Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Waters Of Sweetwater A Rehabilitation & Nursing during CMS and state inspections, most recent first.
The facility did not post accurate daily nurse staffing information as required by BIPA. Observations revealed outdated staffing postings and missing RN hours documentation for several days, despite records showing RN E worked those days. The DON confirmed the failure to update the staffing sheets and document RN hours.
The facility failed to properly seal food items, potentially affecting 69 residents. The policy requires spice jars to be closed and opened food to be stored in airtight containers. An observation revealed unsealed bottles of garlic and onion powder, and a box of quick oats. The Dietary Manager confirmed the improper storage.
A facility failed to refer a resident with PTSD, Anxiety, and Depression for a Level 2 PASRR evaluation. The initial PASRR Level 1 form incorrectly stated no mental health diagnosis was known, despite the resident's documented conditions. The Human Resource Manager confirmed the oversight during an interview.
A resident's care plan was not updated to reflect a reduction in dialysis treatments from three times a week to two, despite the change being known to the DON. The resident, admitted with Chronic Kidney Disease, Congestive Heart Failure, and Diabetes, reported the change during an interview, which was confirmed by the DON.
The facility failed to properly contain garbage and refuse in two dumpsters, as observed during a survey. The dumpster area was found with open entry doors and littered with disposable gloves, broken office chairs, and ripped mattresses, contrary to the facility's trash disposal policy. The Dietary Manager confirmed the unsanitary condition of the area.
A resident with Chronic Kidney Disease, Congestive Heart Failure, and Diabetes had their dialysis schedule reduced from three times a week to twice a week. However, the facility failed to obtain an updated physician order to reflect this change, as confirmed by the DON during a review of medical records and interviews.
A facility failed to follow infection control practices during medication administration for two residents. An RN did not perform hand hygiene or change gloves when required for a resident on enhanced barrier precautions. Additionally, the RN administered a dropped Oxycodone tablet to another resident, despite acknowledging it should have been discarded. The DON confirmed these lapses in standard precautions.
A resident with moderate cognitive impairment was physically assaulted by another resident with severe cognitive impairment and a history of aggression. The incident occurred when the aggressive resident entered the victim's room multiple times, initially unclothed, and later attempted to hit the victim. Despite intervention by the victim's daughter and facility staff, the aggressive resident made contact with the victim's hands and stomach. The facility's investigation confirmed the assault, although no injuries were observed.
Failure to Post Accurate Daily Nurse Staffing Information
Penalty
Summary
The facility failed to comply with the Benefits Improvement and Protection Act (BIPA) staffing posting requirements by not posting accurate and current daily nurse staffing information. The facility's policy mandates that Skilled Nursing Facilities (SNFs) must post the specific shift schedule and the number and category of nursing staff employed or contracted for each 24-hour period, including the total number of hours worked by licensed nursing staff. However, during an observation on May 13, 2024, it was found that the staffing information posted was outdated, reflecting staffing for April 26, 2024, instead of the current date. Additionally, the facility's daily nurse staff posting sheets lacked documentation of Registered Nurse (RN) hours for several dates, despite records showing that RN E worked specific hours on those days. The Director of Nursing (DON) confirmed the oversight in updating the staffing sheets and the omission of RN hours documentation.
Improper Sealing of Food Items
Penalty
Summary
The facility failed to ensure proper sealing of food items, which could potentially affect 69 out of 70 residents. The facility's policy, dated June 4, 2021, requires that spice jars be closed when not in use and that opened food be transferred to an airtight container or zip lock bag. During an observation of the food preparation room, conducted with the Dietary Manager, it was found that a 16-ounce bottle of garlic powder, a 19-ounce bottle of onion powder, and a 42-ounce box of quick oats were not sealed and were open to air. In an interview, the Dietary Manager confirmed that dry cereal and dried seasoning should be fully sealed after use and acknowledged that the food items had not been stored properly.
Failure to Conduct Level 2 PASRR Evaluation
Penalty
Summary
The facility failed to identify and refer a resident for a Level 2 PASRR evaluation, which is required for individuals with certain mental health conditions. The resident in question was admitted with diagnoses including Post Traumatic Stress Disorder (PTSD), Anxiety, Adjustment Disorder with Depression, and Insomnia. However, the PASRR Level 1 form completed prior to admission incorrectly indicated that no mental health diagnosis was known or suspected. A subsequent psychiatric evaluation confirmed the presence of these mental health conditions. During an interview, the Human Resource Manager acknowledged that the PASRR was completed at the hospital before admission and confirmed the oversight in not referring the resident for a Level 2 evaluation to determine the need for specialized services.
