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Nursing Home in Springfield

CMS overall rating Info 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.

The Waters Of Springfield

Nursing Home in Springfield

CMS overall rating Info 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.

The Waters Of Springfield

704 5th Ave E, Springfield, TN 37172 View map
Overview of The Waters of Springfield

Comfortably age in place in The Waters of Springfield, a remarkable senior living community in Springfield, TN, offering a wide array of excellent care services. Residents here are provided access to memory care, long term care services, hospice services, respite care, and a variety of other healthcare services. Featuring stunning and cozy accommodations, the community guarantees a safe and secure living environment for its residents.

Focused on helping residents maintain an active and fulfilling life, the community provides a wide variety of fun and engaging activities. Several amenities, such as a therapy gym and an elegant dining room are offered to make residents’ living experience more comfortable. Here, residents are guaranteed to age well and live well within an environment that encourages them to stay active and happy.

(615) 384-6666

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
Tennessee average: 3.1/5
Health Inspection Info 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.
3/5
Tennessee average: 2.9/5
Staffing Info 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.
2/5
Tennessee average: 2.5/5
Quality Measures Info 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.
5/5
Tennessee average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 8m per day

This home provides 14% less nursing time per resident than the Tennessee average.

Tennessee average: 3h 40m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 58m per day 37m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 41m per day 2h 9m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 4m per day 3h 21m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 1m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 43m per day 25m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 66

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Tennessee average
Occupancy rate 56.1%
Residents per day (avg) 37
Occupancy rate
56.1%
Residents per day (avg)
37

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

66% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Finances and operations

Privately-owned community
Home revenue
$7.2M
Operating loss
-$671.9K
Privately-owned community
Home revenue
$7,165,152.00
Operating loss
$-671,875.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
33.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.4M
Total costs $7.8M
Bed community size
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
34 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 32 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
56%
22% lower than Tennessee average

Tennessee average: 72%

Occupied beds
37 / 66
Average residents 82 per day

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJanuary 7, 1992
ExpirationJune 2, 2026

Additional Licensing Details

License Number00000214
CMS Certification Number445480

Ownership & Operating Entity

The Waters Of Springfield is legally operated by The Waters of Springfield, LLC, and administrated by Rick Lucas.

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes, Accept

Total residents icon
Total residents icon

Total Residents: 66 Residents

Building type icon
Building type icon

Building Type: Single-story

Types of Care at The Waters Of Springfield

Memory Care
Contact The Waters Of Springfield

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.

4 visits/inspections

3 visits/inspections triggered by complaints

1 routine inspections

Results

4 with issues

0 without issues

Tennessee average: 9 complaint visits

Latest inspection

Date May 19, 2025
Complaint Investigation

21 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Tennessee average: 17 deficiencies

Health Inspection History

Inspections
Total health inspections 4

Tennessee average 3.5


Last Health inspection on May 2025

Total health citations 19

Tennessee average 15.4

Citations per inspection
4.75

Tennessee average 4.39


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 19 citations resulted from standard inspections; 6 of 19 resulted from complaint investigations; and 2 of 19 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
9% better than Tennessee average

Tennessee average: 1.1


Serious Health citations More info 0
100% better than Tennessee average

Tennessee average: 0.6

1 critical citation More info Tennessee average: 1.1

0 serious citations More info Tennessee average: 0.6

18 moderate citations More info Tennessee average: 13.7

0 minor citations More info Tennessee average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 20, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 20, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. May 20, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. May 20, 2025
Corrected

Compare Nursing Homes around Springfield The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

1 facility compared · CMS & TN Dept. of Health data · Updated Apr 2026

Filter by care type
The Waters Of Springfield
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

Springfield
66
76.2%
+4%
3.14
+64%
-13%
1
19
4.8
1
37
32
Welsh, Benton
$6.8M
$2.4M
35.3%
445480

