Total health inspections
5
State average N/A
Last Health inspection on Nov 2023
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Waters of Gainesboro
Assisted Living Home
The Waters of Gainesboro
Assisted Living Home
The Waters of Gainesboro is a skilled nursing and rehabilitation center in Gainesboro, TN. It is dedicated to providing exceptional care and promoting independence and emotional well-being for its residents. The facility offers a range of services including personalized rehabilitation, respite care, and comprehensive wound care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
83
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
83%
Residents per day (avg)
75
Occupancy rate
83%
Residents per day (avg)
75
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
59% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Proprietary home
Other
Home revenue
$10.3M
Profit
$1.6M
Proprietary home
Other
Home revenue
$10,293,921.00
Profit
$1,587,810.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.7M
83-bed community
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
Additional licensing details
License number:
00000136
CMS Certification Number:
445171
Ownership & operating entity
The Waters of Gainesboro is administrated by Rita Crabtree.
Owner name:
The Waters of Gainesboro, LLC
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Programs & Activities
Specific Programs
Living Well, In Motion, Respite Care, Comprehensive Wound Care, Respiratory Services
Operating Hours
24 hours - 7 days a week
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Latest inspection
Date:March 18, 2020
1 enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
1
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
The Waters of Gainesboro
-13%
-34%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 38562
96
No
-
-
83.0%
$9,686,643.00
$2,753,204.00
28.4%
75.20
2.3764
16
2
-13%-34%+14%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
The Waters of Gainesboro
Type of care:
SNF
AL
Community:
TN 38562
Bed Count:
96
Pets Allowed:
No
CCN:
445171
Occupancy:
83.0%
Home Revenue:
$9,686,643.00
Payroll Costs:
$2,753,204.00
Payroll %:
28.4%
Avg Residents/Day:
75.20
Overall Rating:
Adj Nurse Hours:
2.3764
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
16
Severe Citations:
2
RN share vs State Avg:
-13%
-13%
Staffing vs State Avg:
-34%
-34%
Occupancy vs State Avg:
+14%
+14%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near The Waters of Gainesboro
0.0 miles from city center
Gainesboro, TN 38562
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
79
Total Staff
68
Employees
11
Contractors
26,171
Total Hours (Quarter)
32
Avg Staff/Day
9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 9.8 | Yes |
| Licensed Practical Nurse | 22 | 9.5 | Yes |
| Certified Nursing Assistant | 33 | 9.4 | No |
Staff by Category
Administration ⓘ
1 staff
8.8hs shift avg
Nursing Staff ⓘ
62 staff
9.5hs shift avg
Physicians & Practitioners ⓘ
5 staff
8hs shift avg
Therapy Services ⓘ
5 staff
8.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
3.2hs shift avg
Dietary Services ⓘ
3 staff
7.6hs shift avg
Other Services ⓘ
1 staff
7.3hs shift avg
Contractor Analysis
9%
of total hours from contractors
2,350 contractor hours this quarter
Respiratory Therapy Technician: 1
Qualified Social Worker: 2
Physical Therapy Aide: 1
Registered Nurse: 1
Licensed Practical Nurse: 2
Speech Language Pathologist: 2
Nurse Practitioner: 1
Physical Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 33 | 0 | 33 | 10,690 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 20 | 2 | 22 | 8,226 | 91 | 100% | 9.5 |
| Registered Nurse | 5 | 1 | 6 | 1,362 | 89 | 98% | 9.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 960 | 78 | 86% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 717 | 76 | 84% | 8.7 |
| RN Director of Nursing | 1 | 0 | 1 | 622 | 65 | 71% | 9.6 |
| Administrator | 1 | 0 | 1 | 565 | 64 | 70% | 8.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 559 | 64 | 70% | 8.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 531 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 513 | 66 | 73% | 7.8 |
| Nurse Practitioner | 1 | 1 | 2 | 440 | 52 | 57% | 8.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 383 | 51 | 56% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 364 | 50 | 55% | 7.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 150 | 20 | 22% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 90 | 28 | 31% | 3.2 |
Health Inspection History
Inspections
Total health citations
16
Citations per inspection
3.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 16 citations resulted from standard inspections; and 3 of 16 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
1 critical citation
1 serious citation
14 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Nov 29, 2023
Corrected
Quality of Care moderate citation
Nov 29, 2023
Corrected
Abuse/Neglect moderate citation
Feb 08, 2023
Corrected
Nutrition moderate citation
Nov 06, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
69
Total Residents
Medicare
8
(11.6%)
ⓘ
Medicaid
49
(71%)
ⓘ
Private Pay/Other
12
(17.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
38% better than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
38% better than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.1%
Percent of long-stay residents whose need for help with daily activities has increased
8.1%
49% better than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.5%
Percent of long-stay residents whose ability to move independently worsened
9.5%
56% better than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
9% better than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
25% worse than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.1%
Percent of long-stay high risk residents with pressure ulcers
4.1%
24% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
81% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.9%
Percent of long-stay residents who lose too much weight
5.9%
6% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
76.1%
Percent of long-stay residents who have depressive symptoms
76.1%
591% worse than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.9%
Percent of long-stay residents who received an antipsychotic medication
3.9%
76% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
8% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.0%
8% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
61% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
17% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for The Waters of Gainesboro based on CMS SNF Cost Reports.
Occupancy Rate
83.0%
↑ 20.1pp vs 2022
Net Income
$1,587,810
↑ ~$1.9M vs 2022
Total Payroll
$3,221,779
↑ ~$836K vs 2022
Profit Margin
16.4%
↑ 21.1pp vs 2022
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Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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