Smyrna, TN · Rutherford County
★☆☆☆☆CMS 1/591 bedsFor-profitMedicaid
- Nurse hours
- 2.99 /day
- Staff turnover
- 69%
- Serious cites
- 0
The Waters of Smyrna runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips further below its own weekday level. That thin staffing sits alongside 69.3% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. Its record shows 36 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $97,773 fine. The last inspection was in August 2022, so that record has had time to age without a fresh look.
Gallaway, TN · Fayette County
★☆☆☆☆CMS 1/5104 bedsFor-profitMedicaid
- Nurse hours
- 2.94 /day
- Staff turnover
- 66%
- Serious cites
- 0
Gallaway Health and Rehab runs on 2.94 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Nearly two-thirds of its nurses left over the past year, well above the 45.8% national rate, which means care is often delivered by people still learning the building. Its record shows 21 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $78,741 fine. The last inspection was June 2022, so that record is largely unverified since then. A for-profit LLC operates the 104-bed home out of Fayette County.
Nashville, TN · Davidson County
49 bedsFor-profit
- Nurse hours
- 5.25 /day
- Staff turnover
- n/a
- Serious cites
- 0
Advanced Health Care of Nashville runs 49 beds under a for-profit limited liability company, and its nurse staffing sits at 5.25 hours per resident day, roughly 36% above the national average of 3.86. That part looks strong on paper. What sits underneath is harder to ignore: five deficiencies on the current record, three of them at the harm or jeopardy level, and all five abuse-related. CMS has fined this home six times for a total of $125,508, and the last inspection was October 2022, so the record you're reading is nearly three years old. Weekend staffing also drops about 21% below its own weekday level, meaning the hours aren't spread evenly across the week.