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Nursing HomeMedicaid Investigative

Waters of Sweetwater a Rehabilitation & Nursing

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

978 Hwy 11 South, Sweetwater, TN 3787490 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 28 Google reviews

5
4
3
2
1
Waters of Sweetwater a Rehabilitation & Nursing Nursing Home in Sweetwater, TN — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (59%)
  • High RN turnover (82%)

Below average in TN · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

While the facility's therapy team is highly regarded, the recurring reports of delayed emergency response and poor hygiene are significant red flags. If you are considering this facility, we strongly recommend conducting an unannounced visit and asking specifically how they manage medical emergencies and ensure timely assistance for basic hygiene needs.

Google Reviews

Google Reviews

28 reviews on Google
Reviews for The Waters of Sweetwater are polarized, with significant concerns regarding medical oversight, hygiene, and communication. While some families praise the therapy team and specific staff members, multiple reports of delayed emergency care, neglect of basic hygiene, and difficulty reaching staff by phone raise serious red flags.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean5.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Highly regarded physical and occupational therapy team
  • Some staff members noted as friendly and dedicated
  • Facility cleanliness praised by some visitors

Concerns

  • Significant delays in medical attention and emergency response (mentioned by 3 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 3 reviewers)
  • Inadequate hygiene and failure to assist with basic personal care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.0'17(4)3.01.0'20(2)1.03.8'22(4)2.03.3'25(6)4.3'26(9)

Distribution · 30 analyzed

5
16
4
1
3
3
2
0
1
10

How They Respond to Reviews

25%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents on their recovery goals?
  • 2How does the nursing team ensure that medication is administered accurately and on schedule every day?
  • 3What is the protocol for responding to a resident's call bell or a medical emergency during the night shift?
  • 4How do you ensure that staff members are easily reachable and communicative with family members if we have questions about our loved one?
  • 5What kind of daily activities or social programs are available to keep residents engaged and active?
  • 6How does the care team assist residents with their personal hygiene and daily grooming needs to ensure they stay comfortable?

Personalized based on this facility's data


Key Review Excerpts

5 stars to the physical / occupational rehab therapists. 4 stars to the CNA's that tend to the patients.

Rehab patient · 2026★★★☆☆

Many times my dad has needed changed from vomit on his shirt or the bed smelling from the urine. A few months ago I Asked 3 times for help because he kept saying he needed to use the bathroom-everyone kept saying I’ll send someone. No one ever came

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

Well they never ordered the right supplies they was always out of something for the bag weather it was glue or the waffle the bag would always bust on her they would never come in and empty it.

Rehab patient's family · 2025☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
73%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility41.5%
Worse than Avg
Here
41.5%
US
12.1%
TN
12.9%
Monroe
9.6%

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 Facility2.8%
Better than Avg
Here
2.8%
US
15.3%
TN
18.5%
Monroe
16.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
14.4%
TN
14.6%
Monroe
16.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TN
89.5%
Monroe
86.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.6%
Mixed vs Avgs
Here
22.6%
US
19.5%
TN
31.9%
Monroe
15.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.2%
Mixed vs Avgs
Here
20.2%
US
19.4%
TN
20.1%
Monroe
23.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
TN
79.4%
Monroe
73.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.9%
Better than Avg
Here
93.9%
US
79.8%
TN
79.8%
Monroe
73.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
TN
1.6%
Monroe
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (5.9)
4 complaint-triggered

This facility has significant concerns with families filing complaints about food safety, infection control, resident privacy, and neglect issues. The most recurring problems involve infection control appearing in three separate surveys, food safety violations across multiple years, and resident privacy breaches. While all deficiencies show correction dates, the pattern of repeated issues with infection control and the serious nature of complaint-triggered violations regarding resident protection warrant careful consideration before visiting.

Aug 6, 2025Routine
8
0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 15, 2024Routine
9
0732Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657Potential for harm · IsolatedCorrected

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.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0842Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

May 15, 2024Complaint
1
0600Potential for harm · IsolatedCorrected

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.

Sep 7, 2023Complaint
2
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 13, 2023Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Oct 8, 2022Routine
8
0678Immediate jeopardy · IsolatedCorrected

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.

0867Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Waters of Sweetwater a Rehabilitation & Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 28 of 69

Ownership & Management

Owners

Gubin Enterprises Limited Partnership

Owner · Organization

50%

Key personnel

Griffin, RitaW-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

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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