The Waters of Springfield LLC · The Waters of Springfield, LLC

6153847977 · 704 5th Avenue East, Springfield, TN 37172

Overview

The Waters of Springfield LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #445480. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 704 5th Avenue East, Springfield, TN 37172. The overall rating is 2.

Federal Provider Number 445480
Provider Name THE WATERS OF SPRINGFIELD LLC
Legal Business Name THE WATERS OF SPRINGFIELD, LLC
Address 704 5th Avenue East
Springfield
TN 37172
County Robertson
Telephone 6153847977
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 2005-10-07
Number of Certified Beds 66
Average Number of Residents per Day 35.8
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 5
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 4
Staffing Rating 3
Registered Nurses Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.60731
Reported LPN Staffing Hours per Resident per Day 2.10012
Reported RN Staffing Hours per Resident per Day 0.53642
Reported Licensed Staffing Hours per Resident per Day 2.63654
Reported Total Nurse Staffing Hours per Resident per Day 5.24385
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07365
Expected CNA Staffing Hours per Resident per Day 2.01311
Expected LPN Staffing Hours per Resident per Day 0.79702
Expected RN Staffing Hours per Resident per Day 0.71929
Expected Total Nurse Staffing Hours per Resident per Day 3.52942
Adjusted CNA Staffing Hours per Resident per Day 2.66648
Adjusted LPN Staffing Hours per Resident per Day 1.95227
Adjusted RN Staffing Hours per Resident per Day 0.29845
Adjusted Total Nurse Staffing Hours per Resident per Day 4.75426
Rating Cycle 1 Standard Survey Health Date 2019-12-05
Rating Cycle 1 Total Number of Health Deficiencies 11
Rating Cycle 1 Number of Standard Health Deficiencies 11
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 72
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 72
Rating Cycle 2 Standard Health Survey Date 2019-01-15
Rating Cycle 2 Total Number of Health Deficiencies 4
Rating Cycle 2 Number of Standard Health Deficiencies 4
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 24
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 24
Rating Cycle 3 Standard Health Survey Date 2018-02-14
Rating Cycle 3 Total Number of Health Deficiencies 14
Rating Cycle 3 Number of Standard Health Deficiencies 14
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 80
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 57.333
Number of Facility Reported Incidents 3
Number of Substantiated Complavarchars 2
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
THE WATERS OF SPRINGFIELD LLC

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTA&F REALTY LLCOrganization20%since 08/01/2016
5% OR GREATER DIRECT OWNERSHIP INTERESTBLISKO, MICHAELIndividual40%since 08/01/2016
5% OR GREATER DIRECT OWNERSHIP INTERESTGUBIN ENTERPRISES LIMITED PARTNERSHIPOrganization40%since 08/01/2016
MANAGING EMPLOYEELUCAS, RICKYIndividualsince 02/19/2019

Location Information

Street Address 704 5TH AVENUE EAST
City SPRINGFIELD
State TN
Zip Code 37172

Nursing Homes in the same zip code

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
The Waters of Robertson, LLC · The Waters of Robertson LLC 104 Watson Road, Springfield, TN 3717261538495651980-10-01
Nhc Healthcare, Springfield · Nhc Healthcare-Springfield LLC 608 8th Ave East, Springfield, TN 3717261538484531973-10-014

Nursing Homes in the same city

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Springfield Masonic Community · The Ohio Masonic Home 3 Masonic Drive, Springfield, OH 4550193752530001997-04-144
Spring Valley Health & Rehabilitation Center · Mc Fremont Healthcare LLC 2915 South Fremont Ave, Springfield, MO 6580441788340221983-03-241
Greenspring Village, Inc. 7470 Spring Village Dr, Springfield, VA 2215070392346632001-08-305
Bridge Care Suites · Ojcc LLC 3089 Old Jacksonville Road, Springfield, IL 6270421778700002013-05-171
Springfield Nursing and Rehabilitation Center · Springfield Health Center LLC 420 East Grundy Avenue, Springfield, KY 4006985933677711992-04-174
Concordia Village Care Center · Lutheran Retirement Center Association 4101 West Iles Avenue, Springfield, IL 6271121779394292012-05-015
Southeast Colorado Hospital Ltc 373 E 10th Ave, Springfield, CO 8107371952345011991-12-014
Maranatha Village, Inc · Maranatha Village Inc 233 East Norton Road, Springfield, MO 6580341783300161991-12-055
Loomis Lakeside At Reeds Landing · Loomis Senior Living, Inc 807 Wilbraham Road, Springfield, MA 0110941378218001995-12-294
Arbors At Springfield · Springfield Opco LLC 1600 Saint Paris Pike, Springfield, OH 4550493739981311980-06-023
Find all nursing homes in the same city

Similar Entities

Nursing Homes with similar names

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Hot Springs Nursing and Rehabilitation- A Waters C · Hot Springs Nursing and Rehabilitation-A Waters Community LLC 552 Golf Links Road, Hot Springs, AR 7190150162471491984-11-011
Springfield Skilled Care Center · Springfield Healthcare Management LLC 2401 West Grand, Springfield, MO 6580241786445451991-11-151
Stonerise Lindside · Springfield Center LLC 10797 Seneca Trail South, Lindside, WV 2495130475343322004-08-165
Heritage Health-Springfield · Rutledge Joint Ventures, LLC 900 North Rutledge, Springfield, IL 6270221778909301973-10-011
Springfield Nursing and Rehabilitation Center · Springfield Health Center LLC 420 East Grundy Avenue, Springfield, KY 4006985933677711992-04-174
Springfield Rehabilitation & Health Care Center · Nhc Healthcare-Springfield Missouri LLC 2800 South Fort Avenue, Po Box 3438gs, Springfield, MO 6580741788200351982-02-154
Sunterra Springs Springfield · Sunterra Springfield Oc LLC 4935 S National Ave, Springfield, MO 6581041772080502018-08-235
Springfield Rehabilitation and Healthcare Center · Springfield Operator LLC 463 West Sproul Road, Springfield, PA 1906461054422001985-01-153
Wilson's Creek Nursing & Rehab · N & R of Springfield West LLC 3403 West Mt Vernon, Springfield, MO 6580241786456001982-01-115
Sixteen Acres Healthcare Center · Bear Mt Springfield LLC 215 Bicentennial Highway, Springfield, MA 0111841379675111990-07-014

Improve Information

Do you have more infomration about The Waters of Springfield LLC? Please fill in the following form.


Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.