CCN 445502 · Rutherford County, Tennessee
The Waters of Smyrna, LLC
202 Enon Springs Road East, Smyrna, TN 37167
The Waters of Smyrna, LLC is a 91-bed for-profit nursing home in Smyrna, Tennessee, first certified for Medicare or Medicaid in 2011. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 68.2 residents a day, about 75% of its certified beds. It has an active FHA-insured Section 232 loan: $8.4 million originally, at 3.43%, with $7.1 million outstanding as of September 30, 2026 and maturity in July 2052.
Facility facts
- Certified beds
- 91
- Average residents per day
- 68.2 (74.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- The Waters of Smyrna, LLC
- Certified since
- Mar 24, 2011
- 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 | 1 of 5 | State spread: 58 at 1, 53 at 2, 65 at 3, 68 at 4, 56 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.99 | 3.64 | 3.68 |
| RN hours per resident per day | 0.36 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 2.77 | ||
| Nursing staff turnover | 69.3% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 74.9% | 77.7% | 85.7% |
| Fines reported by CMS | 1 totaling $97,773 | ||
| Health deficiencies, latest standard survey | 17 (Aug 10, 2022) | ||
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 Smyrna, LLC does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 1, 2016 | The Waters of Smyrna, LLC | Christian Care Center of Rutherford County LLC |
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 |
|---|---|---|---|---|
| Jun 29, 2017 | 223(f) refinance or purchaseHUD project name: The Waters of Smyrna, 91 beds. Lender at endorsement: Capital One Mf Finance LLC | $8,400,000 | Active: 3.43%, $7,062,270 balanceMatures Jul 1, 2052. Servicer: Capital One NA | 08622044 |
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.