The Waters of Roan Highlands,llc: Staffing, Turnover, and Inspection Record
The Waters of Roan Highlands,llc is a 80-bed for-profit nursing home in Roan Mountain, Tennessee, part of Infinity Healthcare Consulting. In the CMS August 2026 release it reported 1.93 nurse aide hours per resident per day, 9% below the Tennessee average of 2.12, and 29.2% nursing staff turnover (Tennessee average 48.9%).
The Waters of Roan Highlands,llc
146 Buck Creek RoadRoan Mountain, TN 37687
Carter County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Waters of Roan Highlands,llc, nurse aides logged 1.93 hours per resident per day, 9% below the Tennessee average. With about 72 residents a day, that works out to roughly 138 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.93 | 2.12 | 2.32 |
| Licensed practical nurses | 1.01 | 1.09 | 0.86 |
| Registered nurses | 0.38 | 0.60 | 0.69 |
| All nursing staff | 3.32 | 3.80 | 3.86 |
| All nursing staff, weekends | 2.85 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
29.2% of nursing staff at The Waters of Roan Highlands,llc left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 14.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 13, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Waters of Roan Highlands,llc holds 5 of 5 overall; the Tennessee average is 3.0.
About The Waters of Roan Highlands,llc
- Ownership: For profit - Limited Liability company
- Chain: Infinity Healthcare Consulting, 69 homes
- Legal name: The Waters of Roan Highlands, LLC
- Medicare and Medicaid certified since: May 20, 1997
- Councils: resident and family councils
- Area: urban
Nursing homes near The Waters of Roan Highlands,llc
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Life Care Center of Banner Elk Banner Elk | 10.8 | 118 | 1.67 | 3.18 | 17.6% | 4 | None |
| Signature Healthcare of Elizabethton Rehab & Welln Elizabethton | 14.3 | 94 | 2.17 | 3.89 | 36.8% | 5 | None |
| Life Care Center of Elizabethton Elizabethton | 15.2 | 158 | 2.18 | 3.44 | 53.3% | 3 | $10,036 |
| Ivy Hall Nursing Home Elizabethton | 15.2 | 101 | 2.78 | 4.37 | 43.4% | 5 | None |
| Hillview Health Center Elizabethton | 15.3 | 76 | 1.99 | 3.65 | 41.2% | 4 | None |
| Hermitage Health Center Elizabethton | 15.4 | 70 | 2.06 | 3.63 | 53.4% | 5 | None |
| The Greens at Spruce Pines Spruce Pine | 19.7 | 127 | 2.09 | 3.47 | 62.8% | 3 | $153,439 |
| The Foley Center at Chestnut Ridge Blowing Rock | 20.9 | 92 | 2.18 | 3.45 | 64.5% | 2 | $17,114 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.