The Waters Of Winchester, Llc is an average performer in CMS ratings, earning a C grade with a score of 57/100. Located in Winchester, Tennessee, the facility meets baseline standards across most quality metrics.
Staffing at The Waters Of Winchester, Llc is near the national average, with 3.79 total nursing hours per resident per day (national average: 3.8 hours).
The Waters Of Winchester, Llc shows a strong inspection record, with just 4 deficiencies noted in recent CMS surveys, none of which were classified as serious.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.79 | 3.8 | Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.36 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.10 | 2.4 | Below Average |
| Weekend Total Nursing | 3.55 | 3.8 | Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (4 shown)
- Tag 0569 Severity DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Jul 11, 2023 · Resident Rights Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 5, 2018 · Quality of Life and Care Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Sep 5, 2018 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiSep 5, 2018 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.6% | 4.5% | Worse |
| Falls with major injury | 5.0% | 3.0% | Worse |
| On antipsychotic medication | 15.3% | 14.5% | Average |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 4.3% | 14.0% | Better |
| Excessive weight loss | 12.4% | 7.5% | Worse |
| New/worsened incontinence | 29.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $19,325
How This Grade Was Calculated
This facility's grade of C is based on a score of 57 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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