Sweetwater, TN

Waters Of Sweetwater A Rehabilitation & Nursing

2-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

978 Hwy 11 South, Sweetwater, TN

(423) 337-6631

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

65

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

2002-05-01

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

0.48

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.00

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.49

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.36

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

0.39

CMS adjusted RN staffing hours

Adjusted total hours

2.86

CMS adjusted total nurse staffing hours

Case-mix index

1.67

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,864

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

Performance score

38.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9914

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.8

Baseline 21.93% · Performance 18.84% · Measure score 5.8 · Achievement 5.59 · Improvement 5.8

Healthcare-associated infections

5.88

Baseline 6.80% · Performance 6.08% · Measure score 5.88 · Achievement 5.88 · Improvement 3.52

Total nurse turnover

2.73

Baseline 75.00% · Performance 58.82% · Measure score 2.73 · Achievement 1.19 · Improvement 2.73

Adjusted total nurse staffing

0.92

Baseline 2.35 hours · Performance 2.84 hours · Measure score 0.92 · Achievement 0 · Improvement 0.92

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.33%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 80 · Observed rate 6.25% · Lower 95% interval 6.39%
Discharge to community	48.8%	50.57% 1.8 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 40.82% · Lower 95% interval 34.09%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 40 · Denominator 40
Falls with major injury	2.5%	0.77% 1.7 pts worse	Numerator 1 · Denominator 40
Discharge self-care score	41.18%	53.69% 12.5 pts worse	Numerator 14 · Denominator 34
Discharge mobility score	35.29%	50.94% 15.6 pts worse	Numerator 12 · Denominator 34
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 40 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.08%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 2.33% · Lower 95% interval 3.16%
Staff COVID-19 vaccination coverage	2.11%	8.2% 6.1 pts worse	Numerator 2 · Denominator 95
Staff flu vaccination coverage	37.23%	42% 4.8 pts worse	Numerator 35 · Denominator 94
Discharge function score	47.06%	56.45% 9.4 pts worse	Numerator 16 · Denominator 34
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	45%	25.2% 19.8 pts better	Numerator 9 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.6 About the same	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.1 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.6 0.2 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.9% 10.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.1%	94.5% 0.6 pts better	95.5% 0.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.6% 0.7 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.7% · Q3 4.7% · Q4 3.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	45.8%	11.8% 34 pts worse	11.4% 34.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.6% · Q2 61.4% · Q3 51.0% · Q4 19.6% · 4Q avg 45.8%
Percentage of long-stay residents who lose too much weight	6.9%	6.2% 0.7 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 8.0% · Q3 1.7% · Q4 0.0% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.0%	32.2% 7.2 pts better	19.6% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 28.0% · Q3 24.1% · Q4 16.7% · 4Q avg 25.0%
Percentage of long-stay residents who received an antipsychotic medication	16.7%	18.1% 1.4 pts better	16.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 11.8% · Q3 17.5% · Q4 22.2% · 4Q avg 16.7% · 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	4.8%	19.9% 15.1 pts better	16.3% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.0%	15.3% 14.3 pts better	14.9% 13.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · 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	0.4%	1.9% 1.5 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.9%	20.2% 2.3 pts better	19.8% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 25.1% · Q3 13.4% · Q4 19.5% · 4Q avg 17.9%
Percentage of long-stay residents with pressure ulcers	4.8%	5.4% 0.6 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 5.5% · Q3 6.9% · Q4 4.2% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	79.6% 19.6 pts better	81.7% 17.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 98.9% · Q4 100.0% · 4Q avg 99.2%
Percentage of short-stay residents who had an outpatient emergency department visit	19.7%	11.2% 8.5 pts worse	12.0% 7.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 20.6% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	1.6% 0.9 pts worse	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.7% · Q3 0.0% · Q4 5.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.9%	79.8% 14.1 pts better	79.7% 14.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.9%	22.2% 4.7 pts worse	23.9% 3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 26.5% · Expected 23.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-06 · Fire 2025-08-06

5 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-05-15 · Fire 2024-05-15

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2022-10-08 · Fire 2022-10-08

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-09-12

F · Potential for more than minimal harm 2025-08-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-09-12

F · Potential for more than minimal harm 2025-08-06

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-09-12

D · Potential for more than minimal harm 2024-05-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-15

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-05-30

F · Potential for more than minimal harm 2022-10-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-11-09

E · Potential for more than minimal harm 2022-10-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-09

D · Potential for more than minimal harm 2022-10-08

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 2022-11-09

D · Potential for more than minimal harm 2022-10-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-11-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-08-06

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-08-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-08-06

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-08-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-03

F · Potential for more than minimal harm 2024-05-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-06-08

F · Potential for more than minimal harm 2024-05-15

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 2024-06-08

D · Potential for more than minimal harm 2024-05-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-15

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-05-15

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-06-08

D · Potential for more than minimal harm 2024-05-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-06-08

D · Potential for more than minimal harm 2024-05-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

F · Potential for more than minimal harm 2023-09-07

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 2023-10-04

D · Potential for more than minimal harm 2023-09-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-04

D · Potential for more than minimal harm 2023-06-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-06-30

J · Immediate jeopardy 2022-10-08

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2022-11-09

J · Immediate jeopardy 2022-10-08

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-11-09

F · Potential for more than minimal harm 2022-10-08

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 2022-11-09

D · Potential for more than minimal harm 2022-10-08

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-11-09

Penalties and ownership