Waters of Memphis a Rehabilitation & Nursing Ctr
6500 Kirby Gate Boulevard, Memphis, TN 38119 · Shelby County · 90 certified beds · avg 83 residents/day · certified since Apr 11, 2016
Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 |
|---|---|---|
| Mar 18, 2026 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jun 27, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Sep 14, 2023 | 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. |
| Sep 14, 2023 | 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. |
| Sep 14, 2023 | 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. |
| Sep 14, 2023 | 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 |
| Sep 14, 2023 | 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 |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Sep 14, 2023 | 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. |
| Jul 14, 2021 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jul 14, 2021 | F · Potential for harm, facility-wide | 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. |
| Jun 19, 2019 | F · Potential for harm, facility-wide | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | F |
| 2021 | 2 | 0 | F |
| 2023 | 8 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | 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)
1 fine totaling $5,293.
| Date | Type | Amount / length |
|---|---|---|
| Sep 18, 2023 | Fine | $5,293 |
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) | 2.95 | 3.62 | 3.95 | bottom 14% in Tennessee; bottom 12% in the U.S. |
| Registered Nurse hours | 0.33 | 0.57 | 0.69 | bottom 14% in Tennessee; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.57 | 3.15 | 3.50 | bottom 16% in Tennessee; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.39 | 0.48 | bottom 18% in Tennessee; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 59.5 | 48.9 | 45.8 | bottom 21% in Tennessee; bottom 17% in the U.S. |
| RN turnover (%) | 93.3 | 43.2 | 42.9 | bottom 1% in Tennessee; bottom 1% 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 3.40, RN 0.39, weekend 2.95. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
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 |
| Carr, Kristian | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/12/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 |
|---|---|---|---|---|---|
| Signature Healthcare of Primacy | 0.0 mi | Memphis, TN | ★★★★★ | 4/5 | |
| Quince Nursing and Rehabilitation Center | 0.0 mi | Memphis, TN | ★★☆☆☆ | 1/5 | |
| Kirby Pines Manor | 2.8 mi | Memphis, TN | ★★★★★ | 5/5 | |
| The Village at Germantown | 3.2 mi | Germantown, TN | ★★☆☆☆ | 1/5 | |
| Shelby Oaks Post Acute | 3.7 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | abuse |
| Delta Blues Health & Rehabilitation | 5.1 mi | Memphis, TN | ★★☆☆☆ | 2/5 | |
| Allen Morgan Health and Rehabilitation Center | 5.8 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Highlands Health and Rehabilitation Center | 5.8 mi | Memphis, TN | ★★☆☆☆ | 2/5 | |
| Cordova Wellness and Rehabilitation Center | 6.3 mi | Cordova, TN | ★★★☆☆ | 3/5 | |
| Memphis Jewish Home | 6.3 mi | Cordova, TN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445522.