Facility type
Nursing Home
Status
Licensed
Licensed
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.
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Assisted Living Home
The Waters of Gainesboro
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Home revenue
$10.3M
Profit
$1.6M
Privately-owned community
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 details
Issuance
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.
Show Inspection Reports
Latest inspection
Date:March 18, 2020
16 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
1 enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
1
Health Inspection History
Inspections
Total health inspections
5
State average N/A
Last Health inspection on Nov 2023
Total health citations
16
State average N/A
Citations per inspection
3.2
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
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.
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
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).
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.
Gainesboro
96
No
-
-
Job Haines Home
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.
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).
Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
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
16
No
27
Private / Semi-Private Suite
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
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
-
-
Places of interest near The Waters of Gainesboro
0.0 miles from city center
1340 North Grundy Quarles Highway, Gainesboro, TN 38562
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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 census
69 residents
Residents by payment source
Medicare
8 residents (11.6%)
Medicaid
49 residents (71%)
Private pay or other
12 residents (17.4%)
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.
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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