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D
Poor

THE WATERS OF WINCHESTER, LLC

1360 BYPASS ROAD · WINCHESTER, TN 37398

9319677082 · For profit - Limited Liability company

132 beds75.2 residents100 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
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 WINCHESTER, LLC receives an overall staffing grade of D (Poor). With 3.7901 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3342 HPRD, below the recommended 0.75. It is 0.11 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.63% compared to weekdays. The facility has low agency staff usage (0.15% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️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.
⚠️RN staffing (0.3342 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0.15%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 8.63% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.7901hrs/resident/day▼ 0.11
CMS benchmark: 3.48
RN HPRD
0.3342hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
8.63%
3.8848 weekday → 3.5497 weekend
Agency Staff
0.15%
1.75% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.0995hrs/resident/day
Direct care aides
LPN HPRD
1.3565hrs/resident/day
Licensed practical nurses
Consistency
0.2877std 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. Franklin County Average-1.40 HPRD
5.19
03.79 HPRD
vs. Tennessee State Average-0.08 HPRD
3.87
03.79 HPRD
vs. National Average-0.11 HPRD
3.90
03.79 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THE WATERS OF WINCHESTER, LLC ★
WINCHESTER · This facility
—
D
3.79010.3342★★★★☆
SOUTHERN TENN MEDICAL CENTER SNF
WINCHESTER
0.5 mi
A+
7.83822.4673★★★☆☆
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
WINCHESTER
0.7 mi
C
3.93810.5429★★★☆☆
SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS
MONTEAGLE
15 mi
F
3.36760.237★★☆☆☆
LIFE CARE CENTER OF TULLAHOMA
TULLAHOMA
16 mi
D
3.73220.2768★★★★★
LYNCHBURG NURSING CENTER
LYNCHBURG
17.9 mi
C
3.71110.4184★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
4
Total Deficiencies
$19,325
Fines Assessed
Jul 12, 2023Health
1 deficiency cited
▼
Sep 6, 2018Health
3 deficiencies cited
▼

Penalty History

Jul 12, 2023Fine
$5,806
Jul 12, 2023Fine
$6,757
Jul 12, 2023Fine
$6,762
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.