The Waters of Roan Highlands,llc
146 BUCK CREEK ROAD, Roan Mountain, TN 37687
Roan Mountain, Tennessee · CMS verdict
On the federal five-star scale, The Waters of Roan Highlands,llc carries a 5 of 5 CMS overall rating, above-average quality that runs above Tennessee's state average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Waters of Roan Highlands,llc in Roan Mountain, Tennessee holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 81 of 100 (grade B). The 80-bed facility operates where a semi-private nursing-home room in Tennessee runs a median of $9,429 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 81 is built
Each segment is a dimension's weighted points toward the score, summing to 81.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts The Waters of Roan Highlands,llc's overall quality rating at 5 out of 5 stars, a composite of three sub-ratings: health inspection (5/5), staffing (2/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Roan Mountain, Tennessee, this facility operates 80 certified beds with an average daily census of roughly 73 residents - an occupancy rate of about 91%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At about 91% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within Tennessee, The Waters of Roan Highlands,llc is one of 113 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.7 stars, ahead of roughly 87% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented no deficiencies at this facility (0 total). CMS has levied no enforcement penalties over the equivalent window. A clean record across the last three inspection cycles is a genuinely strong signal, though it reflects survey findings, not a guarantee of future performance.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How The Waters of Roan Highlands,llc compares to Tennessee
CMS five-star sub-ratings (0–5) for this facility against the Tennessee facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Tennessee state average. Higher is better on all four CMS measures.
Where The Waters of Roan Highlands,llc ranks in Tennessee
Among the 298 CMS-rated nursing homes in Tennessee, The Waters of Roan Highlands,llc’s 5-star overall rating is higher than 83% of them. The bars show how all Tennessee homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
52 Tennessee homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 80 |
| Residents | 73 |
| Ownership | For profit - Limited Liability company |
| County | Carter |
| Penalties | 0 |
| Deficiencies | 0 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for The Waters of Roan Highlands,llc? ▾
The Waters of Roan Highlands,llc has an overall CMS quality rating of 5 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 2/5, and quality measures rating of 5/5.
How much does a nursing home cost per month in Tennessee? ▾
The median cost for a semi-private nursing home room in Tennessee is $9,429 per month ($113,150 annually). A private room averages $10,038 per month. Costs are from the CareScout 2025 survey.
What services does The Waters of Roan Highlands,llc offer? ▾
With 80 beds with approximately 73 current residents, The Waters of Roan Highlands,llc is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 0 deficiencies and 0 penalties.
Does The Waters of Roan Highlands,llc have any deficiencies or penalties? ▾
The Waters of Roan Highlands,llc has no deficiencies (0 total) and 0 penalties recorded by CMS. No findings is a genuinely strong signal, though it reflects the last few survey cycles rather than a permanent guarantee.
What are the alternatives to a nursing home in Tennessee? ▾
In Tennessee, alternatives include assisted living ($5,845/mo), home health aides ($5,911/mo), and adult day care ($1,733/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Tennessee elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 445396.
Read our methodology - how this data is sourced, computed, and verified.