Federal inspection record · CMS data as of October 1, 2026
The Waters of Maryville
936 Epworth Road, Maryville, TN · (865) 984-1660
- Cited for abuse (CMS abuse icon)
- Certified beds
- 181
- Residents per day
- 100
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Tennessee homes
The Waters of Maryville carries 64 inspection points. That is fewer than 18% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care7D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Report COVID19 data to residents and families.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-01-14
8 health deficiencies · 19 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2022-09-14
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2019-08-28
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 36 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 60% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-14 | Fine | $10,868 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine24.7 pts worse | 64.8% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 86.5% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.1 pts worse | 33.0% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 2.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.9 pts better | 20.8% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts worse | 17.4% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened15.4 pts better | 0.0% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.3 pts better | 1.2% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.7 pts worse | 27.7% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts better | 1.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine30 pts worse | 49.4% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse | 12.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse | 3.1% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine39.6 pts worse | 39.6% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts better | 16.6% | 22.6% | 23.4% |
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Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness10D
- D
Develop a communication plan.
- D
List the names and contact information of those in the facility.
- D
Provide emergency officials' contact information.
- D
Provide primary/alternate means for communication.
- D
Establish emergency prep training and testing.
- D
Establish staff and initial training requirements.
- D
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Implement emergency and standby power systems.
- D
Conduct risk assessment and an All-Hazards approach.
Smoke8F
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
Services5F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
- D
Have properly installed electrical wiring and gas equipment.
- D
Have elevators that firefighters can control in the event of a fire.
- E
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Provide a written emergency evacuation plan.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
Ocoee Transitional Care Center LLC
Maryville, TN · Twin Rivers Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Fairpark Health And Rehabilitation
Maryville, TN · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 48 min
- Fines
- $0
-
Shannondale Of Maryville Health Care Center
Maryville, TN · Covenant Living
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0