Failure to Update Care Plan for Dialysis Treatment Frequency
Penalty
Summary
The facility failed to revise the comprehensive care plan for a resident who was admitted with diagnoses including Chronic Kidney Disease, Congestive Heart Failure, and Diabetes. The resident's care plan, dated December 29, 2023, indicated a potential for complications related to hemodialysis, with scheduled treatments three times a week. However, during an interview on May 14, 2024, the resident reported that their dialysis treatments had been reduced to twice a week. This change was confirmed by the Director of Nursing, who acknowledged that the care plan had not been updated to reflect the reduced frequency of dialysis treatments, despite the change occurring some time ago.
Improper Garbage and Refuse Containment
Penalty
Summary
The facility failed to ensure proper containment of garbage and refuse in two dumpsters, identified as Dumpster A and B. According to the facility's policy on trash disposal, dated February 27, 2020, trash should be disposed of appropriately, and the dumpster area should be maintained for cleanliness and prevention of rodents, with lids closed and no trash on the ground. However, during an observation on May 13, 2024, at 10:40 AM, it was noted that the entry doors on both sides of Dumpster A and B were open. The area surrounding these dumpsters was littered with multiple disposable gloves, two broken office chairs, and two ripped mattresses. This observation was confirmed by the Dietary Manager during an interview at 10:50 AM on the same day, acknowledging that the dumpster area had not been maintained in a sanitary condition. The deficiency highlights a failure to adhere to the facility's established trash disposal policy, resulting in unsanitary conditions around the dumpsters. The presence of open dumpster doors and scattered refuse, including gloves, chairs, and mattresses, indicates a lack of proper waste management and containment, as required by the facility's guidelines.
Failure to Update Physician Order for Dialysis Schedule
Penalty
Summary
The facility failed to obtain an updated physician order for a resident who was receiving dialysis treatments. The resident, who was admitted with diagnoses including Chronic Kidney Disease, Congestive Heart Failure, and Diabetes, initially had a physician's order for hemodialysis three times a week. However, during an interview, the resident stated that the doctor had changed her dialysis schedule to twice a week. A facility document confirmed this change, but the facility did not update the physician's order to reflect the new dialysis schedule. The Director of Nursing confirmed that the resident's dialysis treatments had been reduced to twice a week some time ago, but acknowledged that the facility had not obtained a new physician's order to document this change. This oversight was identified during a review of the resident's medical records and interviews conducted as part of the facility's policy review.
Infection Control Lapses During Medication Administration
Penalty
Summary
The facility failed to adhere to infection control practices during medication administration for two residents. Resident #63, who was admitted with diagnoses including the need for personal assistance with personal care, obstructive and reflux uropathy, and elevated white blood cell count, was observed during a medication administration incident. RN A exited a resident's room without performing hand hygiene, donned gloves, and prepared medications for Resident #63. Despite a sign indicating enhanced barrier precautions, RN A entered the resident's room without removing the soiled gloves or sanitizing hands, which was confirmed during an interview. For Resident #35, who was admitted with chronic pain syndrome, legal blindness, weakness, and reduced mobility, RN A was observed sanitizing hands and preparing medications. However, RN A dropped an Oxycodone tablet on the medication cart surface, donned clean gloves, picked up the tablet, and placed it in a medication cup. The tablet, along with other medications, was administered to Resident #35, despite RN A confirming in an interview that the dropped medication should have been discarded. The Director of Nursing confirmed that RN A did not follow standard precautions and facility infection control practices during these incidents.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to prevent physical abuse for a resident, identified as Resident #52, who was involved in an altercation with another resident, identified as Resident #272. Resident #52, who has moderate cognitive impairment, was admitted with diagnoses including Osteoarthritis, Polyneuropathy, and Anxiety. On the day of the incident, Resident #272, who has severe cognitive impairment and a history of aggressive behavior due to dementia, entered Resident #52's room multiple times, initially unclothed, and later attempted to physically assault Resident #52. The incident occurred when Resident #272 entered Resident #52's room and began hitting her. Despite the presence of Resident #52's daughter, who attempted to shield her mother, Resident #272 made contact with Resident #52's hands and stomach. The facility's staff, including an LPN and a CNA, intervened after hearing screams, and Resident #272 was removed from the room. The facility's investigation confirmed that Resident #272 hit Resident #52, although no injuries were observed. Interviews with the involved parties, including Resident #52, her daughter, the LPN, and the CNA, corroborated the sequence of events. The staff had previously redirected Resident #272 back to his room after finding him naked in Resident #52's room. However, Resident #272 returned and assaulted Resident #52. The Director of Nursing confirmed the incident and the findings of the investigation, which highlighted the facility's failure to prevent the abuse despite having policies in place to create a resident-sensitive and secure environment.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sweetwater
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wood Village | 2 mi | — | 0 | 0 |
| Monroe Health And Rehabilitation Center | 8.1 mi | — | 2 | 0 |
| Life Care Center Of Athens | 11.3 mi | — | 12 | 1 |
| Nhc Healthcare, Athens | 11.7 mi | — | 0 | 0 |
| River Grove Health And Rehabilitation | 13.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.