The Waters of Smyrna, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 90 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 overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (17 vs median 5.0)
- High staff turnover (84%)
- High RN turnover (90%)
Bottom 25% in TN · Below recommended RN staffing · Very high staff turnover · Worst in INFINITY HEALTHCARE CONSULTING chain · $104,124 in fines
What this means for your family
While the facility's therapy department is frequently praised for helping patients recover, the recurring reports of severe neglect and hygiene issues are deeply concerning. If you choose this facility, you must be prepared to visit daily to advocate for your loved one's basic needs, as communication and responsiveness to call lights remain significant weaknesses.
Google Reviews
Google Reviews
90 reviews on Google“The Waters of Smyrna faces significant, recurring criticism regarding neglect, poor hygiene, and chronic understaffing that leaves residents waiting for basic assistance. While some families and recent reviewers report positive experiences with the therapy department and new administrative leadership, these are frequently overshadowed by reports of severe patient neglect, including untreated bedsores, malnutrition, and unresponsiveness to call lights. Families considering this facility should be aware of the stark divide between the positive experiences of some rehab patients and the distressing accounts of long-term care neglect.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy department
- Engaging activities for residents
- Responsive new administrative leadership
- Professional and attentive staff (noted in select positive reviews)
Concerns
- Chronic understaffing leading to neglect (mentioned by 18 reviewers)
- Unresponsive to call lights and patient needs (mentioned by 12 reviewers)
- Poor hygiene, bedsores, and lack of bathing (mentioned by 10 reviewers)
- Difficulty reaching staff via phone (mentioned by 6 reviewers)
- Poor quality and unappealing food (mentioned by 7 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 94 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed some recent feedback mentioning improvements in leadership; how has the new administrative team been working to address recent staffing and communication challenges?
- 2With the physical therapy department being a noted strength, how do you coordinate therapy schedules to ensure residents are getting the most out of their sessions?
- 3What specific steps are being taken to ensure call lights are answered promptly and that residents' personal hygiene and bathing needs are met consistently?
- 4Could you tell me more about the daily activity calendar and how you keep residents engaged throughout the week?
- 5How does the nursing team manage medication administration and what is the protocol for handling medical emergencies during the night shift?
- 6We want to make sure our loved one is eating well; could you describe the meal planning process and how you ensure food quality and variety?
Personalized based on this facility's data
Key Review Excerpts
“The CNA’s are stretched very thin and are expected to cover a lot of ground which causes lots of problems. Like patients wandering the hall and going into other patients rooms.”
“The most impressive thing to me was the Therapy team. They worked with her to gain strength back in her leg and had her up walking with her walker in no time.”
“My mother was sent there to rehab her legs now she not only can't use her legs, she is now living with a huge bed sore and can't even walk or put weight on her legs.”
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 needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
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
This facility has serious concerns with repeated protection from abuse and neglect issues, including multiple family-filed complaints in 2024 that resulted in deficiencies for physical restraints, inadequate abuse response, and staffing problems. The most recurring problems involve protection from harm, nursing care quality, and medication management, with issues appearing across multiple years suggesting persistent challenges despite reported corrections.
Apr 14, 2025Complaint2
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jun 21, 2024Complaint10
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 15, 2023Complaint1
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.
Aug 10, 2022Routine21
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
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.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Aug 7, 2019Routine7
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Jun 13, 2018Routine8
Environmental Deficiencies
Keep all essential equipment working safely.
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
Assist a resident in gaining access to vision and hearing services.
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
Dispose of garbage and refuse properly.
Egress Deficiencies
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.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Jun 21, 2024
$97,773
Payment Denial
Jun 21, 2024
12-day denial
Ownership & Operations
Who Operates This Facility
The Waters of Smyrna, LLC
for profit
Chain Affiliation
Infinity Healthcare Consulting
70 facilities nationwide
Chain avg rating: 2.2/5 · Rank 51 of 69 (Worst)
Ownership & Management
Owners
Gubin Enterprises Limited Partnership
Owner · Organization
Blisko, Michael
Owner
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
90 reviews from families & visitors
Official Website
Visit watersofsmyrna.com
Medicare data downloads
Original nursing home datasets
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