Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
HERITAGE PLACE CARE & REHABILITATION LLC
WINCHESTER, TN · 132 certified beds · Last Life Safety survey April 8, 2026
CMS Certification Number 445145 · first certified June 1981
Ownership
Operated by INFINITY HEALTHCARE CONSULTING · For profit - Corporation
- Ownership changed September 1, 2016 (change of ownership)to WATERS OF WINCHESTER LLC from GGNSC WINCHESTER LLC
Position within TN
36 citations — more than 99% 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
The latest survey found 10 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens July 2027 — about 9 months from now. This facility’s last Life Safety survey was April 2026. 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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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
14 of the 36 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 36 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 23, 2019 | 7 |
| July 12, 2023 | 19 |
| April 8, 2026 | 10 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | 3 | 2026-04-08 |
| K-0222 | 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. | 2 | 2023-07-12 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 2 | 2026-04-08 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 2 | 2023-07-12 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2023-07-12 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2023-07-12 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2023-07-12 |
| K-0781 | Have restrictions on the use of portable space heaters. | 1 | 2023-07-12 |
What the citations cover
- Emergency Preparedness Deficiencies 14
- Smoke Deficiencies 8
- Egress Deficiencies 5
- Miscellaneous Deficiencies 4
- Other 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 14 |
| Smoke Deficiencies | 8 |
| Egress Deficiencies | 5 |
| Miscellaneous Deficiencies | 4 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Services Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 8, 2026 — 10 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (May 23, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (May 23, 2026) |
| K-0753 | Have restrictions on the use of highly flammable decorations. | Deficient, Provider has date of correction (May 23, 2026) |
July 12, 2023 — 19 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (August 26, 2023) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (August 26, 2023) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (August 26, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0222 | 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. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 26, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (August 26, 2023) |
October 23, 2019 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (December 3, 2019) |
| K-0222 | 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. | Deficient, Provider has date of correction (December 3, 2019) |
| K-0331 | Construct fire resistant interior walls. | Deficient, Provider has date of correction (December 3, 2019) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (December 3, 2019) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (December 3, 2019) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (December 3, 2019) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (December 3, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.