CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Tennessee. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
The Waters of Union City , LLC is a 5-star Medicare and Medicaid certified nursing home in Union City, Tennessee with 80 certified beds. It has been operating since 1981. Its overall CMS rating is 5 out of 5.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assure that each resident’s assessment is updated at least once every 3 months.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| A&F REALTY LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 20% | Sep 1, 2016 |
| GUBIN ENTERPRISES LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 40% | Sep 1, 2016 |
| KEELING, DAVID | W-2 MANAGING EMPLOYEE | Individual | N/A | Sep 1, 2019 |
Compare CMS ratings and recorded fines for The Waters of Union City , LLC and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 70 facilities. View all →