Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE WATERS OF SMYRNA, LLC

SMYRNA, TN · 91 certified beds · Last Life Safety survey April 14, 2025

CMS Certification Number 445502 · first certified March 2011

Ownership

Operated by INFINITY HEALTHCARE CONSULTING · For profit - Limited Liability company

  • Ownership changed August 1, 2016 (change of ownership)from CHRISTIAN CARE CENTER OF RUTHERFORD COUNTY LLC
12
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within TN

12 citations — more than 69% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 3.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to December 2028. This facility’s last Life Safety survey was April 2025. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility12TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
32018-0642019-0842022-0812025-04
Citations at each Life Safety survey
Survey dateCitations
June 13, 20183
August 7, 20194
August 10, 20224
April 14, 20251

Most-cited tags

Most-cited tags at this facility
K-09202K-05211K-07411K-05111K-03531K-02221K-09221K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.22025-04-14
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12019-08-07
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12022-08-10
K-0511Have properly installed electrical wiring and gas equipment.12019-08-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-08-10
K-0222Add 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.12018-06-13
K-0922Meet requirements for the use and maintenance of medical gas equipment.12019-08-07
K-0324Provide properly protected cooking facilities.12022-08-10

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 3
  • Egress Deficiencies 2
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies3
Egress Deficiencies2
Services Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 14, 2025 — 1 citation

Citations issued on April 14, 2025
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 6, 2025)

August 10, 2022 — 4 citations

Citations issued on August 10, 2022
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 29, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 29, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 29, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (August 29, 2022)

August 7, 2019 — 4 citations

Citations issued on August 7, 2019
TagWhat the surveyor checksStatus
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 21, 2019)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 21, 2019)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 21, 2019)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (September 21, 2019)

June 13, 2018 — 3 citations

Citations issued on June 13, 2018
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (July 28, 2018)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (July 28, 2018)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 28, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.