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Poor

THE WATERS OF GALLATIN, LLC

555 EAST BLEDSOE STREET · GALLATIN, TN 37066

6154527132 · For profit - Limited Liability company

124 beds86.8 residents91 staff

CMS Five-Star Ratings

Overall

★★★★★

Staffing

★★★★★

Quality

★★★★★

Inspections

★★★★★

Staffing Grades

Below Standard

Total Staff

Poor

RN Staff

Poor

Overall

✗CMS Benchmark(≥ 3.48 HPRD)

✗RN Recommendation(≥ 0.75 HPRD)

✗Research Standard(≥ 4.10 HPRD)

📋

What This Means in Plain English

THE WATERS OF GALLATIN, LLC receives an overall staffing grade of D (Poor). With 3.2327 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3521 HPRD, below the recommended 0.75. It is 0.66 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.63% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2327 HPRD — needs 0.25 more hours per resident per day.

⚠️RN staffing (0.3521 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff

Total Nurse HPRD

3.2327hrs/resident/day▼ 0.66

CMS benchmark: 3.48

RN HPRD

0.3521hrs/resident/day▼ 0.33

Recommended: 0.75

Weekend Drop-off

15.63%

3.3821 weekday → 2.8534 weekend

Agency Staff

0% of RN hours from contractors

Days with Zero RN

1days this quarter

4+ days = auto 1-star

CNA HPRD

1.7825hrs/resident/day

Direct care aides

LPN HPRD

1.0981hrs/resident/day

Licensed practical nurses

Consistency

0.3159std dev

Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sumner County Average-0.43 HPRD

3.66

03.23 HPRD

vs. Tennessee State Average-0.64 HPRD

3.87

03.23 HPRD

vs. National Average-0.66 HPRD

3.90

03.23 HPRD

■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

Facility	Distance	Grade	Total HPRD	RN HPRD	CMS Rating
THE WATERS OF GALLATIN, LLC ★ GALLATIN · This facility	—	D	3.2327	0.3521	★★★☆☆
GALLATIN CENTER FOR REHABILITATION AND HEALING GALLATIN	0.8 mi	C	3.7307	0.4534	★★★★☆
SIGNATURE HEALTH OF PORTLAND REHAB & WELLNESS CENT PORTLAND	9.7 mi	C	3.4711	0.7803	★☆☆☆☆
NHC HEALTHCARE, HENDERSONVILLE HENDERSONVILLE	11.3 mi	B	3.6632	0.5923	★★☆☆☆
LEBANON CENTER FOR REHABILITATION AND HEALING, LLC LEBANON	14.1 mi	B	4.1297	0.6507	★★★★★
WESTMORELAND CARE & REHAB CTR WESTMORELAND	15.4 mi	D	3.6562	0.3922	★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

Inspections

Total Deficiencies

Fines Assessed

Jan 17, 2025Health

3 deficiencies cited

▼

Mar 22, 2023Health

3 deficiencies cited

▼

Dec 18, 2019Health

2 deficiencies cited

▼

Jan 9, 2019Health

1 deficiency cited

▼

Oct 11, 2017Health

4 deficiencies cited

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CMS Severity Scale

A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.