CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4453962026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

The Waters Of Roan Highlands,Llc

146 Buck Creek Road · Roan Mountain, TN 37687 · Carter County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds80CMS provider file
Recent citation rows5current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-1302026-05-131
Cycle 22025-04-0802025-04-084
Cycle 32022-03-1602022-03-160
02 / CITATION DETAIL

5 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-13 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-05-22
2025-04-08 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-05-15
2025-04-08 · FIREK0781Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Correction field: Deficient, Provider has date of correction · 2025-04-25
2025-04-08 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-04-08 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2025-04-25
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • A&F REALTY LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 08/01/2016
  • GUBIN ENTERPRISES LIMITED PARTNERSHIPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    40% · since 08/01/2016
  • CABLE, ERIKAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/28/2019

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.32per resident day
RN hours0.38per resident day
Weekend nurse hours2.85per resident day
Staff turnover29.2%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Tennessee ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.