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Nursing HomeMedicaid Top Rated

The Waters of Roan Highlands,llc

Strong Medicare quality ratings; families often praise attentive and professional physical therapy team. Still worth an in-person visit.

146 Buck Creek Road, Roan Mountain, TN 3768780 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 17 Google reviews

5
4
3
2
1
The Waters of Roan Highlands,llc Nursing Home in Roan Mountain, TN — Street View
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What this means for your family

The facility is highly regarded for its physical therapy and proactive communication with families. However, given the conflicting reports regarding resident hygiene and staffing in the memory care unit, we strongly recommend scheduling an unannounced visit to observe the environment firsthand.

Google Reviews

Google Reviews

17 reviews on Google
The Waters of Roan Highlands receives praise for its dedicated physical therapy team and caring staff in the memory care unit, with several family members noting proactive communication regarding resident health. However, concerns exist regarding staffing levels and the physical appearance of the memory care unit, with some visitors reporting issues with resident hygiene and over-medication.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean4.0Activities9.0Meds2.0Memory6.0Comms9.0ValueN/A

Strengths

  • Attentive and professional physical therapy team
  • Proactive communication with families
  • Kind and caring nursing and CNA staff

Concerns

  • Understaffing in memory care (mentioned by 2 reviewers)
  • Poor resident hygiene and over-medication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'18(2)5.05.0'21(2)4.65.0'23(1)5.01.0'25(1)5.0'26(1)

Distribution · 20 analyzed

5
17
4
1
3
0
2
1
1
1

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the high CMS health inspection rating, what specific protocols do you have in place to maintain that level of excellence in daily resident hygiene?
  • 2I noticed your team is very proactive in communicating with families; what is the best way for us to stay updated on our loved one's medication management and any adjustments to their care plan?
  • 3With your physical therapy team being so highly regarded, how do you integrate their services into the daily routines of residents who need extra support?
  • 4I see that staffing levels can be a challenge in the industry; could you walk me through how you ensure consistent attention and support for residents, particularly in the memory care unit?
  • 5We appreciate that you take the time to respond to feedback online; how do you use input from families to improve the daily life and activity programming for residents?
  • 6In terms of medical oversight, what is your process for monitoring and reviewing medications to ensure residents are receiving the most appropriate care?

Personalized based on this facility's data


Key Review Excerpts

My mother is a patient in the memory unit and I cannot express enough how much I appreciate the staff there. They all are very caring and always call me of any changes with her.

Memory care family member · 2023★★★★★

The staff s kind and caring although understaffed. The interaction with residents show that they do love and respect the residents.

Memory care family member · 2022★★★★

Visited a friend in memory care unit. He was disheveled, unshaved and hardly able to function because he had been medicated. Place is drab brown, very small area for visiting.

Memory care family member · 2022★★☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
55%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
25%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility64.1%
Worse than Avg
Here
64.1%
US
12.1%
TN
12.9%
Carter
13.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility58.6%
Worse than Avg
Here
58.6%
US
19.5%
TN
31.9%
Carter
37.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
19.4%
TN
20.1%
Carter
18.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
15.3%
TN
18.5%
Carter
12.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
14.4%
TN
14.6%
Carter
13.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TN
89.5%
Carter
95.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TN
79.4%
Carter
82.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
79.8%
TN
79.8%
Carter
79.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Carter
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (5.9)
Clean record — no deficiencies

The Waters of Roan Highlands has a relatively clean inspection record with only 5 deficiencies found across 2 surveys, all related to building safety and maintenance rather than direct patient care. The main issues involved fire safety systems, electrical equipment maintenance, and emergency power generation. All deficiencies have been corrected by the facility, with the most recent issues from 2025 already addressed and an earlier fire safety concern from 2019 also resolved.

Apr 8, 2025Routine
4
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

May 21, 2019Routine
1
0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Waters of Roan Highlands,llc

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 1 of 69 (Best)

Ownership & Management

Owners

A&f Realty LLC

Owner · Organization

20%

Gubin Enterprises Limited Partnership

Owner · Organization

40%

Key personnel

Cable, ErikaW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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