nursing home in Roan Mountain, TN
The Waters of Roan Highlands,llc
146 Buck Creek Road, Roan Mountain, TN 37687 · (423) 772-0161
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★2
- 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 Roan Highlands,llc at a glance
The Waters of Roan Highlands,llc is a 80-bed for-profit nursing home in Roan Mountain, Tennessee (Carter 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 (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 13, 2026) found 0 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 29.2% 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
- May 20, 1997
- Resident/family council
- Both
- County
- Carter County
- CMS Certification Number
- 445396
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 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 |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.3 / 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) | 3.32 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.93 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.85 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 29.2% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 0 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 114 | 107 | |
| Average residents per day | 72 | 84 | 86 | |
| Occupancy | 89.9% | 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) | 2.9% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.8% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 20.8% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 0.4% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.4% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.8% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 61.4% | 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) | 60.5% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 32.3% | 20% | 19% | Worse |
| 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) | 100% | 89.4% | 93.6% | Better |
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) | 97.2% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.5% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 0 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 13, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 8, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 15, 2025 |
| April 8, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 23, 2025 |
| April 8, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected April 25, 2025 |
| April 8, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected April 25, 2025 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| A&F REALTY LLC Organization | 5% or greater direct ownership interest | 20% | 08/01/2016 |
| CABLE, ERIKA Individual | w-2 managing employee | NOT APPLICABLE | 07/28/2019 |
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★★★★★5Much above averageLife Care Center of Elizabethton
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★★★★★3AverageIvy Hall Nursing Home
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- CMS high performer
★★★★★5Much above averageHillview Health Center
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★★★★★4Above averageHermitage Health Center
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Frequently asked questions
What is The Waters of Roan Highlands,llc's rating?
The Waters of Roan Highlands,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 Roan Highlands,llc receive?
Its most recent standard health inspection found 0 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does The Waters of Roan Highlands,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 Roan Highlands,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 Roan Highlands,llc and how do I contact it?
The Waters of Roan Highlands,llc is at 146 Buck Creek Road, Roan Mountain, TN 37687. Phone: (423) 772-0161.
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.