Nursing homeActive

The Waters Of Springfield LLC

704 5th Avenue East, Springfield, TN 37172615384797766 certified beds · 47 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2021
Deficiencies
20
0182
Penalties · 3 yrs
$26,407
2 fines
Last survey
2026-02-23
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Tennessee Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-23Complaint001CMS-2567 (Care Compare)
2025-05-20Standard040CMS-2567 (Care Compare)
2024-07-25Standard050CMS-2567 (Care Compare)
2023-10-19Complaint051CMS-2567 (Care Compare)
2021-07-08Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-23Complaint survey · 1 deficiencyOfficial report
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-02-27Record 445480-20260223-F678
2025-05-20Standard survey · 4 deficienciesOfficial report
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 445480-20250520-F565
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 445480-20250520-F677
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 445480-20250520-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 445480-20250520-F880
2024-07-25Standard survey · 5 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 445480-20240725-F582
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-18Record 445480-20240725-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 445480-20240725-F609
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 445480-20240725-F685
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 445480-20240725-F812
2023-10-19Complaint survey · 6 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-08-07Record 445480-20231019-F689
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 445480-20231019-F602
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 445480-20231019-F609
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 445480-20231019-F759
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 445480-20231019-F865
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 445480-20231019-F880
2021-07-08Standard survey · 4 deficienciesOfficial report
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-10Record 445480-20210708-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-10Record 445480-20210708-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-10Record 445480-20210708-F689
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-08-10Record 445480-20210708-F730

Penalties & enforcement

DateActionAmountSource
2026-02-23Civil money penalty$16,985CMS · Penalties
2023-10-19Civil money penalty$9,422CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.65
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day2.90
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours2.59
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover63%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover44%
Facility
Tennessee
National
Tennessee 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTennesseeNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.0%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.8%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.3%16.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
4.7%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
2.1%14.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.4%6.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
31.8%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)
EntityRoleInterestSinceRegistry
A&F Realty LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST20%
Gubin Enterprises Limited Partnership
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST40%
Welsh, Benton
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Infinity Healthcare Consulting69 facilities
View chain record

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 Robertson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Nhc Healthcare, Springfield
Springfield
0.3 mi2025-12-032102
Stoneridge Health Care, LLC
Goodlettsville
9.5 mi2026-03-17050
White House Health Care Inc
White House
10.6 mi2025-11-19050
Alta Heights Post Acute
Goodlettsville
16.4 mi2026-04-290130
Whites Creek Wellness And Rehabilitation Center
Whites Creek
18.9 mi2026-03-110110
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01