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No fines or payment denials in the published 3-year window.
The Waters of Roan Highlands,llc
146 Buck Creek Road, Roan Mountain, TN 37687 (opens Google Maps) · Carter County · (423) 772-0161· 80 certified beds · avg 72 residents/day · certified since May 20, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)
5/5
Health inspection rating (on-site)
inspected May 13, 2026
0
Serious findings on record
$0
Fines, last 3 years
2.68
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
0 inspection findings in the public record
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
No health citations in the currently published records.
Inspection trend by year
No citations in the published record to chart.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.68
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.31
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.30
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.68 | 3.62 | 3.95 | bottom 6% in Tennessee; bottom 6% in the U.S. |
| Registered Nurse hours | 0.31 | 0.57 | 0.69 | bottom 13% in Tennessee; bottom 11% in the U.S. |
| Weekend total nurse staffing | 2.30 | 3.15 | 3.50 | bottom 5% in Tennessee; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.39 | 0.48 | bottom 26% in Tennessee; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 29.2 | 48.9 | 45.8 | top 7% in Tennessee; top 13% in the U.S. |
| RN turnover (%) | 14.3 | 43.2 | 42.9 | top 4% in Tennessee; top 7% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.32, RN 0.38, weekend 2.85.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.32 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Waters of Roan Highlands,llc. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
| Cable, Erika | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/28/2019 |
All 3 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Infinity Healthcare Consulting — 69 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- The Waters of Shelbyville, LLC — Shelbyville, TN · overall 4/5
- The Waters of Smyrna, LLC — Smyrna, TN · overall 1/5
- The Waters of Springfield LLC — Springfield, TN · overall 1/5
- The Waters of Union City , LLC — Union City, TN · overall 5/5
- Waters of Bristol a Rehabilitation and Nursing — Blountville, TN · overall 4/5
- Waters of McKenzie a Rehabilitation & Nursing Ctr — MC Kenzie, TN · overall 2/5
- Waters of Memphis a Rehabilitation & Nursing Ctr — Memphis, TN · overall 1/5
- Waters of Sweetwater a Rehabilitation & Nursing — Sweetwater, TN · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 68 others, continuing from this facility's own place in that list.
Questions to ask on your visit
The published CMS deficiency file lists no citations for this facility, so there is nothing here that is specific to it. The questions below are general ones, worth asking on any tour.
- "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
- "CMS reports 29% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Life Care Center of Banner Elk | 10.8 mi | Banner Elk, NC | ★★★★☆ | 4/5 | |
| Signature Healthcare of Elizabethton Rehab & Welln | 14.3 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Life Care Center of Elizabethton | 15.2 mi | Elizabethton, TN | ★★★☆☆ | 3/5 | |
| Ivy Hall Nursing Home | 15.2 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| Hillview Health Center | 15.3 mi | Elizabethton, TN | ★★★★☆ | 4/5 | |
| Hermitage Health Center | 15.4 mi | Elizabethton, TN | ★★★★★ | 5/5 | |
| The Greens at Spruce Pines | 19.7 mi | Spruce Pine, NC | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 445396.