nursing home in Ashland City, TN
The Waters of Cheatham, LLC
2501 River Road, Ashland City, TN 37015 · (615) 792-4948
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Waters of Cheatham, LLC at a glance
The Waters of Cheatham, LLC is a 80-bed for-profit nursing home in Ashland City, Tennessee (Cheatham County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (March 26, 2026) found 6 health citations. The Tennessee average is 4.4.
Federal regulators fined it 2 times in the past three years, totaling $6,350.
Nursing staff turnover is 67.5% 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
- November 1, 1993
- Resident/family council
- Resident
- County
- Cheatham County
- CMS Certification Number
- 445318
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.09 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.79 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.90 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 67.5% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 87.5% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 4 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 47 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $6,350 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 114 | 107 | |
| Average residents per day | 49 | 84 | 86 | |
| Occupancy | 61.5% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 20.2% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.8% | 1.6% | Better |
| 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) | 1.5% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 1.4% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.9% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 52% | 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) | 40.1% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.7% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 77.4% | 89.4% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 85.7% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70.4% | 79.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected April 20, 2026 |
| March 26, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected April 23, 2026 |
| March 26, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | E Potential harm, pattern | Corrected April 23, 2026 |
| March 26, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected April 23, 2026 |
| March 26, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected April 23, 2026 |
| March 26, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 23, 2026 |
| April 27, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected May 13, 2022 |
| April 27, 2022 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected June 14, 2022 |
| April 27, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 14, 2022 |
| April 27, 2022 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 | E Potential harm, pattern | Corrected June 14, 2022 |
| April 27, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 14, 2022 |
| April 27, 2022 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | E Potential harm, pattern | Corrected June 14, 2022 |
| April 27, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 14, 2022 |
| April 27, 2022 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 14, 2022 |
| April 27, 2022 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 14, 2022 |
| April 27, 2022 Standard | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected June 14, 2022 |
| October 23, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 28, 2019 |
| October 23, 2019 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected October 31, 2019 |
| October 23, 2019 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | D Potential harm, isolated | Corrected October 31, 2019 |
| October 23, 2019 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | D Potential harm, isolated | Corrected October 31, 2019 |
| October 23, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected October 24, 2019 |
| October 23, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 30, 2019 |
| October 23, 2019 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 | E Potential harm, pattern | Corrected November 12, 2019 |
| October 23, 2019 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected November 12, 2019 |
| October 23, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 12, 2019 |
| October 23, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 12, 2019 |
| October 23, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 12, 2019 |
| October 23, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 12, 2019 |
| October 23, 2019 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected November 12, 2019 |
| October 23, 2019 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected November 12, 2019 |
| October 23, 2019 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 12, 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 2 federal penalties in the past three years, including $6,350 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 23, 2023 | Fine | $2,117 |
| October 2, 2023 | Fine | $4,233 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| A&F REALTY LLC Organization | 5% or greater direct ownership interest | 20% | 08/01/2016 |
| ANDERSON, BENJAMIN Individual | w-2 managing employee | NOT APPLICABLE | 11/03/2021 |
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Frequently asked questions
What is The Waters of Cheatham, LLC's rating?
The Waters of Cheatham, LLC has 2 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 Cheatham, LLC receive?
Its most recent standard health inspection found 6 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does The Waters of Cheatham, 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 Cheatham, 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 Cheatham, LLC and how do I contact it?
The Waters of Cheatham, LLC is at 2501 River Road, Ashland City, TN 37015. Phone: (615) 792-4948.
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.