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The Waters Of Smyrna, LLC

202 Enon Springs Road East, Smyrna, TN 371676154595600Ownership: For profit - Limited Liability companyCertified beds: 91Avg. daily residents: 68Chain: Infinity Healthcare Consulting (69 facilities)County: Rutherford
Health inspection overdue — CMS reports the most recent standard inspection is older than its normal cycle.

The complete public record on The Waters Of Smyrna, LLC, a Medicare & Medicaid–certified nursing home in Smyrna, Tennessee, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Tennessee average: 3.0 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
The Waters Of Smyrna, LLC holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 69% is well above the Tennessee average of 49%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $97,773 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

2.99 total nurse staff hours per resident per day
below the state average (3.80)
0.36 RN hours per resident per day
below the state average (0.60)
2.77 weekend nurse staff hours per resident per day
69.3% total nursing staff turnover
above the state average (48.9)
66.7% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

August 10, 2022 most recent standard health inspection
17 health deficiencies cited in the most recent inspection cycle
above the state average (4.7)
14 health deficiencies in the two prior cycles combined
$97,773 in federal fines across 1 penalty (last 3 years)
above the state average ($24,364)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

36 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 21, 20240600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintK · Immediate jeopardy
June 21, 20240610Respond appropriately to all alleged violations. ComplaintK · Immediate jeopardy
June 21, 20240604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. ComplaintJ · Immediate jeopardy
June 21, 20240725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintF · Potential for more than minimal harm
June 21, 20240726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… ComplaintF · Potential for more than minimal harm
June 21, 20240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… ComplaintF · Potential for more than minimal harm
June 21, 20240609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintE · Potential for more than minimal harm
June 21, 20240641Ensure each resident receives an accurate assessment. ComplaintD · Potential for more than minimal harm
June 21, 20240656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
June 21, 20240684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.