The Waters of Union City , LLC

1105 Sunswept Dr, Union City, TN 38261 (opens Google Maps) · Obion County · (731) 885-6400· 80 certified beds · avg 55 residents/day · certified since Jan 20, 1981 · 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 Mar 18, 2026

Serious findings on record

Fines, last 3 years

2.67

Nurse hours/resident/day (adjusted)

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

Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.

Mar 18, 2026D · Potential for more than minimal harm, isolated
The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. F-0694
Mar 18, 2026D · Potential for more than minimal harm, isolated
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. F-0880
Jan 30, 2025D · Potential for more than minimal harm, isolated
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578

View all 9 inspection findingsShow only the latest 3 findings

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.

Date	Severity	What the facility was cited for
Mar 18, 2026	D · Potential for more than minimal harm, isolated	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Mar 18, 2026	D · Potential for more than minimal harm, isolated	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. · F-0880
Jan 30, 2025	D · Potential for more than minimal harm, isolated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Jan 30, 2025	D · Potential for more than minimal harm, isolated	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. · F-0758
Jan 30, 2025	D · Potential for more than minimal harm, isolated	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. · F-0812
Sep 25, 2019	D · Potential for more than minimal harm, isolated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638
Sep 25, 2019	D · Potential for more than minimal harm, isolated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Sep 25, 2019	D · Potential for more than minimal harm, isolated	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. · F-0760
Sep 25, 2019	D · Potential for more than minimal harm, isolated	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. · F-0880

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2019

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Worst severity that year
2019	4	D
2025	3	D
2026	2	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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTennessee averageU.S. average

Total nurse staffing (hours per resident per day)

2.67

3.62

3.95

Registered Nurse hours

0.46

0.57

0.69

Weekend total nurse staffing

2.42

3.15

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)	2.67	3.62	3.95	bottom 5% in Tennessee; bottom 6% in the U.S.
Registered Nurse hours	0.46	0.57	0.69	bottom 38% in Tennessee; bottom 31% in the U.S.
Weekend total nurse staffing	2.42	3.15	3.50	bottom 7% in Tennessee; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.39	0.48	top 46% in Tennessee; bottom 44% in the U.S.
Total nursing staff turnover (%)	42.6	48.9	45.8	top 32% in Tennessee; top 43% in the U.S.
RN turnover (%)	25.0	43.2	42.9	top 18% in Tennessee; top 20% 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 0.57, weekend 3.00.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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Waters of Union City , 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%	09/01/2016
Gubin Enterprises Limited Partnership	Organization	5% or Greater Direct Ownership Interest	40%	09/01/2016
Keeling, David	Individual	W-2 Managing Employee	NOT APPLICABLE	09/01/2019

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.

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
Ambassador Nursing & Rehab Center — Chicago, IL · overall 2/5abuse
Belhaven Nursing & Rehab Center — Chicago, IL · overall 1/5abuse
Continental Nursing & Rehab Center — Chicago, IL · overall 1/5abuse
Hope Creek Nursing & Rehab — East Moline, IL · overall 1/5abuse

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

Full visit checklist →

Print visit checklist

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

"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you track that every resident's quarterly assessment happens on time?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 43% 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
Union City Health and Rehabilitation	0.2 mi	Union City, TN	★☆☆☆☆	1/5
Obion County Nursing Home	5.2 mi	Union City, TN	★★☆☆☆	2/5
Vanayer Senior Living and Rehabilitation	10.6 mi	Martin, TN	★★★☆☆	3/5
Fulton Nursing and Rehabilitation, LLC	10.7 mi	Fulton, KY	★☆☆☆☆	2/5
Diversicare of Martin	10.8 mi	Martin, TN	★★★★★	4/5
Clinton-Hickman County Nursing Facility	17.2 mi	Clinton, KY	★★★★☆	3/5
Clinton Place	17.5 mi	Clinton, KY	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Union City →

Facility data as of CMS processing date 2026-08-01. CCN 445138.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — The Waters of Union City , LLC

1105 Sunswept Dr, Union City, TN 38261 · (731) 885-6400

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

Questions for the administrator:

☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 43% 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?"

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 445138 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)