Clinton, TN

The Waters Of Clinton, LLC

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

220 Longmire Rd, Clinton, TN

(865) 457-6925

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

93

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1980-10-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

70 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

1.84

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.15

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

2.73

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

2.70

CMS adjusted total nurse staffing hours

Case-mix index

1.60

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

15%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,359

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.48

Composite VBP score used to determine payment impact.

Payment multiplier

0.9899

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

0

Baseline 6.42% · Performance 10.69% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

10

Baseline 52.38% · Performance 22.03% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0.94

Baseline 2.25 hours · Performance 2.76 hours · Measure score 0.94 · Achievement 0 · Improvement 0.94

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.79%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 17.39% · Lower 95% interval 7.72%
Discharge to community	52.58%	50.57% 2 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 51.43% · Lower 95% interval 39.88%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 30 · Denominator 30
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 30
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 30 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	10.69%	7.12% 3.6 pts worse	No Different than the National Rate · Eligible stays 29 · Observed rate 31.03% · Lower 95% interval 5.79%
Staff COVID-19 vaccination coverage	2.13%	8.2% 6.1 pts worse	Numerator 2 · Denominator 94
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.6 0.6 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	89.9% 2.5 pts better	93.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 97.3% · Q3 89.3% · Q4 89.3% · 4Q avg 92.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.6%	3.6% 3 pts worse	3.3% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 6.8% · Q3 3.6% · Q4 5.3% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	62.5%	11.8% 50.7 pts worse	11.4% 51.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 61.2% · Q2 71.0% · Q3 59.2% · Q4 59.2% · 4Q avg 62.5%
Percentage of long-stay residents who lose too much weight	5.8%	6.2% 0.4 pts better	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.9% · Q3 5.6% · Q4 7.8% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	32.2% 1.5 pts better	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 34.4% · Q3 31.0% · Q4 22.7% · 4Q avg 30.7%
Percentage of long-stay residents who received an antipsychotic medication	19.6%	18.1% 1.5 pts worse	16.7% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 23.3% · Q3 17.8% · Q4 19.1% · 4Q avg 19.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.3%	19.9% 4.6 pts better	16.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 10.9% · Q3 21.4% · Q4 12.1% · 4Q avg 15.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.5%	15.3% 9.8 pts better	14.9% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 11.7% · Q3 1.4% · Q4 0.0% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	1.9% 1.6 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.8%	20.2% 1.4 pts better	19.8% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 18.9% · Q3 21.8% · Q4 17.9% · 4Q avg 18.8%
Percentage of long-stay residents with pressure ulcers	5.1%	5.4% 0.3 pts better	5.1% About the same	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.7% · Q3 4.6% · Q4 3.0% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.8%	79.6% 11.8 pts worse	81.7% 13.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 66.9% · Q3 69.2% · Q4 65.3% · 4Q avg 67.8%
Percentage of short-stay residents who had an outpatient emergency department visit	7.3%	11.2% 3.9 pts better	12.0% 4.7 pts better	Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.7% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.2%	1.6% 1.6 pts worse	1.6% 1.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.6% · Q3 4.7% · Q4 1.5% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	61.8%	79.8% 18 pts worse	79.7% 17.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 61.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	11.7%	22.2% 10.5 pts better	23.9% 12.2 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.5% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-23 · Fire 2022-04-26

7 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2022-04-26 · Fire 2020-02-25

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-02-25 · Fire 2019-01-09

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-09-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-09-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-09-24

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-07

D · Potential for more than minimal harm 2022-04-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-06-10

F · Potential for more than minimal harm 2020-02-25

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-03-31

F · Potential for more than minimal harm 2020-02-25

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2020-03-31

D · Potential for more than minimal harm 2020-02-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-03-31

D · Potential for more than minimal harm 2020-02-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-03-31

D · Potential for more than minimal harm 2020-02-25

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2020-03-31

E · Potential for more than minimal harm 2019-01-09

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2019-02-04

D · Potential for more than minimal harm 2019-01-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-02-04

D · Potential for more than minimal harm 2019-01-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-02-04

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-23

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-17