nursing home in Union City, TN

The Waters of Union City , LLC

1105 Sunswept Dr, Union City, TN 38261 · (731) 885-6400

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★5
  • Staffing★★★★★2
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

The Waters of Union City , LLC at a glance

The Waters of Union City , LLC is a 80-bed for-profit nursing home in Union City, Tennessee (Obion County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the Tennessee average of 3.

Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.

Its most recent standard health inspection (March 18, 2026) found 2 health citations. The Tennessee average is 4.4.

It has not received a federal fine in the past three years.

Nursing staff turnover is 42.6% per year (state average 48.9%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
80
Certified for
Medicare and Medicaid
Chain / affiliated entity
Infinity Healthcare Consulting
Medicare-certified since
January 20, 1981
Resident/family council
Both
County
Obion County
CMS Certification Number
445138

Ratings

MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 53 / 53 / 5Better
Health inspection rating ⓘ (higher is better)5 / 53 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)2 / 52.5 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53.6 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 53.6 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)4 / 53.4 / 53.3 / 5Better

Staffing

This facility3.32 hrsTennessee average3.80 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.32 hrs3.80 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.57 hrs0.60 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.74 hrs2.12 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.00 hrs3.31 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)42.6%48.9%45.8%Better
Registered nurse turnover (yearly) (lower is better)25%43.2%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility2Tennessee average4U.S. average9
Health citations in the most recent inspection: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)249Better
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)947.980.6Better

Penalties

This facility0Tennessee average1U.S. average1
Fines in the past 3 years: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$22,907$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Certified beds80114107
Average residents per day558486
Occupancy68.4%74.8%80.9%

Long-stay residents

This facility2.3%Tennessee average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.3%3.4%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.3%5%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)25.6%16.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)2.3%1.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0%0.7%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)3.3%14%13.9%Better
Long-stay residents whose walking worsened (lower is better)5%17.2%14.1%Better
Long-stay residents who lose too much weight (lower is better)11%6.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)59.5%13.8%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)28.9%31.7%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)25.5%20%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.9%94.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98.3%89.4%93.6%Better

Short-stay residents

This facility1.4%Tennessee average1.7%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Tennessee and U.S. averages
MeasureThis facilityTennessee avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.4%1.7%1.6%Better
Short-stay residents given a flu vaccine (higher is better)84.4%79.8%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)81.3%79.3%82%Average

Inspection citations

State inspectors cited this home for 9 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
March 18, 2026
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
D
Potential harm, isolated
Corrected March 20, 2026
March 18, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
D
Potential harm, isolated
Corrected March 19, 2026
March 18, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 20, 2026
March 18, 2026
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected April 20, 2026
January 30, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected January 31, 2025
January 30, 2025
Fire safety
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.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected January 31, 2025
January 30, 2025
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected January 31, 2025
January 30, 2025
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected February 3, 2025
January 30, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected February 3, 2025
January 30, 2025
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected February 3, 2025
September 25, 2019
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected September 24, 2019
September 25, 2019
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 4, 2019
September 25, 2019
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected October 4, 2019
September 25, 2019
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected October 4, 2019
September 25, 2019
Standard
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Tag F0638
D
Potential harm, isolated
Corrected October 4, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
A&F REALTY LLC
Organization
5% or greater direct ownership interest20%09/01/2016
KEELING, DAVID
Individual
w-2 managing employeeNOT APPLICABLE09/01/2019

Other nursing homes near The Waters of Union City , LLC

  1. Union City Health and Rehabilitation

    1630 E Reelfoot Ave, Union City, TN 38261 · under 1 mi

    For-profit · 115 beds · Part of The Ensign Group

    ★★★★★1Much below average
  2. Obion County Nursing Home

    1084 East County Home Road, Union City, TN 38261 · 5.2 mi

    Government · 56 beds

    ★★★★★2Below average
  3. Vanayer Senior Living and Rehabilitation

    460 Hannings Lane, Martin, TN 38237 · 10.6 mi

    For-profit · 91 beds · Part of The Ensign Group

    ★★★★★3Average
  4. Fulton Nursing and Rehabilitation, LLC

    1004 Holiday Lane, Fulton, KY 42041 · 10.7 mi

    For-profit · 60 beds · Part of Simcha Hyman & Naftali Zanziper

    ★★★★★1Much below average
  5. Diversicare of Martin

    158 Mt Pelia Rd, Martin, TN 38237 · 10.8 mi

    For-profit · 150 beds · Part of Diversicare Healthcare

    • CMS high performer
    ★★★★★5Much above average
  6. Clinton-Hickman County Nursing Facility

    366 South Washington Street, Clinton, KY 42031 · 17.2 mi

    Non-profit · 46 beds

    ★★★★★4Above average

All nursing homes in Union City, TN · Compare side by side

Frequently asked questions

What is The Waters of Union City , LLC's rating?

The Waters of Union City , LLC has 5 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.

How many inspection citations did The Waters of Union City , LLC receive?

Its most recent standard health inspection found 2 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.

Does The Waters of Union City , LLC accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns The Waters of Union City , LLC?

It is for profit - limited liability company and part of Infinity Healthcare Consulting. The ownership section on this page lists the owners and managers reported to CMS.

Where is The Waters of Union City , LLC and how do I contact it?

The Waters of Union City , LLC is at 1105 Sunswept Dr, Union City, TN 38261. Phone: (731) 885-6400.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.