The Waters of Springfield LLC
704 5th Avenue East, Springfield, TN 37172
The Waters of Springfield LLC is a nursing home in Springfield, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (615) 384-7977
- Last standard health inspection
- May 20, 2025 (1 year ago)
- Certified beds
- 66
- Residents per day, on average
- 38.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- The Waters of Springfield, LLC
- Chain
- Infinity Healthcare Consulting
- Takes part in
- Medicare and Medicaid
More health citations than the Tennessee average (21 vs 14).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from February 23, 2026 from $26,130 to $16,985.
1 citation
Health inspection on August 19, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
12 of 303 Tennessee homes (4%) got a citation at the immediate jeopardy level in 2026.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 14, 2026.
CMS has cited this home for F0689 3 times since 2021.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.
1 citation
Health inspection on February 23, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
12 of 303 Tennessee homes (4%) got a citation at the immediate jeopardy level in 2026.
Citation F0678. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS lists it as corrected on February 27, 2026.
Fine
February 23, 2026 (8 months ago)
CMS fine of $16,985 on February 23, 2026.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS abuse icon
CMS removed its abuse icon from this home.
Ownership
CMS lists this home under a new chain.
4 citations
Health inspection on May 20, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 14, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0565. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on July 14, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 14, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 14, 2025.
CMS has cited this home for F0880 2 times since 2023.
6 citations
Fire safety inspection on May 20, 2025
CMS lists this as a standard inspection.
Citation E0031. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on June 18, 2025.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on June 18, 2025.
CMS has cited this home for E0039 2 times since 2021.
Citation K0232. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on June 18, 2025.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 18, 2025.
CMS has cited this home for K0345 2 times since 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 18, 2025.
Citation K0374. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on June 18, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
5 citations
Health inspection on July 25, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 24, 2024.
Citation F0600. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on March 18, 2024.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on August 24, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 24, 2024.
CMS has cited this home for F0609 2 times since 2023.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on August 24, 2024.
9 citations
Fire safety inspection on July 25, 2024
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 23, 2024.
Citation E0006. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on September 24, 2024.
Citation E0030. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on September 24, 2024.
Citation K0200. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on September 23, 2024.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on September 23, 2024.
Citation K0271. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on September 23, 2024.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 23, 2024.
CMS has cited this home for K0324 2 times since 2021.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on September 23, 2024.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on September 23, 2024.
CMS update of May 29, 2024
Fine
CMS changed the fine from October 19, 2023 from $9,318 to $9,422.
CMS update of April 25, 2024
Fine
CMS changed the fine from October 19, 2023 from $14,335 to $9,318.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
6 citations
Health inspection on October 19, 2023
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
14 of 303 Tennessee homes (5%) got a citation at the immediate jeopardy level in 2023.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 7, 2022.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on November 29, 2023.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on November 29, 2023.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on November 29, 2023.
Citation F0865. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on November 29, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 29, 2023.
Fine
October 19, 2023 (3 years ago)
CMS fine of $9,422 on October 19, 2023.
4 citations
Health inspection on July 8, 2021
CMS lists this as a standard inspection.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 10, 2021.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 10, 2021.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 10, 2021.
Citation F0730. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on August 10, 2021.
4 citations
Fire safety inspection on July 8, 2021
CMS lists this as a standard inspection.
Citation E0004. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on August 20, 2021.
Citation E0039. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on August 20, 2021.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on August 20, 2021.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 20, 2021.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- A&F REALTY LLC5% or greater direct ownership interest · 20% · since 08/01/2016
Questions
When was The Waters of Springfield LLC last inspected?
CMS lists May 20, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does The Waters of Springfield LLC have?
CMS lists 21 health citations since July 8, 2021. CMS also calls these deficiencies.
Has The Waters of Springfield LLC been fined?
CMS lists 2 fines in the past three years, $26,407 in total.
What is the CMS star rating of The Waters of Springfield LLC?
Its CMS overall star rating is 1 of 5.
Is The Waters of Springfield LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.