The Waters of Robertson, LLC
104 Watson Road, Springfield, TN 37172


The Waters of Robertson, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445137. The address is 104 Watson Road, Springfield, TN 37172. The zip code is 37172. The phone number is 6153849565.


The Waters of Robertson, LLC · 104 Watson Road, Springfield, TN 37172

Federal Provider Number 445137
Provider Name THE WATERS OF ROBERTSON, LLC
Address 104 WATSON ROAD
SPRINGFIELD, TN 37172
Phone Number 6153849565
SSA County Code 730
County Name Robertson
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 40
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name THE WATERS OF ROBERTSON LLC
Date First Approved to Provide Medicare Medicaid Services 10/01/1980
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months true
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.50875
Reported LPN Staffing Hours per Resident per Day 0.8875
Reported RN Staffing Hours per Resident per Day 0.84875
Reported Licensed Staffing Hours per Resident per Day 1.73625
Reported Total Nurse Staffing Hours per Resident per Day 3.245
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06125
Expected CNA Staffing Hours per Resident per Day 2.53083
Expected LPN Staffing Hours per Resident per Day 0.70636
Expected RN Staffing Hours per Resident per Day 1.19612
Expected Total Nurse Staffing Hours per Resident per Day 4.43331
Adjusted CNA Staffing Hours per Resident per Day 1.46277
Adjusted LPN Staffing Hours per Resident per Day 1.04284
Adjusted RN Staffing Hours per Resident per Day 0.5302
Adjusted Total Nurse Staffing Hours per Resident per Day 2.95045
Cycle 1 Total Number of Health Deficiencies 13
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 05/09/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 60
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 14
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 92
Cycle 2 Standard Health Survey Date 05/04/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 92
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 15
Cycle 3 Health Deficiency Score 108
Cycle 3 Standard Health Survey Date 04/24/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 108
Total Weighted Health Survey Score 78.667
Number of Facility Reported Incidents 5
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · The Waters of Robertson, LLC

Owner Name Role Association Date
A & F REALTY LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 09/01/2016
BLISKO, MICHAEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
since 09/01/2016
GUBIN ENTERPRISES LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
since 09/01/2016
RAY, CHRISTOPHER (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2016

37172 · Nursing Home

The Waters of Springfield LLC 704 5th Avenue East, Springfield, TN 37172
Nhc Healthcare, Springfield 608 8th Ave East, Springfield, TN 37172

Springfield · Nursing Home

Lewis Memorial Christian Vlg 3400 West Washington, Springfield, IL 62702
Forest Glen Health Campus 2150 Montego Drive, Springfield, OH 45503
Springfield Skilled Care Center 2401 West Grand, Springfield, MO 65802
Mosaic of Springfield, The 555 West Carpenter, Springfield, IL 62702
Oak Terrace Healthcare Center 1750 West Washington, Springfield, IL 62702
Greenspring Village 7470 Spring Village Dr, Springfield, VA 22150
Marquis Springfield 1333 N. First Street, Springfield, OR 97477
Wilson's Creek Nursing & Rehab 3403 West Mt Vernon, Springfield, MO 65802
Concordia Village Care Center 4101 West Iles Avenue, Springfield, IL 62711
Southeast Colorado Hospital Ltc Center 373 E 10th Avenue, Springfield, CO 81073
St John Lutheran Home 201 South County Road 5, Springfield, MN 56087
Maples Health and Rehabilitation, The 610 West Sunset Street, Springfield, MO 65807
Springfield Nursing & Rehabilitation Center 420 East Grundy Avenue, Springfield, KY 40069
Arbors At Springfield 1600 Saint Paris Pike, Springfield, OH 45504
James River Nursing and Rehabilitation 3550 East Battlefield, Springfield, MO 65809
Heartland of Springfield 2615 Derr Road, Springfield, OH 45503
Manor At Elfindale, The 1707 West Elfindale Street, Springfield, MO 65807
Good Shepherd Village 422 North Burnett Road, Springfield, OH 45503
Springfield Health & Rehab 105 Chester Rd, Springfield, VT 05156
Oakwood Village 1500 Villa Road, Springfield, OH 45503
Springfield Nursing & Independent Living 404 E Mccreight Ave, Springfield, OH 45503
Vibra Nursing & Rehabilitation Ctr of Western Mass 1400 State Street, Springfield, MA 01109
Cox Medical Centers Meyer Orthopedic and Rehab 3535 S National Ave, Springfield, MO 65807
Southbrook Care Center 2299 S Yellow Springs Street, Springfield, OH 45506
Chapin Center 200 Kendall Street, Springfield, MA 01104
Eaglewood Care Center 2000 Villa Road, Springfield, OH 45503
Aperion Care Springfield 525 So Martin Luther King Dr, Springfield, IL 62703
Brookhaven Nursing & Rehab 3405 West Mt Vernon, Springfield, MO 65802
Loomis Lakeside At Reeds Landing 807 Wilbraham Road, Springfield, MA 01109
Glendale Gardens Nursing & Rehab 3535 East Cherokee, Springfield, MO 65809
Harlee Manor 463 Sproul Road, Springfield, PA 19064
Nhc Healthcare, Springfield 608 8th Ave East, Springfield, TN 37172
Manorcare Health Services 2915 South Fremont, Springfield, MO 65804
Villa Springfield 701 Villa Road, Springfield, OH 45503
Wingate At Springfield Rehab & Skilled Nurs Res 215 Bicentennial Highway, Springfield, MA 01118
Jordan Creek Nursing & Rehab 910 South West Ave, Springfield, MO 65802
Woodland Manor 1347 East Valley Watermill Road, Springfield, MO 65803
Effingham Care Center 459 Highway 119 S, Springfield, GA 31329
Maranatha Village, Inc 233 East Norton Road, Springfield, MO 65803
The Waters of Springfield LLC 704 5th Avenue East, Springfield, TN 37172