The Waters of Cheatham, LLC

Name: The Waters of Cheatham, LLC
Address: 2501 RIVER ROAD, Ashland City, TN, 37015, US
Telephone: 6157924948

2501 River Road, Ashland City, TN 37015 · Cheatham County · 80 certified beds · avg 49 residents/day · certified since Nov 1, 1993

Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

$6,350

Fines, last 3 years

2.62

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2026	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Mar 26, 2026	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 26, 2026	E · Potential for harm, repeated	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 27, 2022	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 27, 2022	E · Potential for harm, repeated	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Apr 27, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 27, 2022	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 27, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 27, 2022	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Apr 27, 2022	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed.
Apr 27, 2022	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Apr 27, 2022	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 23, 2019	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 23, 2019	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 23, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 6).

Year	Citations	Worst severity that year
2019	9	E
2022	9	E
2026	6	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $6,350.

Date	Type	Amount / length
Oct 23, 2023	Fine	$2,117
Oct 2, 2023	Fine	$4,233

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.62	3.62	3.95	bottom 5% in Tennessee; bottom 5% in the U.S.
Registered Nurse hours	0.40	0.57	0.69	bottom 26% in Tennessee; bottom 23% in the U.S.
Weekend total nurse staffing	2.45	3.15	3.50	bottom 8% in Tennessee; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.39	0.48	top 26% in Tennessee; top 36% in the U.S.
Total nursing staff turnover (%)	67.5	48.9	45.8	bottom 7% in Tennessee; bottom 8% in the U.S.
RN turnover (%)	87.5	43.2	42.9	bottom 2% in Tennessee; bottom 3% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.09, RN 0.48, weekend 2.90. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
A&f Realty LLC	Organization	5% or Greater Direct Ownership Interest	20%	08/01/2016
Gubin Enterprises Limited Partnership	Organization	5% or Greater Direct Ownership Interest	40%	08/01/2016
Anderson, Benjamin	Individual	W-2 Managing Employee	NOT APPLICABLE	11/03/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who is your infection preventionist, and what training do they have?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Riverview Post Acute	3.7 mi	Ashland City, TN	★★☆☆☆	3/5
Eaton Creek Post Acute	10.6 mi	Nashville, TN		—/5	SFF
The Meadows	11.5 mi	Nashville, TN	★★★☆☆	2/5
West Meade Place	13.0 mi	Nashville, TN	★★★★★	4/5
Whites Creek Wellness and Rehabilitation Center	13.7 mi	Whites Creek, TN	★★★☆☆	3/5
NHC Place at the Trace	14.0 mi	Nashville, TN	★★★★★	4/5
Advanced Health Care of Nashville	14.4 mi	Nashville, TN		—/5
The Health Center at Richland Place	14.6 mi	Nashville, TN	★★★☆☆	2/5
Green Hills Center for Rehabilitation and Healing	15.3 mi	Nashville, TN	★★★☆☆	2/5
Woodcrest at Blakeford	15.7 mi	Nashville, TN	★★★★☆	3/5
Nashville Center for Rehabilitation and Healing LL	16.1 mi	Nashville, TN	★★☆☆☆	2/5
Trevecca Center for Rehabilitation and Healing LLC	17.6 mi	Nashville, TN	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Ashland City →

Facility data as of CMS processing date 2026-08-01. CCN 445318.

The Care File

Visit checklist — The Waters of Cheatham, LLC

2501 River Road, Ashland City, TN 37015 · 6157924948

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $6,350

Questions for the administrator:

☐ "Who is your infection preventionist, and what training do they have?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445318 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)