WATERS OF MCKENZIE A REHABILITATION & NURSING CENTER LLC
NPI 1659948529
Skilled Nursing Facility in Mc Kenzie, TN

Q: What is Waters Of Mckenzie A Rehabilitation & Nursing Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Active since June 08, 2021CLIA 44D2137038 · Waiver

3/5

Overall Rating

14510 HIGHWAY 79, MC KENZIE, TN 38201(731) 352-5317 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2022, Jun 8, 2021 (2 updates tracked since 2021).

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About Waters Of Mckenzie A Rehabilitation & Nursing Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERS OF MCKENZIE A REHABILITATION & NURSING CENTER LLC (NPI 1659948529) is a healthcare organization registered as a skilled nursing facility in Mc Kenzie, Tennessee and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Michael Blisko, Owner, as its authorized official.

NPPES Registry Identity

NPI1659948529

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameWATERS OF MCKENZIE A REHABILITATION & NURSING CENTER LLC

Location Address14510 HIGHWAY 79Mc Kenzie, TN 38201-7824

Mailing Address240 Fencl LnHillside, IL 60162-2067 · (708) 449-1900

Phone(731) 352-5317

Organization SubpartNo

Authorized OfficialMichael BliskoOwner · (708) 449-1900

Enumeration DateJune 8, 2021

Last NPPES UpdateMay 18, 20222 updates tracked since enumeration

NPPES CertifiedMay 18, 2022

✔ NPI 1659948529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

14510 HIGHWAY 79, Mc Kenzie, TN 38201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2137038

Waters Of Mckenzie A Rehabilitation & Nursing Center, LLC · Mc Kenzie, TN

Active · expires Sep 18, 2027

CLIA Number44D2137038

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 19, 2025

Certificate Expiration DateSeptember 18, 2027

Laboratory DirectorJennifer A. Conner

Laboratory Phone(731) 352-5317

Laboratory LocationWaters Of Mckenzie A Rehabilitation & Nursing Center, LLC14510 Hwy 79, Mc Kenzie, TN 38201

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Waters Of Mckenzie A Rehabilitation & Nursing Ctr (CMS certification number 445357), from CMS Care Compare.

Waters Of Mckenzie A Rehabilitation & Nursing Ctr

Nursing home · Mc Kenzie, TN

3/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number445357

Certified Beds66 beds43 residents per day on average

Medicare & Medicaid Participant SinceJuly 1, 1995

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

4/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

2/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

12.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.81 · LPN 1.36 · RN 0.4

3.57 hrs per resident per day

Weekend Nurse Staffing

3.06 hrs per resident per day

Physical Therapist Staffing

0.01 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

66.7%

Registered Nurse Turnover

66.7%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARSON ELISE BAILEY COTA/L

Occupational Therapy Assistant

14510 HIGHWAY 79
MC KENZIE, TN 38201

Carroll County (731) 352-5317

WOLF RIVER HOLDINGS LLC

Skilled Nursing Facility

14510 HIGHWAY 79
MC KENZIE, TN 38201

Carroll County (731) 352-5317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waters Of Mckenzie A Rehabilitation & Nursing Center LLC's NPI number?

The NPI number for Waters Of Mckenzie A Rehabilitation & Nursing Center LLC is 1659948529. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is Waters Of Mckenzie A Rehabilitation & Nursing Center LLC located?

Waters Of Mckenzie A Rehabilitation & Nursing Center LLC is located at 14510 Highway 79, Mc Kenzie, TN 38201. The listed phone number is (731) 352-5317.

What is Waters Of Mckenzie A Rehabilitation & Nursing Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Waters Of Mckenzie A Rehabilitation & Nursing Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2137038) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Waters Of Mckenzie A Rehabilitation & Nursing Center LLC a Medicare-certified nursing home?

Yes. Waters Of Mckenzie A Rehabilitation & Nursing Ctr is a Medicare-certified nursing home with 66 certified beds.

What quality rating does Waters Of Mckenzie A Rehabilitation & Nursing Center LLC have?

CMS rates Waters Of Mckenzie A Rehabilitation & Nursing Ctr 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Waters Of Mckenzie A Rehabilitation & Nursing Center LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Waters Of Mckenzie A Rehabilitation & Nursing Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waters Of Mckenzie A Rehabilitation & Nursing Center LLC was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.