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Nursing HomeMedicaid Top Rated

The Waters of Union City , LLC

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

1105 Sunswept Dr, Union City, TN 3826180 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 11 Google reviews

5
4
3
2
1
The Waters of Union City , LLC Nursing Home in Union City, TN — Street View
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What this means for your family

The facility has received very positive feedback recently regarding its therapy department and cleanliness, suggesting an improvement in operations. However, because of past reports of staff ignoring call buttons, families should observe response times during a visit and ask management specifically how they ensure patient requests are addressed promptly.

Google Reviews

Google Reviews

11 reviews on Google
The Waters of Union City receives polarized feedback, with recent reviews praising the facility's cleanliness, therapy team, and staff friendliness. Conversely, older reviews highlight serious concerns regarding neglect, such as ignored call buttons, poor food quality, and failure to follow physician orders.

Quality Themes

Tap a score for details
Food1.0Staff7.0Clean10.0Activities8.0Meds1.0MemoryN/AComms5.0ValueN/A

Strengths

  • Professional and attentive therapy team
  • Clean and well-maintained environment
  • Friendly and approachable nursing staff

Concerns

  • Unresponsive staff to call buttons (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02023(1)3.02024(1)5.02025(5)5.02026(5)

Distribution · 12 analyzed

5
10
4
0
3
1
2
0
1
1

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your therapy team; could you tell us more about how the therapists work with residents to maintain their mobility?
  • 2How do you ensure that call buttons are answered promptly, especially during the night shifts?
  • 3Could you walk us through your process for medication management to ensure everything is administered accurately and on schedule?
  • 4What are some of the favorite dining options or mealtime routines that the residents enjoy here?
  • 5In the event of a medical emergency after hours, what is the protocol for contacting doctors and notifying the family?
  • 6What kind of daily activities or social events are planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The therapy team is serious about your recovery and they even have a therapy dog that is very well trained!

Rehab patient · 2026★★★★★

Everything was spotless, and the staff was upbeat, polite, and very approachable. You can tell they work hard to provide quality care and create a positive environment for everyone.

Visitor · 2025★★★★★

I was there twice when my mom pushed the call button and no one ever came! The girl that brought the food, that she knew my mom would not eat, shut the light off! Didn't ask anything, just shut it off!

Long-term resident's family · 2023☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
33%
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

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility57.1%
Worse than Avg
Here
57.1%
US
12.1%
TN
12.9%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.3%
TN
18.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.4%
Mixed vs Avgs
Here
31.4%
US
19.5%
TN
31.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
14.4%
TN
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
TN
89.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
15.5%
TN
16.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.7%
Better than Avg
Here
84.7%
US
81.8%
TN
79.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.4%
Better than Avg
Here
84.4%
US
79.8%
TN
79.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
TN
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (5.9)

This facility shows a concerning pattern of recurring deficiencies across three surveys, particularly with building safety issues including electrical systems, fire safety equipment, and emergency exits appearing multiple times over several years. Medication management problems also recurred, with significant medication errors identified in 2019 and medication reduction issues in 2025. While all deficiencies have correction dates, the repetition of similar building safety and electrical problems suggests potential ongoing maintenance challenges that families should discuss during visits.

Mar 18, 2026Routine
4
0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Jan 30, 2025Routine
6
0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0758Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0222Potential for harm · IsolatedCorrected

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.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Sep 25, 2019Routine
5
0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Waters of Union City , LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 4 of 69 (Best)

Ownership & Management

Owners

A&f Realty LLC

Owner · Organization

20%

Gubin Enterprises Limited Partnership

Owner · Organization

40%

Key personnel

Keeling, DavidW-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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