The Waters of Union City , LLC
1105 Sunswept Dr, Union City, TN 38261
The Waters of Union City , LLC, a 80-bed for profit - limited liability company nursing facility in Union City, TN, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #43 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
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: 7318856400
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #43 of 300
- In-state rank among rated TN homes
- 3.32
- Below average · nurse hrs/day · nat'l 3.86
- 9
- Inspection findings
The verdict
The Waters of Union City , LLC, a 80-bed for profit - limited liability company nursing facility in Union City, TN, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #43 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 5 / 5
- CMS overall · national 3.0
- #43 of 300
- In-state rank among rated TN homes
- 3.32
- Nurse hrs/resident-day · national 3.86
- 9
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 303 TN nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 445138
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 80
- Residents
- 55
- In Hospital
- No
- County
- Obion
- Last Inspection
- Mar 18, 2026
Staffing Data
How the 3.32 total nursing hours per resident-day are staffed:
- RN Hours
- 0.57 (nat'l avg: 0.69)
- LPN Hours
- 1.01
- CNA Hours
- 1.74
- Total Nursing Hours
- 3.32 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 42.6%
- RN Turnover
- 25.0%
What the CMS Record Reveals About The Waters of Union City , LLC
According to CMS Nursing Home Compare, The Waters of Union City , LLC ranks #43 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Waters of Union City , LLC operates 80 certified beds in Union City, TN with approximately 55 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 2★ · quality 4★).
The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.32 total nursing hours (national average 3.86) and 0.57 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Waters of Union City , LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 42.6% (CMS payroll-based measure).
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (9 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 20, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 20, 2026
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: Feb 3, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 3, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Feb 3, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 4, 2019
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Oct 4, 2019
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Oct 4, 2019
Assure that each resident’s assessment is updated at least once every 3 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 4, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.3% | 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 | 2.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 11.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 59.5% | 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 | 98.3% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 28.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 81.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 84.4% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Waters of Union City , LLC, both outside TN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside TN (80 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside TN (2.67 here).
Nearby Nursing Homes in TN
302 other nursing homes are on record in TN; 6 are shown here.
Abundant Christian Living Community Rehabilitation
Johnson City, TN
Adamsplace, LLC
Murfreesboro, TN
Adamsville Healthcare and Rehabilitation Center
Adamsville, TN
Advanced Health Care of Nashville
Nashville, TN
Agape Rehabilitation & Nursing Center, a Waters Cm
Johnson City, TN
Ahava Healthcare of Clarksville
Clarksville, TN
Understanding Nursing Home Data
What the CMS records show for The Waters of Union City , LLC
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
- Peer homes near 80 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for The Waters of Union City , LLC?
Where does The Waters of Union City , LLC rank among nursing homes in TN?
What are the staffing levels at The Waters of Union City , LLC?
How many beds does The Waters of Union City , LLC have?
Does The Waters of Union City , LLC have any deficiencies on record?
Has The Waters of Union City , LLC received any fines or penalties?
Who owns The Waters of Union City , LLC?
When was The Waters of Union City , LLC last inspected?
What quality measures are tracked for The Waters of Union City , LLC?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
