Nursing homeActive
The Waters Of Roan Highlands,LLC
146 Buck Creek Road, Roan Mountain, TN 37687423772016180 certified beds · 72 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
0
● 0● 0● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-13
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-13 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-04-08 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2022-03-16 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
No deficiencies recorded in the surveys we hold.
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.38
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.32
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours2.85
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover29%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover14%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.8% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 20.8% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 0.4% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.8% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 60.5% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| A&F Realty LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | — | — |
| Gubin Enterprises Limited Partnership Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | — | — |
| Cable, Erika Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Infinity Healthcare Consulting — 69 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Carter.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Life Care Center of Banner Elk Banner Elk | 10.8 mi | 2025-08-06 | 060 |
| Signature Healthcare Of Elizabethton Rehab & Welln Elizabethton | 14.3 mi | 2025-05-07 | 010 |
| Ivy Hall Nursing Home Elizabethton | 15.2 mi | 2025-09-17 | 000 |
| Life Care Center Of Elizabethton Elizabethton | 15.2 mi | 2024-02-29 | 073 |
| Hillview Health Center Elizabethton | 15.3 mi | 2023-11-14 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |