The Waters of Springfield LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 46 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)
- High staff turnover (62%)
Above average in TN · Meets national RN staffing standard · Chain outperformer · $9,422 in fines
What this means for your family
While the facility has received high praise recently for its physical therapy and compassionate staff, the history of serious medication errors and neglect is concerning. We strongly recommend that you visit frequently, especially during off-hours, and maintain a very active role in monitoring your loved one's medication administration and daily hygiene.
Google Reviews
Google Reviews
46 reviews on Google“The Waters of Springfield receives highly polarized feedback, with many recent reviewers praising the compassionate staff and effective physical therapy programs. However, a significant number of families and former patients report serious concerns regarding medication management, neglect, and poor communication from administrative personnel. Prospective families should be aware of these inconsistencies in care quality, which appear to vary significantly depending on the specific staff on duty.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy programs
- Compassionate and attentive nursing staff
- Clean, homelike facility environment
Concerns
- Medication errors and missed doses (mentioned by 2 reviewers)
- Neglect and lack of basic patient hygiene (mentioned by 3 reviewers)
- Poor communication and dishonesty from administration (mentioned by 4 reviewers)
- Understaffing leading to slow response times (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that staffing levels are a primary focus for your team, what specific protocols are in place to ensure that residents receive timely assistance when they press their call lights?
- 2I noticed some concerns regarding medication management in the community; could you walk me through your current process for double-checking dosages and ensuring no doses are missed?
- 3How does your leadership team ensure consistent and transparent communication with families regarding changes in a resident's health or care plan?
- 4With hygiene and personal care being so important to our family, what is your daily routine for ensuring residents are assisted with grooming and cleanliness?
- 5I see that your physical therapy program is highly regarded; how do you integrate those therapy goals into the resident's daily life and activities to keep them engaged?
- 6I noticed your team has started responding to some online feedback; how do you use that family input to make tangible improvements to the care provided here?
Personalized based on this facility's data
Key Review Excerpts
“I was in this facility for 8 days. In that 8 days I missed several doses of IV antibiotics, very strong ones. The nurses, not all of them, would cut dangerous corners.”
“The facility itself is UNDERSTAFFED and their bottom line is profit. On days that we were not there, my father was not bathed, did not receive physical therapy, and was generally neglected.”
“I went to the waters in Springfield for physical therapy after having a stroke. their physical therapy department spent a lot of time with me and help me out tremendously and today I'm walking again.”
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
6
measures
8
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
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
Families have filed multiple complaints leading to 8 deficiencies, including serious concerns about resident protection from abuse and neglect, accident prevention, and medication errors. The facility shows recurring issues with fire safety systems, emergency preparedness, and food handling across all four surveys from 2021 to 2025, suggesting persistent operational challenges that have not been fully resolved despite correction plans.
Feb 23, 2026Complaint1
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
May 20, 2025Routine10
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 organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Jul 25, 2024Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Egress Deficiencies
Meet other general requirements.
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
Have exits that are accessible at all times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Jul 25, 2024Complaint2
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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Oct 19, 2023Complaint6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 8, 2021Routine8
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
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.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Federal Penalties
Fine
Feb 23, 2026
$26,130
Fine
Oct 19, 2023
$9,422
Ownership & Operations
Who Operates This Facility
The Waters of Springfield LLC
for profit
Chain Affiliation
Infinity Healthcare Consulting
70 facilities nationwide
Chain avg rating: 2.2/5 · Rank 7 of 69
Ownership & Management
Owners
A&f Realty LLC
Owner · Organization
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
46 reviews from families & visitors
Official Website
Visit watersofspringfield.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.