ElderGrade
B

78/100

Above average

The Waters Of Roan Highlands,Llc

146 Buck Creek Road, Roan Mountain, TN 37687

CMS 5/5 stars #2 of 6 in Carter County (423) 772-0161
Certified beds
80
Occupancy
90%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 8/30 Stability 15/15 Outcomes 15/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.68 total nurse hours per resident per day (national median 3.77)
  • 0.38 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 29% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.32 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.38 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.85 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 29.20%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 13, 2026 (3 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of INFINITY HEALTHCARE CONSULTING, which operates 70 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CABLE, ERIKA Individual W-2 MANAGING EMPLOYEE
GUBIN ENTERPRISES LIMITED PARTNERSHIP Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
A&F REALTY LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about The Waters Of Roan Highlands,Llc

What is the ElderGrade for The Waters Of Roan Highlands,Llc? +

The Waters Of Roan Highlands,Llc holds an ElderGrade of B (78 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Waters Of Roan Highlands,Llc? +

Residents receive an average of 3.32 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Waters Of Roan Highlands,Llc been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does The Waters Of Roan Highlands,Llc accept Medicaid? +

Yes, The Waters Of Roan Highlands,Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.