Waters of McKenzie a Rehabilitation & Nursing Ctr

Name: Waters of McKenzie a Rehabilitation & Nursing Ctr
Address: 14510 US-HIGHWAY 79, MC Kenzie, TN, 38201, US
Telephone: 7313525317

14510 Us-Highway 79, MC Kenzie, TN 38201 · Carroll County · 66 certified beds · avg 43 residents/day · certified since Jul 1, 1995

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

2.82

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 (13)

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
Apr 17, 2025	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 17, 2025	D · Potential for harm, one-off	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 17, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Apr 17, 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.
Apr 17, 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.
Apr 17, 2025	D · Potential for harm, one-off	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.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Apr 17, 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.
Aug 3, 2022	D · Potential for harm, one-off	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.
Aug 3, 2022	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 10, 2019	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.
Oct 10, 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 10, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Worst severity that year
2019	3	E
2022	2	D
2025	8	E

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)	2.82	3.62	3.95	bottom 10% in Tennessee; bottom 9% in the U.S.
Registered Nurse hours	0.24	0.57	0.69	bottom 3% in Tennessee; bottom 5% in the U.S.
Weekend total nurse staffing	2.59	3.15	3.50	bottom 18% in Tennessee; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.39	0.48	bottom 12% in Tennessee; bottom 12% in the U.S.
Total nursing staff turnover (%)	66.0	48.9	45.8	bottom 10% in Tennessee; bottom 9% in the U.S.
RN turnover (%)	0.0	43.2	42.9	—

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 3.41, RN 0.30, weekend 3.13. 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: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Gubin Enterprises Limited Partnership	Organization	5% or Greater Direct Ownership Interest	50%	07/01/2021
Caldwell, Donna	Individual	W-2 Managing Employee	NOT APPLICABLE	06/05/2024

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Ahc McKenzie	2.6 mi	MC Kenzie, TN	★★★★☆	5/5
Huntingdon Health & Rehabilitation Center	9.2 mi	Huntingdon, TN	★★★☆☆	3/5
Hillview Community Living Center	14.4 mi	Dresden, TN	★★★★☆	4/5
Weakley Rehabilitation and Nursing Center	15.7 mi	Dresden, TN	★☆☆☆☆	1/5
Life Care Center of Bruceton-Hollow Rock	16.3 mi	Bruceton, TN	★★★★★	5/5
Patriot Health and Rehabilitation Center	17.4 mi	Paris, TN	★★★☆☆	3/5
Henry County Health and Rehabilitation	17.5 mi	Paris, TN	★★★★★	5/5
NHC Healthcare, Milan	19.6 mi	Milan, TN	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in MC Kenzie →

Facility data as of CMS processing date 2026-08-01. CCN 445357.

The Care File

Visit checklist — Waters of McKenzie a Rehabilitation & Nursing Ctr

14510 Us-Highway 79, MC Kenzie, TN 38201 · 7313525317

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 445357 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)