal harm Oct 19, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 29, 2023

D — Isolated - Minimal harm Oct 19, 2023 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Nov 29, 2023

D — Isolated - Minimal harm Oct 19, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2023

J — Isolated - Jeopardy Oct 19, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 7, 2022

D — Isolated - Minimal harm Oct 19, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 29, 2023

D — Isolated - Minimal harm Oct 19, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 29, 2023

D — Isolated - Minimal harm Jul 8, 2021 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2021

D — Isolated - Minimal harm Jul 8, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 10, 2021

D — Isolated - Minimal harm Jul 8, 2021 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 10, 2021

D — Isolated - Minimal harm Jul 8, 2021 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 10, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.1% No
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 1.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 36.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 88.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 50.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 0.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 36.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 45.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.9% Yes

Penalty History 1 penalties totaling $9K

Date Type Amount
Oct 19, 2023 Fine $9K

Frequently Asked Questions

What is the overall CMS rating for THE WATERS OF SPRINGFIELD LLC?
THE WATERS OF SPRINGFIELD LLC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at THE WATERS OF SPRINGFIELD LLC?
THE WATERS OF SPRINGFIELD LLC reports 3.46 total nursing hours per resident day (national average: 3.89). RN hours are 0.96 per resident day (national average: 0.68). Nursing staff turnover is 61.5%.
How many beds does THE WATERS OF SPRINGFIELD LLC have?
THE WATERS OF SPRINGFIELD LLC has 66 certified beds with approximately 38 residents. The facility is located at 704 5TH AVENUE EAST, SPRINGFIELD, TN 37172.
Does THE WATERS OF SPRINGFIELD LLC have any deficiencies on record?
Yes, THE WATERS OF SPRINGFIELD LLC has 19 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has THE WATERS OF SPRINGFIELD LLC received any fines or penalties?
Yes, THE WATERS OF SPRINGFIELD LLC has received 1 penalties totaling $9K.
Who owns THE WATERS OF SPRINGFIELD LLC?
THE WATERS OF SPRINGFIELD LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was THE WATERS OF SPRINGFIELD LLC last inspected?
The most recent health inspection for THE WATERS OF SPRINGFIELD LLC was on May 20, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for THE WATERS OF SPRINGFIELD LLC?
THE WATERS OF SPRINGFIELD 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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial