The Waters of Springfield LLC

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

66 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 64
Staffing 20% 59
Federal penalties 15% 56
Trend 10% 51
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.063.48 min · 4.1 strong
RN hours / resident-day0.710.55–0.75
Weekend hours / resident-day2.80≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)2 · $35,552

Inspection citations (20 in the current record)

  • Immediate jeopardy · J February 23, 2026 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected February 27, 2026 · Quality of Life and Care

  • Potential for harm · D May 20, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected July 14, 2025 · Resident Rights

  • Potential for harm · D May 20, 2025

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

    Corrected July 14, 2025 · Quality of Life and Care

  • Potential for harm · E May 20, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 14, 2025 · Nutrition and Dietary

  • Potential for harm · D May 20, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 14, 2025 · Infection Control

  • Potential for harm · D July 25, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected August 24, 2024 · Resident Rights

  • Potential for harm · D July 25, 2024

    Assist a resident in gaining access to vision and hearing services.

    Corrected August 24, 2024 · Quality of Life and Care

  • Potential for harm · F July 25, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 24, 2024 · Nutrition and Dietary

  • Potential for harm · E July 25, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 25, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 24, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 19, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 7, 2022 · Quality of Life and Care

  • Potential for harm · D October 19, 2023 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected November 29, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 19, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 29, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 19, 2023 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 29, 2023 · Pharmacy Service

  • Potential for harm · D October 19, 2023 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected November 29, 2023 · Administration

  • Potential for harm · D October 19, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 29, 2023 · Infection Control

  • Potential for harm · D July 8, 2021

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected August 10, 2021 · Resident Rights

  • Potential for harm · D July 8, 2021

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 10, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D July 8, 2021

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 10, 2021 · Quality of Life and Care

  • Potential for harm · D July 8, 2021

    Observe each nurse aide's job performance and give regular training.

    Corrected August 10, 2021 · Nursing and Physician Services

Federal penalties

DateTypeAmount / length
February 23, 2026Fine$26,130
October 19, 2023Fine$9,422

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445480 · certified since October 7, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.