About The Waters Of Roan Highlands,LLCThe Waters Of Roan Highlands,Llc is located at 146 Buck Creek Road, Roan Mountain, TN, reachable at (423) 772-0161. This For profit – Limited Liability company facility operates 80.0 certified beds and serves an average of 72 residents per day. It is part of the Infinity Healthcare Consulting network (70 facilities nationwide). Medicare and Medicaid services have been provided since 1997-05-20. Notably, The Waters Of Roan Highlands,Llc has maintained a perfect 5-star overall rating for all five years from 2022 to 2026, placing it among the top-performing facilities in TN.
#2478 of 14703 nationally – #58 of 303 in Tennessee
Who Is This Facility Best For?
The Waters Of Roan Highlands,Llc is a strong choice for families in the Roan Mountain, TN area seeking a well-inspected, high-quality care environment. It scores well for both long-term residents and short-stay rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★5 / 5
Health Inspection
★★★★★5 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★5 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★5 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightThe Waters Of Roan Highlands,Llc currently provides 3 hours 13 minutes of total nurse staffing per resident per day, including 26 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is 27.6%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 13 minutes
Nurse Aide Hours1 hour 52 minutes
Licensed Practical Nurse (LPN) Hours56 minutes
Registered Nurse (RN) Hours26 minutes
Physical Therapist Hours1 minute
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 47 minutes
Weekend Registered Nurse (RN) Hours18 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryThe facility has received 2 fine(s) over the 5-year period, totaling $1,310. No substantiated complaints have been recorded in the available data.
Nationally, The Waters Of Roan Highlands,Llc ranks 2478th out of 14,703 facilities (composite score: 82.8/100), placing it in the top 25% nationwide. Within TN, it ranks 58th out of 303 nursing homes. For 2026 staffing: total nurse hours rank #11,825 nationally and RN hours rank #10,264 nationally (#223 in TN).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TN State Rank
Note
2022
3.06
#11,339 / 14,703
#253 / 303
⚠️ Bottom 25%
2023
2.99
#12,043 / 14,703
#269 / 303
⚠️ Bottom 25%
2024
3.05
#12,214 / 14,703
#269 / 303
⚠️ Bottom 25%
2025
3.07
#12,502 / 14,703
#280 / 303
⚠️ Bottom 25%
2026
3.22
#11,825 / 14,703
#279 / 303
⚠️ Bottom 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TN State Rank
Note
2022
0.48
#9,106 / 14,703
#178 / 303
Below average
2023
0.37
#10,785 / 14,703
#225 / 303
Below average
2024
0.36
#11,155 / 14,703
#236 / 303
⚠️ Bottom 25%
2025
0.37
#11,271 / 14,703
#247 / 303
⚠️ Bottom 25%
2026
0.43
#10,264 / 14,703
#223 / 303
Below average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
The Waters Of Roan Highlands,Llc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-05-20. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (423) 772-0161 or your local Medicaid office to verify current eligibility.
The Waters Of Roan Highlands,Llc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (2★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 82.8/100, placing it #2478 of 14703 facilities nationally and #58 of 303 in Tennessee. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at The Waters Of Roan Highlands,Llc receives a reported average of 3 hours 13 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 26 minutes; Licensed Practical Nurse (LPN) — 56 minutes; Nurse Aide — 1 hour 52 minutes. On weekends, total nurse staffing is 2 hours 47 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 27.6%. Families are encouraged to ask about current staffing schedules during their facility visit.
The facility has received 2 fine(s) over the 5-year period, totaling $1,310. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 0.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, The Waters Of Roan Highlands,Llc ranks 2478th out of 14,703 facilities (composite score: 82.8/100), placing it in the top 25% nationwide. Within TN, it ranks 58th out of 303 nursing homes. For 2026 staffing: total nurse hours rank #11,825 nationally and RN hours rank #10,264 nationally (#223 in TN). Our composite quality score of 82.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Roan Mountain, visit: https://nursinghomesnearme.org/tennessee/roan-mountain/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.