Federal inspection record · CMS data as of October 1, 2026
The Waters Of Springfield LLC
704 5th Avenue East, Springfield, TN · (615) 384-7977
- Certified beds
- 66
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- Infinity Healthcare Consulting
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 7, 2005
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
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
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.
2
Where it sits among Tennessee homes
The Waters Of Springfield LLC carries 146.5 inspection points. That is fewer than 4% 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
21 health citations on record since 2021. 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 (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation4E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights3D
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary2F
- E
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Administration1D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services1D
- D
Observe each nurse aide's job performance and give regular training.
Inspection history
2025-05-20
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-07-25
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2021-07-08
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 16 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 56% of registered nurses left in the past year, along with 4 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
$26,407 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-23 | Fine | $16,985 |
| 2023-10-19 | Fine | $9,422 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20.5 pts worse | 69.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine32 pts worse | 61.8% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms56.8 pts worse | 71.7% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts worse | 8.5% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 28.3% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts better | 13.0% | 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 worsened12.2 pts better | 3.2% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.4 pts better | 2.1% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts worse | 3.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better | 15.4% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.2% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.4 pts worse | 51.0% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.9 pts better | 6.4% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.1% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine28.3 pts worse | 50.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.2 pts worse | 33.8% | 22.6% | 23.4% |
·
Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| A&F Realty LLC | 5% Or Greater Direct Ownership Interest · Organization | 20% | 14 facilities |
| Welsh, Benton | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- D
Provide properly protected cooking facilities.
Emergency Preparedness6E
- D
Provide emergency officials' contact information.
- D
Conduct testing and exercise requirements.
- D
List the names and contact information of those in the facility.
- D
Conduct risk assessment and an All-Hazards approach.
- E
Conduct testing and exercise requirements.
- E
Develop and maintain an Emergency Preparedness Program (EP).
Egress4D
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Meet other general requirements.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have exits that are accessible at all times.
Miscellaneous2D
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Nhc Healthcare, Springfield
Springfield, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $79,346
-
Stoneridge Health Care, LLC
Goodlettsville, TN
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0
-
White House Health Care Inc
White House, TN
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- —
- Fines
- $0