CCN 445318 · Cheatham County, Tennessee
The Waters of Cheatham, LLC
2501 River Road, Ashland City, TN 37015
The Waters of Cheatham, LLC is a 80-bed for-profit nursing home in Ashland City, Tennessee, first certified for Medicare or Medicaid in 1993. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 49.2 residents a day, about 62% of its certified beds. It has an active FHA-insured Section 232 loan: $7.4 million originally, at 2.87%, with $6.4 million outstanding as of September 30, 2026 and maturity in September 2054.
Facility facts
- Certified beds
- 80
- Average residents per day
- 49.2 (61.5% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- The Waters of Cheatham, LLC
- Certified since
- Nov 1, 1993
- Chain or affiliated group
- Infinity Healthcare Consulting (70 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Tennessee median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 58 at 1, 53 at 2, 65 at 3, 68 at 4, 56 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.09 | 3.64 | 3.68 |
| RN hours per resident per day | 0.48 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 2.90 | ||
| Nursing staff turnover | 67.5% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 61.5% | 77.7% | 85.7% |
| Fines reported by CMS | 2 totaling $6,350 | ||
| Health deficiencies, latest standard survey | 6 (Mar 26, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Waters of Cheatham, LLC meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| A&f Realty LLCOrganization | Direct Ownership Interest | 20% | 08/01/2016 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 1, 2016 | The Waters of Cheatham, LLC | Christian Care Center of Cheatham County Inc |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Aug 20, 2019 | 223(f) refinance or purchaseHUD project name: The Waters of Cheatham, 80 beds. Lender at endorsement: Housing & Healthcare Finc | $7,352,900 | Active: 2.87%, $6,445,083 balanceMatures Sep 1, 2054. Servicer: Newpoint Real Estate Capital | 08622050 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.