Deficiency Index

Lakebridge, A Waters Community, LLC

Johnson City, Tennessee · CCN 445358

14 surveys since 2010, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
31
Surveys
14
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2023
’10’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
109
Ownership
For profit - Individual
Chain
INFINITY HEALTHCARE CONSULTING
County
Washington
Medicare-certified since
1995

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=1, floor 20).

Last survey on record

Jul 25, 2023

1,203 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.263.58
Registered-nurse hours per resident day0.28—
Annual nurse turnover41.8%48.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD457.1%E114.3%F228.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 31 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

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

  • F6561×

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

  • F6841×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6891×

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

  • F6951×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Lakebridge, A Waters Community, LLC, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 25, 2023

    Based on facility policy review, observation, and interview the facility failed to maintain a sanitary kitchen, which had the potential to affect 95 of 98 residents in the facility. The findings include: Review of the facility policy titled, Cleaning & Sanitation, dated 9/2/2020, showed .The Director of Food and Nutrition Services will develop, implement, and monitor schedules for cleaning, sanitizing, and maintenance .To ensure the food service department is maintained according to state and federal regulations as well as a clean, sanitary, and safe environment .The Director of Food and Nutrition Services monitors the completion of a cleaning schedule including all areas of the kitchen . […]

Read 20 findings in full →The most serious and the most recent: 20 of 31 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 25, 2023Standard1 finding
  • Nov 5, 2019Standard3 findings
  • Oct 9, 2019Complaint1 finding
  • Jul 23, 2019Complaint1 finding
  • Nov 7, 2018Standard3 findings
  • Oct 25, 2017Standard and complaint3 findings
  • Oct 19, 2016Standard2 findings
  • Oct 14, 2015Standard3 findings
Show the 6 earlier surveys
  • Aug 19, 2015Complaint2 findings
  • Jul 30, 2014Standard2 findings
  • Jul 17, 2013—3 findings
  • Dec 9, 2011—4 findings
  • Oct 19, 2011—2 findings
  • Nov 3, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction