B
SIGNATURE HEALTHCARE OF ELIZABETHON REHAB & WELLNE
72/100 score
0.48 hrs RN staffing
1 deficiencies
THE WATERS OF ROAN HIGHLANDS,LLC
146 BUCK CREEK ROAD, ROAN MOUNTAIN, TN 37687
Operator
AF REALTY · 14 facilities
- Provider number (CCN)
- 445396
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 80
- Phone
- (423) 772-0161
- CMS data as of
- July 1, 2026
B
What the records show
CMS rates THE WATERS OF ROAN HIGHLANDS,LLC 5 out of 5 stars overall, with 5 of 5 for health inspections, 2 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors recorded no health deficiencies for this facility across the last three survey cycles. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by AF REALTY, which scores 23 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews THE WATERS OF ROAN HIGHLANDS,LLC using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr RN benchmark — above average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.38 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
0
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★★★ (5/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
70/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.38 hrs |
|---|---|
| TN median | 0.54 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 14.3% · Total nursing staff turnover: 29.2%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: May 13, 2026.
Source records: CMS Care Compare profile for provider 445396 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
No deficiencies reported for this facility.
Fines and Enforcement Actions
CMS lists no fines and no payment denials for THE WATERS OF ROAN HIGHLANDS,LLC in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- THE WATERS OF ROAN HIGHLANDS,LLC
- Legal business name
- THE WATERS OF ROAN HIGHLANDS, LLC
- Address
- 146 BUCK CREEK ROAD, ROAN MOUNTAIN, TN 37687
- Phone
- (423) 772-0161
- Provider number (CCN)
- 445396
- Ownership type
- For profit - Limited Liability company
- Operator
- AF REALTY · 14 facilities
- Medicare/Medicaid certified since
- May 20, 1997
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in ROAN MOUNTAIN
Compare local nursing homes using the same CMS-backed grading method.
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LIFE CARE CENTER OF ELIZABETHTON
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IVY HALL NURSING HOME
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HILLVIEW HEALTH CENTER
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B
HERMITAGE HEALTH CENTER
71/100 score
0.61 hrs RN staffing
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Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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