The Waters of Whester
1360 Bypass Road, Winchester TN 37398 · (931) 967-7082 · 66.81% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
The Waters of Whester is a large nursing home located in Winchester, Tennessee. This nursing home is a subpar facility. A score in this range indicates we found a few red flags. This place seems to have very little going for it. If you aren't deterred by this nursing home's profile, feel free to continue reading to learn more about its category scores. We discuss inspections in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 132 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this nursing home's overall score was not a highlight, it actually really excelled in the area of inspections. In fact, we awarded it an A+ for that area, which is one of our highest scores. Inspection ratings take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This particular nursing home received 7 deficiencies on its inspection report. Overall, this is still a solid inspection report, but we'd always recommend looking into any deficiencies you find troubling.
Long-term Care Quality
This nursing home's next most favorable area came in the area of long-term care. In that category, we awarded this nursing home a C. Long-term care scores are based on a nursing home's quantity of nursing care. This means a broad range of personal care services, ranging from assistance with activities of daily living to routine healthcare services. In addition to looking at the amount of care provided by nurses and other staff, we also looked at the number of residents vaccinated against pneumonia. We found that this facility gave the vaccine to a relatively low 9.523809 percent of its patients, which is not a very encouraging sign. Nevertheless, this facility excelled at keeping its residents out of the hospital. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low figure.
Short-term Care Quality
Our next category we looked at is short-term care, in which this facility was given an F. With our short-term care assessment, we seek to create a valuable measure for rehabilitation services. In doing so, we analyze a facility's offerings of highly-skilled nursing services, including both registered nurses and physical therapy, as well as speech therapy. Based on its grade in this area, we weren't stunned to learn that this place was well below average in terms of its quantity of physical therapy and registered nurse hours offered to its patients based on the figures we looked at. Finally, we considered the number of residents that who were able to eventually return home from this facility. This facility did not fare well here either. We found that just 45.3 percent of this facility's patients were able to return home. This figure was below average.
Nurse Quality
Switching gears to the fourth category, this nursing home didn't perform well in this category either. Due to a very poor grade of F in nursing, this is just about as terrible as it gets. Our nursing score assesses the facility's level of nurse staffing. We consider both the levels of training of those nurses as well as the number of hours spent with residents. With a meager 3.2 hours of nursing care per resident daily, this place's nurse staffing levels were quite a bit below the national average. To go along with its below average total nursing hours per patient, this facility had bad scores in some of the quality-based metrics we looked at in determining our nursing scores. For starters, we looked at the percentage of patients having falls leading to serious injury. This nursing home was at more than 1.5 times the national average in this statistic. This is concerning in light of the fact that so many falls could likely be prevented with better nursing care. This ended up sealing the facility's fate of earning a poor nursing score.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Waters of Whester Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers, also known as bed sores, are often the result of residents not being moved frequently enough. Better nursing care can limit the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint gauges the percent of long-term residents which sustained falls leading to severe injury. Falls can happen for a variety of reasons, but high rates of major falls could be an indicator of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric is a measure of the percent of long-term patients who had a urinary tract infection. Although more of these infections could reflect poorly on a nursing home's nursing care, it can be difficult to compare between facilities due to differing reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients given antipsychotic drugs. While antipsychotic medications may be vital to many patients, it is important to ensure these drugs are being used appropriately. In limited cases, excessive reliance on these medications may suggest that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were prescribed antianxiety medications. These drugs are used to treat patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of patients who are exhibiting signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of patients that received the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percent of long-term patients who needed more assistance with activities of daily living over time. ADL's include activities such as dressing and bathing.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint is a measure of the percent of long-term care patients who were able to retain mobility. Many in the industry believe that the ability to move around is critical to residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Keeping residents out of the hospital is important to maintaining the physical health of residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of rehospitalizations per 1,000 days of short-term resident care. Keeping residents out of the hospital during rehabilitation is important to restoring the health of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percentage of short-term stay residents who saw functional improvements.
Percentage of Resident
Higher is Better