The Waters Of Cheatham, Llc faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 41th percentile among Tennessee nursing homes, suggesting significant room for improvement.
Staffing at The Waters Of Cheatham, Llc is near the national average, with 3.64 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 22 deficiencies at The Waters Of Cheatham, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.64 | 3.8 | Average |
| Registered Nurses (RN) | 0.67 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.84 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.13 | 2.4 | Below Average |
| Weekend Total Nursing | 3.25 | 3.8 | Below Average |
| Weekend RN Hours | 0.53 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMay 16, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Apr 26, 2022 · Resident Rights Deficiencies
- Tag 0553 Severity EAllow resident to participate in the development and implementation of his or her person-centered plan of care.Apr 26, 2022 · Resident Rights Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 26, 2022 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 26, 2022 · Nutrition and Dietary 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 | 3.8% | 4.5% | Better |
| Falls with major injury | 5.8% | 3.0% | Worse |
| On antipsychotic medication | 15.4% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 2.5% | 14.0% | Better |
| Excessive weight loss | 3.7% | 7.5% | Better |
| New/worsened incontinence | 15.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $6,350
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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