The Waters of Johnson City, LLC

Name: The Waters of Johnson City, LLC
Address: 140 TECHNOLOGY LANE, Johnson City, TN, 37604, US
Telephone: 4234342016

140 Technology Lane, Johnson City, TN 37604 · Washington County · 84 certified beds · avg 78 residents/day · certified since Nov 20, 2007

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.61

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 (12)

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
Feb 25, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 25, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 25, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 25, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 25, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 25, 2025	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Feb 25, 2025	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.
Feb 5, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 5, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 5, 2024	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. · from a complaint
Jan 20, 2022	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.
Jan 20, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 7).

Year	Citations	Worst severity that year
2022	2	D
2024	3	D
2025	7	D

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)

No fines or payment denials in the published 3-year window.

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)	2.61	3.62	3.95	bottom 4% in Tennessee; bottom 5% in the U.S.
Registered Nurse hours	0.23	0.57	0.69	bottom 2% in Tennessee; bottom 4% in the U.S.
Weekend total nurse staffing	2.32	3.15	3.50	bottom 5% in Tennessee; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.39	0.48	bottom 34% in Tennessee; bottom 27% in the U.S.
Total nursing staff turnover (%)	57.3	48.9	45.8	bottom 25% in Tennessee; bottom 21% in the U.S.
RN turnover (%)	70.0	43.2	42.9	bottom 12% in Tennessee; bottom 12% 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 3.26, RN 0.29, weekend 2.89. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Gubin Enterprises Limited Partnership	Organization	5% or Greater Direct Ownership Interest	50%	08/01/2016
Woods, Brian	Individual	W-2 Managing Employee	NOT APPLICABLE	07/25/2022

Questions to ask on your visit

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

"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Can I see where garbage is stored and how often it's removed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"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
Agape Rehabilitation & Nursing Center, a Waters CM	1.3 mi	Johnson City, TN	★★★★☆	4/5
Abundant Christian Living Community Rehabilitation	1.5 mi	Johnson City, TN	★★★★★	5/5
Princeton Transitional Care & Assisted Living	1.9 mi	Johnson City, TN	★★★★★	5/5
Lakebridge, a Waters Community, LLC	1.9 mi	Johnson City, TN	★★★☆☆	4/5
NHC Healthcare, Johnson City	2.3 mi	Johnson City, TN	★★★★★	5/5
Life Care Center of Gray	5.3 mi	Gray, TN	★☆☆☆☆	1/5
Four Oaks Health Care Center	6.1 mi	Jonesborough, TN	★★★★☆	4/5
Hillview Health Center	8.7 mi	Elizabethton, TN	★★★★☆	4/5
Hermitage Health Center	8.7 mi	Elizabethton, TN	★★★★★	5/5
Life Care Center of Elizabethton	9.6 mi	Elizabethton, TN	★★★☆☆	3/5
Ivy Hall Nursing Home	9.8 mi	Elizabethton, TN	★★★★★	5/5
Greystone Health Care Center	9.8 mi	Blountville, TN	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Johnson City →

Facility data as of CMS processing date 2026-08-01. CCN 445487.

The Care File

Visit checklist — The Waters of Johnson City, LLC

140 Technology Lane, Johnson City, TN 37604 · 4234342016

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "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 445487 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)