The Waters of Cheatham, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 54 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (9 vs median 5.0)
- High staff turnover (51%)
Above average in TN · Below recommended RN staffing · Chain outperformer · $6,350 in fines
What this means for your family
This facility's rehabilitation department is highly regarded and may be a good choice for short-term recovery. However, families should be aware of persistent concerns regarding facility cleanliness and responsiveness; we strongly recommend visiting in person during off-hours to observe the environment and staffing levels before making a decision.
Google Reviews
Google Reviews
54 reviews on Google“The Waters of Cheatham receives highly polarized reviews, with many families praising the therapy department and compassionate staff, while others report severe neglect and poor facility conditions. While some visitors describe a warm, family-like environment, multiple accounts highlight significant concerns regarding cleanliness, slow response times, and inadequate care for residents with complex medical or memory needs.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Compassionate and attentive nursing staff
- Strong management and professional communication
- Supportive environment for short-term rehabilitation
Concerns
- Poor facility cleanliness and persistent odors (mentioned by 5 reviewers)
- Slow response times for basic resident needs (mentioned by 3 reviewers)
- Inadequate care or neglect for high-acuity/dementia residents (mentioned by 4 reviewers)
- Building is outdated and in need of physical repairs (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 57 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I've heard wonderful things about your physical and occupational therapy teams; could you tell me more about how they work with residents during rehabilitation?
- 2What specific steps is the management team taking to address the maintenance and cleanliness of the building to ensure a fresh environment for residents?
- 3How does the nursing staff ensure that medication management is handled accurately and timely, especially during shift changes?
- 4For residents with higher care needs or dementia, what specific protocols are in place to ensure they receive attentive, personalized care throughout the day?
- 5Could you describe what a typical day looks like for residents, including meal service and any social activities available?
- 6In the event of a medical emergency after hours, what is the process for contacting physicians and ensuring immediate care is provided?
Personalized based on this facility's data
Key Review Excerpts
“My therapist, Shanice, and Jennifer, were five star. They were professional, kind, and supportive. We set up a clear goal of how to get me the place where I was ready to go home.”
“It is so old, outdated, smells horrible of urine and musty/mold. No movie channels for residents, nurses don't know medications of patients or what they are for. Random pills laying on floor.”
“Mom was here for a while, and had pretty good care. She had gotten difficult due to dementia and other memory issues, and couldn't be left on a shared room. They went out of their way to accommodate her as long as they could.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The Waters of Cheatham has 31 deficiencies across 4 surveys, with one complaint filed by a family regarding care planning delays. The facility shows recurring issues with medication management, resident assessment and care planning, and fire safety systems across multiple surveys from 2018-2023. While all deficiencies have correction dates, the pattern of repeated problems in core care areas suggests ongoing operational challenges that families should carefully consider.
Mar 26, 2026Routine14
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Apr 27, 2022Routine10
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Oct 23, 2019Routine15
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
Oct 23, 2023
$2,117
Fine
Oct 2, 2023
$4,233
Ownership & Operations
Who Operates This Facility
The Waters of Cheatham, LLC
for profit
Chain Affiliation
Infinity Healthcare Consulting
70 facilities nationwide
Chain avg rating: 2.2/5 · Rank 22 of 69
Ownership & Management
Owners
A&f Realty LLC
Owner · Organization
Gubin Enterprises Limited Partnership
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
54 reviews from families & visitors
Official Website
Visit watersofcheatham.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.