Waters of Sweetwater a Rehabilitation & Nursing
978 Hwy 11 South, Sweetwater, TN 37874 · Monroe County · 90 certified beds · avg 69 residents/day · certified since May 1, 2002
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: 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 8, 2022 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 9, 2022 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 8, 2022 · F-0867
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 9, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Aug 6, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 6, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Aug 6, 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. |
| Aug 6, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 6, 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. |
| May 15, 2024 | F · Potential for harm, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 15, 2024 | 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. |
| May 15, 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 |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| May 15, 2024 | 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. |
| May 15, 2024 | 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. |
| Sep 7, 2023 | 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. · from a complaint |
| Sep 7, 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. · from a complaint |
| Oct 8, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Oct 8, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Oct 8, 2022 | 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. |
| Oct 8, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 2 | J ▲ |
| 2023 | 2 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 5 | 0 | 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) | 2.81 | 3.62 | 3.95 | bottom 9% in Tennessee; bottom 9% in the U.S. |
| Registered Nurse hours | 0.30 | 0.57 | 0.69 | bottom 10% in Tennessee; bottom 9% in the U.S. |
| Weekend total nurse staffing | 2.53 | 3.15 | 3.50 | bottom 13% in Tennessee; bottom 10% 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 (%) | 53.1 | 48.9 | 45.8 | bottom 38% in Tennessee; bottom 29% in the U.S. |
| RN turnover (%) | 81.8 | 43.2 | 42.9 | bottom 4% in Tennessee; bottom 5% 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 3.33, RN 0.35, weekend 3.00. 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: 5/5 · long-stay residents: 5/5 · 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% | 07/01/2021 |
| Griffin, Rita | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/27/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "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 |
|---|---|---|---|---|---|
| Wood Village | 2.0 mi | Sweetwater, TN | ★★★★★ | 5/5 | |
| Monroe Health and Rehabilitation Center | 8.1 mi | Madisonville, TN | ★★★☆☆ | 2/5 | |
| Life Care Center of Athens | 11.3 mi | Athens, TN | ★★☆☆☆ | 1/5 | abuse |
| NHC Healthcare, Athens | 11.7 mi | Athens, TN | ★★★★★ | 5/5 | |
| River Grove Health and Rehabilitation | 13.3 mi | Loudon, TN | ★★☆☆☆ | 2/5 | |
| Starr Regional Health & Rehabilitation | 15.1 mi | Etowah, TN | ★★★★★ | 4/5 | |
| Etowah Health and Rehabilitation | 17.6 mi | Etowah, TN | ★☆☆☆☆ | 2/5 | |
| Decatur Wellness and Rehabilitation Center | 17.8 mi | Decatur, TN | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445456.