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THE WATERS OF WINCHESTER, LLC

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THE WATERS OF WINCHESTER, LLC is a for profit - limited liability company facility in WINCHESTER, TN with 132 certified beds and a 4-star overall CMS rating. The facility has 4 deficiency records on file. Total penalties: $19K.

1360 BYPASS ROAD, WINCHESTER, TN 37398

Phone: 9319677082

Overall Rating

4/5

Health Inspection

5/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
445145
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
132
Residents
75
In Hospital
No
County
Franklin
Last Inspection
Jul 12, 2023

Staffing Data

RN Hours
0.33 (nat'l avg: 0.68)
LPN Hours
1.36
CNA Hours
2.10
Total Nursing Hours
3.79 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
40.8%
RN Turnover
75.0%

What the CMS Record Reveals About THE WATERS OF WINCHESTER, LLC

THE WATERS OF WINCHESTER, LLC operates 132 certified beds in WINCHESTER, TN with approximately 75 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 (5★), staffing levels (1★), and quality measures (4★). 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 4 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $19K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.79 total nursing hours per resident day (national average 3.89), with RN coverage at 0.33 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 WINCHESTER, 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 40.8%, within a range generally associated with stable care teams. 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 (4 most recent)

D — Isolated - Minimal harm Jul 12, 2023 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Aug 7, 2023

D — Isolated - Minimal harm Sep 6, 2018 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 12, 2018

D — Isolated - Minimal harm Sep 6, 2018 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 12, 2018

D — Isolated - Minimal harm Sep 6, 2018 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: Oct 12, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 4.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 12.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 75.2% 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 5.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 61.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 49.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 91.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 78.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 8.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.3% Yes

Penalty History 3 penalties totaling $19K

Date Type Amount
Jul 12, 2023 Fine $6K
Jul 12, 2023 Fine $7K
Jul 12, 2023 Fine $7K

Frequently Asked Questions

What is the overall CMS rating for THE WATERS OF WINCHESTER, LLC?
THE WATERS OF WINCHESTER, LLC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (5★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at THE WATERS OF WINCHESTER, LLC?
THE WATERS OF WINCHESTER, LLC reports 3.79 total nursing hours per resident day (national average: 3.89). RN hours are 0.33 per resident day (national average: 0.68). Nursing staff turnover is 40.8%.
How many beds does THE WATERS OF WINCHESTER, LLC have?
THE WATERS OF WINCHESTER, LLC has 132 certified beds with approximately 75 residents. The facility is located at 1360 BYPASS ROAD, WINCHESTER, TN 37398.
Does THE WATERS OF WINCHESTER, LLC have any deficiencies on record?
Yes, THE WATERS OF WINCHESTER, LLC has 4 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has THE WATERS OF WINCHESTER, LLC received any fines or penalties?
Yes, THE WATERS OF WINCHESTER, LLC has received 3 penalties totaling $19K.
Who owns THE WATERS OF WINCHESTER, LLC?
THE WATERS OF WINCHESTER, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was THE WATERS OF WINCHESTER, LLC last inspected?
The most recent health inspection for THE WATERS OF WINCHESTER, LLC was on Jul 12, 2023. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for THE WATERS OF WINCHESTER, LLC?
THE WATERS OF WINCHESTER, 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