B

AGAPE REHABILITATION & NURSING CENTER, A WATERS CM

505 N ROAN STREET, JOHNSON CITY, TN 37604
Score: 70 / 100

Agape Rehabilitation & Nursing Center, A Waters Cm earns a solid B grade from CMS data, with a score of 70/100. Performing above average across most metrics, this Johnson City facility ranks in the 71th percentile among Tennessee nursing homes.

Staffing at Agape Rehabilitation & Nursing Center, A Waters Cm is near the national average, with 3.49 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 8 deficiencies at Agape Rehabilitation & Nursing Center, A Waters Cm. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.49 3.8 Average
Registered Nurses (RN) 0.68 0.7 Average
Licensed Practical Nurses (LPN) 0.67 0.7 Average
Certified Nursing Assistants (CNA) 2.14 2.4 Below Average
Weekend Total Nursing 3.24 3.8 Below Average
Weekend RN Hours 0.81 0.7 Above Average

🔍 Inspection & Deficiency History

8
Total Deficiencies
Feb 21, 2024
Most Recent Inspection
🟠 8 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 21, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Feb 21, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Feb 21, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0814 Severity D
    Dispose of garbage and refuse properly.
    Feb 21, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0908 Severity D
    Keep all essential equipment working safely.
    Feb 21, 2024 · Environmental 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 2.9% 4.5% Better
Falls with major injury 1.6% 3.0% Better
On antipsychotic medication 12.9% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 0.0% 14.0% Better
Excessive weight loss 5.8% 7.5% Better
New/worsened incontinence 8.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
84
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 21, 2024
Deficiencies (Cycle 1)
5