Show Inspection Reports
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 in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Waters of Gainesboro
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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The Waters of Gainesboro accepts Medicare, Medicaid, and private pay.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 23m per day
Rank #132 / 134Nurse hours — state benchmarkedThis home is ranked 132nd out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
83%
Rank #48 / 139Occupancy rate — state benchmarkedThis home is ranked 48th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
129 days
Occupancy rate
83%
Rank #48 / 139Occupancy rate — state benchmarkedThis home is ranked 48th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
129 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
Privately-owned community
Home revenue
$10.3M
Profit
$1.6M
Privately-owned community
Home revenue
$10.3M Rank #97 / 139Revenue — state benchmarkedThis home is ranked 97th out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$1.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #112 / 139Payroll — state benchmarkedThis home is ranked 112th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #112 / 139Payroll — state benchmarkedThis home is ranked 112th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
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
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000136
CMS Certification Number445171
The Waters of Gainesboro is administrated by Rita Crabtree.
Owner NameThe Waters of Gainesboro, LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
Specific ProgramsLiving Well, In Motion, Comprehensive Wound Care, Respiratory Services
Operating Hours24 hours - 7 days a week
Access & Eligibility
Ways to qualify for care at this community, including accepted programs.
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.
5 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Tennessee average: 9 complaint visits
Latest inspection
Date
March 18, 2020
16 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Tennessee average: 17 deficiencies
1
enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
1
Inspection Report Summary for The Waters of Gainesboro
The most recent inspection on November 29, 2023, identified deficiencies related to respiratory care, including administering oxygen at an incorrect flow rate and improper storage and dating of respiratory equipment. Earlier inspections showed a mixed pattern of issues involving resident care, medication administration, and safety, with some findings related to dignity, supervision, and food safety. Complaint investigations noted a delayed report of alleged abuse in February 2023, which was substantiated, while other complaints were not clearly substantiated. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports since 2019, though the 2019 inspection did include an immediate jeopardy finding related to elopement prevention. The facility’s inspection history shows ongoing challenges with care and procedural compliance, with no clear pattern of consistent improvement or worsening over time.
Health Inspection History
Inspections
Total health citations
16
Rank #77 / 138Health citations — state benchmarkedThis home is ranked 77th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
State average N/A
Citations per inspection
3.2
Rank #32 / 138Citations per inspection — state benchmarkedThis home is ranked 32nd out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
State average N/A
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
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 29, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 29, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 29, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 29, 2023
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 08, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 08, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 06, 2019
Issues related to food quality, meal service, and resident's nutritional needs.
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.
Places of interest near The Waters of Gainesboro
0.0 miles from city center
Estimated distance in miles from Gainesboro's city center to The Waters of Gainesboro's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
79
Employees
68
Contractors
11
Staff to resident ratio
1.14:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
32
Average shift
9 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
26,171
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9%
2,350 contractor hours this quarter
Qualified Social Worker: 2
Licensed Practical Nurse: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 1
Physical Therapy Aide: 1
Registered Nurse: 1
Nurse Practitioner: 1
Physical Therapy Assistant: 1
Staff by category
| 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 |
33 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
98%
2 Other Dietary Services Staff
% of Days
86%
2 Speech Language Pathologist
% of Days
84%
1 RN Director of Nursing
% of Days
71%
1 Administrator
% of Days
70%
1 Physical Therapy Aide
% of Days
70%
1 Respiratory Therapy Technician
% of Days
71%
1 Dietitian
% of Days
73%
2 Nurse Practitioner
% of Days
57%
1 Physical Therapy Assistant
% of Days
56%
1 Mental Health Service Worker
% of Days
55%
3 Clinical Nurse Specialist
% of Days
22%
2 Qualified Social Worker
% of Days
31%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69
Medicare
8
11.6% of residents
Medicaid
49
71% of residents
Private pay or other
12
17.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
| The Waters of Gainesboro |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Job Haines Home |
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HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Village Care Homes Assisted Living – Stephen F Austin |
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| Countryside Manor Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe (Alden Bridge) | 12 | No | 8 | - |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | - | - |
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
$1.6M
↑ ~$1.9M vs 2022
Total Payroll
$3.2M
↑ ~$836.4K vs 2022
Profit Margin
16.4%
↑ 21.1pp vs 2022
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