All citations for The Waters of Cheatham, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Waters of Cheatham, LLC

Last standard health inspection on record

March 26, 2026

Showing 1 to 15 of 15 citations

  1. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  2. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  3. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2019).

  4. No harm, with potential for more than minimal harm

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  5. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  6. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  7. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  8. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  9. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2019).

  11. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2019).

  12. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2019).

  13. No harm, with potential for more than minimal harm

    Provide primary/alternate means for communication.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2019).

  14. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2019).

  15. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 23, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.