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Nursing HomeMedicaid

The Waters of Winchester, LLC

Strong Medicare quality ratings; families often praise engaged leadership team. Still worth an in-person visit.

1360 Bypass Road, Winchester, TN 37398132 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 91 Google reviews

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

While some families report positive experiences with the therapy and memory care teams, the facility has a concerning pattern of reports regarding neglect, hygiene, and slow response times. If you are considering this facility, we strongly recommend conducting an unannounced visit and specifically asking about their protocols for dietary allergy management and call-light response times.

Google Reviews

Google Reviews

91 reviews on Google
The Waters of Winchester exhibits a stark divide in user experiences, with many families reporting severe neglect, poor hygiene, and significant understaffing, while others praise the facility's leadership and staff attentiveness. Critical recurring complaints include long wait times for call lights, unsanitary room conditions, and failures in dietary and medication management. Families should be aware of the high frequency of negative reports regarding basic resident care and responsiveness.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean1.0ActivitiesN/AMeds2.0Memory7.0Comms3.0ValueN/A

Strengths

  • Engaged leadership team
  • Effective physical and occupational therapy programs
  • Supportive memory care staff

Concerns

  • Excessive wait times for call lights and assistance (mentioned by 8 reviewers)
  • Unsanitary facility conditions and persistent odors (mentioned by 7 reviewers)
  • Neglect regarding basic hygiene and resident care (mentioned by 5 reviewers)
  • Dietary errors and failure to accommodate food allergies (mentioned by 3 reviewers)
  • Medication management and documentation errors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(1)4.62019(12)1.02022(2)2.02023(4)2.02024(4)2.52025(10)4.52026(34)

Distribution · 67 analyzed

5
46
4
1
3
1
2
1
1
18
25 reviews posted between Jan 28, 2026Jan 31, 2026 · 25 were 5-star
10 reviews posted between Jan 24, 2019Jan 24, 2019 · 9 were 5-star

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly and residents receive timely assistance?
  • 2I noticed some feedback regarding facility cleanliness; could you walk me through your current housekeeping schedule and how you maintain hygiene standards in resident rooms and common areas?
  • 3How does your team ensure accuracy in dietary requirements and food allergy protocols during meal service?
  • 4With your strong focus on physical and occupational therapy, how are these programs integrated into the daily routine for residents who need extra support?
  • 5Can you explain your process for medication management and documentation to ensure that residents receive the correct dosages at the right times?
  • 6I see that you actively respond to feedback online; how do you use that input to improve the day-to-day experience for residents and their families?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff, doctor, and administration are wonderful, and he agrees. We were concerned he would lie in his bed day after day and waste away like most nursing homes. It isn't like that at all.

Rehab patient's family · 2025★★★★★

The room was dirty and only got cleaned once while she was there. The bathroom smelled like methane gas and there was a used urinal hanging there, been there for a while.

Long-term resident's family · 2025☆☆☆☆

After several grievances over the dietary staff bringing her food she is allergic to, they still bring her food she is allergic to. One grievance she had because she needed a change of soiled clothing, and after 2 1/2 hours, they finally changed her.

Memory care family member · 2026☆☆☆☆
Source: 91 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
42%
Registered nurses for medical care
Total Nursing
3.33hrs
81%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
67%
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
3/ 5
Better Than Avg

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility77.7%
Worse than Avg
Here
77.7%
US
12.1%
TN
12.9%
Franklin
12.0%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility57.6%
Worse than Avg
Here
57.6%
US
93.4%
TN
89.5%
Franklin
95.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility50.0%
Worse than Avg
Here
50.0%
US
19.5%
TN
31.9%
Franklin
22.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
15.3%
TN
18.5%
Franklin
15.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
14.4%
TN
14.6%
Franklin
14.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.1%
Worse than Avg
Here
12.1%
US
5.3%
TN
6.3%
Franklin
6.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility77.5%
Worse than Avg
Here
77.5%
US
81.8%
TN
79.4%
Franklin
85.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Franklin
1.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.9%
Mixed vs Avgs
Here
78.9%
US
79.8%
TN
79.8%
Franklin
78.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
3penalties
Well below state avg (5.9)
$19,325 in fines

The Waters of Winchester shows a pattern of safety and infrastructure issues, with recurring problems in fire safety systems, emergency preparedness, and building safety across all three surveys from 2018-2023. The facility has faced repeated deficiencies in sprinkler maintenance, exit door compliance, and electrical systems, suggesting ongoing challenges maintaining proper safety standards. While all violations have been corrected according to state records, families should inquire about current safety protocols given the persistent nature of these infrastructure concerns.

Jul 12, 2023Routine
20
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0037Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

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.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 23, 2019Routine
7
0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

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.

0331Potential for harm · IsolatedCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 6, 2018Routine
9
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0761Potential for harm · IsolatedCorrected

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.

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0024Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0032Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

Federal Penalties

Fine

Jul 12, 2023

$5,806

Fine

Jul 12, 2023

$6,757

Fine

Jul 12, 2023

$6,762

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Waters of Winchester, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 13 of 69

Ownership & Management

Owners

Gubin Enterprises Limited Partnership

Owner · Organization

50%

Key personnel

Davis, JohnW-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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