Nursing home
The Waters of Smyrna
202 Enon Springs Road East, Smyrna, TN 37167 · Map
For profit - Limited Liability company · Part of Infinity Healthcare Consulting (70 facilities) · 91 certified beds
The Waters of Smyrna is a Medicare-certified nursing home in Smyrna, Tennessee. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.55 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Aug 10, 2022 cited 17 deficiencies.
- 2 fines totaling $104,124In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Waters of Smyrna compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.55 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.40 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.03 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 83.9% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 5.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 21, 2024 inspection was corrected by July 9, 2024
Penalties in CMS records: 2 fines totaling $104,124, 3 total penalties, 1 Medicare payment denial.
What inspectors found at The Waters of Smyrna
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 21, 2024 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 21, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Jun 21, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 21, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Aug 15, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 10, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 202 Enon Springs Road East
Smyrna, TN 37167 - CMS certification #
- 445502
- Ownership
- For profit - Limited Liability company
- Certified beds
- 91
- Avg residents/day
- 63.3
- Provider type
- Medicare and Medicaid
- First certified
- 2011-03-24
- Chain
- Infinity Healthcare Consulting (70 facilities)
- Setting
- Urban
Part of Infinity Healthcare Consulting
Infinity Healthcare Consulting operates 70 nursing facilities across the United States. View all Infinity Healthcare Consulting facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Waters of Smyrna using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, diabetes care
- Workplace safety 2 OSHA workplace safety inspections since 2018, 6 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What The Waters of Smyrna says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
24-hour skilled nursing care
(page, checked Oct 15, 2026) - Offers diabetes care.
Customized dietary programs including renal, cardiac, and diabetic support, along with tube feeding when needed.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 19, 2022: complaint inspection, partial (safety). Case closed Sep 27, 2022. 4 violations cited (1 serious, 3 other). Penalties: $1,500 proposed, $1,500 now. OSHA record. OSHA recorded the employer as The Waters of Smyrna, LLC.
Details
- Serious: Floors and walking surfaces (slips, trips and falls) (1910.22(a)(2)). Penalty $1,000 proposed, $1,000 now. To be fixed by Sep 6, 2022.
- Other than serious: Cited rule TDLWD. Penalty $400 proposed, $400 now. To be fixed by Sep 6, 2022.
- Other than serious: Cited rule TDLWD. Penalty $0 proposed, $0 now. To be fixed by Sep 6, 2022.
- Other than serious: Portable fire extinguishers (1910.157(c)(1)). Penalty $100 proposed, $100 now. To be fixed by Sep 6, 2022.
- Mar 29, 2018: programmed (planned) inspection, complete (safety). Case closed May 22, 2018. 2 violations cited (2 serious). Penalties: $600 proposed, $600 now. OSHA record. OSHA recorded the employer as The Waters of Smyrna, LLC.
Details
- Serious: Electrical equipment and installation (1910.303(g)(2)(i)). Penalty $300 proposed, $300 now.
- Serious: Electrical wiring methods and equipment (1910.305(g)(1)(iii)). Penalty $300 proposed, $300 now. To be fixed by Apr 30, 2018.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Tristar Stonecrest Medical Center, Smyrna. 3.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Smyrna Care Center, Smyrna. 0.2 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Care, Smyrna. 3.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Smyrna Pharmacy and Wellness. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37167 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Dialysis Assoc. Of Smyrna, Smyrna, 2.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Smyrna Dialysis, Smyrna, 3.1 miles away, straight line (CMS rating 2 of 5 stars)
Dci Murfreesboro, Murfreesboro, 9.0 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 37167.
Amedisys Hospice, office in Murfreesboro, 9.3 miles away, straight line
Caris Healthcare, office in Murfreesboro, 9.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Amedisys Hospice Care, office in Hermitage, 14.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Jean Lessly, MD, Hermitage. 17.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Waters of Smyrna a good nursing home?
CMS gives The Waters of Smyrna an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Waters of Smyrna staffed?
The Waters of Smyrna reports 3.55 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has The Waters of Smyrna had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does The Waters of Smyrna have?
The Waters of Smyrna is certified for 91 beds.