Places of interest near The Waters Of Springfield

Address 0.6 miles from city center

Address 704 5th Ave E, Springfield, TN 37172

Calculate Travel Distance to The Waters Of Springfield

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 119
Employees 51
Contractors 68
Staff to resident ratio 3.22:1
79% better than Tennessee average

Tennessee average ratio: 1.79:1

Avg staff/day 19
Average shift 8.4 hours
0% compared with Tennessee average

Tennessee average: 8.3 hours

Total staff hours (quarter) 14,523
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.2%

2,065 contractor hours this quarter

Certified Nursing Assistant: 29 Licensed Practical Nurse: 18 Registered Nurse: 9 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Speech Language Pathologist: 2 Nurse Practitioner: 2 Administrator: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant2729566,08491100%9.7
Licensed Practical Nurse818262,68091100%9.4
Registered Nurse89172,1439099%9.3
Administrator2134926066%8
Mental Health Service Worker1014856369%7.7
RN Director of Nursing1014816066%8
Other Dietary Services Staff1014596369%7.3
Dietitian1013965459%7.3
Nurse Practitioner1233474448%7.7
Clinical Nurse Specialist1012754145%6.7
Physical Therapy Aide0222656268%4.2
Speech Language Pathologist0222476066%4.1
Physical Therapy Assistant011783741%2.1
Respiratory Therapy Technician033613437%1.7
Qualified Social Worker011302022%1.5
56 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 99%
3 Administrator
% of Days 66%
1 Mental Health Service Worker
% of Days 69%
1 RN Director of Nursing
% of Days 66%
1 Other Dietary Services Staff
% of Days 69%
1 Dietitian
% of Days 59%
3 Nurse Practitioner
% of Days 48%
1 Clinical Nurse Specialist
% of Days 45%
2 Physical Therapy Aide
% of Days 68%
2 Speech Language Pathologist
% of Days 66%
1 Physical Therapy Assistant
% of Days 41%
3 Respiratory Therapy Technician
% of Days 37%
1 Qualified Social Worker
% of Days 22%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
37 residents
Residents by payment source
Medicare
1 resident (2.7%)
Medicaid
22 residents (59.5%)
Private pay or other
14 residents (37.8%)
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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 1.9
82% better than Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.3
57% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Significantly above average Tennessee avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 0.9%
94% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 0.0%
100% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.1%
16% worse than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.7%
80% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.7%
32% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
64% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.4%
31% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 24.6%
124% worse than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.2%
20% better than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.5%
In line with Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.7%
In line with Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.5%
27% worse than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
44% worse than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 45.8%
43% worse than Tennessee average

Tennessee average: 79.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 10.0%
1199% worse than Tennessee average

Tennessee average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 48.0%
5% worse than Tennessee average

Tennessee average: 50.6%

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 (Data as of Jan 2026)

Total fines amount $9K
89% lower than Tennessee average

Tennessee average: $86K

Number of fines 1
43% fewer fines than Tennessee average

Tennessee average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Tennessee average

Tennessee average: 0.5

Fines amount comparison
Fines amount comparison
This facility $9K
Tennessee average $86K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 19, 2023
$9K

Last updated: Jan 2026

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Financial Aid for Tennessee Seniors

Get financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled, Tennessee resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high rural demand.

Tennessee Options for Community Living

TN Options

Age 60+, Tennessee resident, at risk of nursing home.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; rural/urban balance.

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled, TN resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Tennessee LIHEAP

Age 60+ prioritized, TN resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; emergency aid available.

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Includes grandparent caregivers; high rural demand.

Senior Community Service Employment Program (SCSEP)

Tennessee SCSEP

Age 55+, unemployed, low-income, TN resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TN resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran population; supports rural/urban care needs.

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+, TN resident; no income limit but prioritizes low-income.

None; donations encouraged.

Not assessed.

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+, TN resident, homeowner/renter (or widow/er 50+, disabled 18+).

~$45,000/year (household, excludes half of Social Security).

Not assessed; income-focused.

Rebates up to $1,000; serves ~100,000 annually.

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