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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.
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.
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.
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.
This home is ranked 109th out of 134 homes in Tennessee.| Staff type | Hours / day | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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58m per day | ▲ 57% State avg: 37m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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49m per day | ▼ 26% State avg: 1h 6m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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1h 41m per day | ▼ 22% State avg: 2h 9m per day · National avg: 2h 21m per day |
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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.
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3h 16m per day | ▼ 3% State avg: 3h 21m per day · National avg: 3h 26m per day |
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Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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1m per day | ▼ 80% State avg: 5m per day · National avg: 4m per day |
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RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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43m per day | ▲ 72% State avg: 25m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
18% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #122 / 139Payroll — state benchmarkedThis home is ranked 122nd 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Tennessee average: 71.6%
The Waters Of Springfield is legally operated by The Waters of Springfield, LLC, and administrated by Rick Lucas.
Accept Medicaid: Yes, Accept
Total Residents: 66 Residents
Building Type: Single-story
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
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
Violations indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Tennessee average: 17 deficiencies
The most recent inspection on May 19, 2025, identified deficiencies related to providing a private space for resident meetings, supervision during dining, food storage and handling, and infection prevention during medication administration. Earlier inspections showed a pattern of issues including resident-to-resident abuse and failure to timely report abuse, medication errors, narcotic diversion, misappropriation of funds, and food safety concerns. Complaint investigations substantiated abuse incidents and immediate jeopardy related to resident elopement, while other complaints were mostly unsubstantiated or related to procedural lapses. No fines or license suspensions were listed in the available reports. The facility’s deficiencies have persisted over time with recurring themes in resident safety, abuse prevention, and food and medication management.
Tennessee average 3.5
Last Health inspection on May 2025
Tennessee average 15.4
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).
9% better than Tennessee average
Tennessee average: 1.1
0
100% better than Tennessee average
Tennessee average: 0.6
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 20, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
May 20, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 20, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 20, 2025
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.
The Waters Of Springfield is located in Springfield, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
0.6 miles from city center
Estimated distance in miles from Springfield's city center to The Waters Of Springfield's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
79% better than Tennessee average
Tennessee average ratio: 1.79:1
0% compared with Tennessee average
Tennessee average: 8.3 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
Total hours from contractors
2,065 contractor hours this quarter
| Certified Nursing Assistant | 27 | 29 | 56 | 6,084 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 8 | 18 | 26 | 2,680 | 91 | 100% | 9.4 |
| Registered Nurse | 8 | 9 | 17 | 2,143 | 90 | 99% | 9.3 |
| Administrator | 2 | 1 | 3 | 492 | 60 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 485 | 63 | 69% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 481 | 60 | 66% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 459 | 63 | 69% | 7.3 |
| Dietitian | 1 | 0 | 1 | 396 | 54 | 59% | 7.3 |
| Nurse Practitioner | 1 | 2 | 3 | 347 | 44 | 48% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 275 | 41 | 45% | 6.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 265 | 62 | 68% | 4.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 247 | 60 | 66% | 4.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 78 | 37 | 41% | 2.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 61 | 34 | 37% | 1.7 |
| Qualified Social Worker | 0 | 1 | 1 | 30 | 20 | 22% | 1.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37
Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
0.0%
100% better than Tennessee average
Tennessee average: 21.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
80% better than Tennessee average
Tennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
3.7%
32% better than Tennessee average
Tennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.7%
64% better than Tennessee average
Tennessee average: 2.1%
Percent of long-stay residents who lose too much weight
4.4%
31% better than Tennessee average
Tennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
24.6%
124% worse than Tennessee average
Tennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
13.2%
20% better than Tennessee average
Tennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
In line with Tennessee average
Tennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Tennessee average
Tennessee average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.5%
27% worse than Tennessee average
Tennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
44% worse than Tennessee average
Tennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.8%
43% worse than Tennessee average
Tennessee average: 79.8%
Percentage of SNF residents who experience falls with major injury during their stay.
10.0%
1199% worse than Tennessee average
Tennessee average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
48.0%
5% worse than Tennessee average
Tennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
89% lower than Tennessee average
Tennessee average: $86K
43% fewer fines than Tennessee average
Tennessee average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 19, 2023 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 19, 2023
Last updated: Jan 2026
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| 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 | $7.2M | $2.4M | 33.5% | 445480 |
Historical financial and operational data for The Waters Of Springfield based on CMS SNF Cost Reports.
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