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Public Record

The Waters of Winchester, Llc

Nursing HomeWinchester, TNCMS 445145
36 citations on record

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
132

*CMS

Avg. residents per day
75.5

*CMS

Inspection record

On record from CMS

Citations on record
36

*CMS

Inspections on file
5

*CMS

Last inspection
2023-07-12

*CMS

Citations

36 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0222Generalpotential for harm

    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.

  • 0232Generalpotential for harm

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

  • 0291Generalpotential for harm

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

  • 0293Generalpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0345Generalpotential for harm

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

  • 0346Generalpotential for harm

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

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355Generalpotential for harm

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

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0781Generalpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0569Generalpotential for harm

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

  • 0006Generalpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0031Generalpotential for harm

    Provide emergency officials' contact information.

  • 0037Generalpotential for harm

    Establish staff and initial training requirements.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0741Generalpotential for harm

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

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0222Generalpotential for harm

    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.

  • 0331Generalpotential for harm

    Construct fire resistant interior walls.

  • 0689Generalpotential for harm

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

  • 0015Generalno actual harm

    Address subsistence needs for staff and patients.

  • 0692Generalpotential for harm

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

  • 0024Generalno actual harm

    Establish policies and procedures for volunteers.

  • 0032Generalno actual harm

    Provide primary/alternate means for communication.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0761Generalpotential for harm

    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.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is The Waters of Winchester, Llc?
The Waters of Winchester, Llc is a Medicare- and Medicaid-certified nursing home in Winchester, TN, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 445145.
What is the CMS rating for The Waters of Winchester, Llc?
The Waters of Winchester, Llc has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does The Waters of Winchester, Llc have?
The Waters of Winchester, Llc is certified for 132 beds. It serves an average of 75.5 residents per day.
How many citations does The Waters of Winchester, Llc have?
The Waters of Winchester, Llc has 36 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was The Waters of Winchester, Llc last inspected?
The Waters of Winchester, Llc was last inspected on July 12, 2023. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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