nursing home in Lebanon, IN
Waters of Lebanon, the
1585 Perry Worth Rd, Lebanon, IN 46052 · (765) 482-6391
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Waters of Lebanon, the at a glance
Waters of Lebanon, the is a 64-bed for-profit nursing home in Lebanon, Indiana (Boone County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Indiana average of 3.1.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (September 11, 2025) found 9 health citations. The Indiana average is 7.2.
It has not received a federal fine in the past three years.
Nursing staff turnover is 65.9% per year (state average 45.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 64
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Infinity Healthcare Consulting
- Medicare-certified since
- February 22, 1983
- Resident/family council
- Resident
- County
- Boone County
- CMS Certification Number
- 155211
Ratings
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.3 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.19 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.43 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.05 hrs | 2.24 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.87 hrs | 3.25 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.9% | 45.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 40.3% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 7 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 54 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $8,742 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 64 | 96 | 107 | |
| Average residents per day | 42 | 73 | 86 | |
| Occupancy | 65.9% | 76.2% | 80.9% |
Long-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 3.9% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.1% | 3.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.6% | 13.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 1.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.2% | 0.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 9.4% | 11% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 16.4% | 11.9% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 5.5% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 89.7% | 25.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 32.4% | 23.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.6% | 23.3% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.5% | 95.4% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.2% | 93.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Indiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 8.5% | 1.2% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.1% | 81.8% | 82% | Better |
Inspection citations
State inspectors cited this home for 31 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 11, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 25, 2025 |
| September 11, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 25, 2025 |
| September 11, 2025 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | F Potential harm, widespread | Corrected October 24, 2025 |
| September 11, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected October 24, 2025 |
| September 11, 2025 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected October 24, 2025 |
| September 11, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected October 24, 2025 |
| September 11, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 24, 2025 |
| September 11, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 24, 2025 |
| September 11, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 24, 2025 |
| September 11, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected October 24, 2025 |
| September 11, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected October 24, 2025 |
| July 31, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 25, 2025 |
| September 12, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected October 29, 2024 |
| September 12, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected October 8, 2024 |
| September 12, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 15, 2024 |
| September 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected October 15, 2024 |
| September 12, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 15, 2024 |
| September 12, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 15, 2024 |
| September 12, 2024 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected October 15, 2024 |
| September 12, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected October 15, 2024 |
| September 12, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 15, 2024 |
| March 7, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 25, 2024 |
| July 14, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected August 30, 2023 |
| July 14, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected August 22, 2023 |
| July 14, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 22, 2023 |
| July 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 22, 2023 |
| July 14, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 22, 2023 |
| July 14, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| JONES, DONNA Individual | contracted managing employee | NOT APPLICABLE | 12/27/2022 |
| ENGELS, ERIN Individual | corporate director | NOT APPLICABLE | 07/15/2017 |
| GENTRY, MARK Individual | corporate director | NOT APPLICABLE | 01/12/2022 |
| STARKEY, TYLER Individual | corporate director | NOT APPLICABLE | 08/01/2020 |
| WAITE, JOHN Individual | corporate director | NOT APPLICABLE | 08/01/2020 |
| WHICKER, TIMOTHY Individual | corporate director | NOT APPLICABLE | 01/12/2022 |
| FENOUGHTY, DEANNA Individual | corporate officer | NOT APPLICABLE | 07/10/2023 |
| THE WATERS OF LEBANON LLC Organization | operational/managerial control | NOT APPLICABLE | 07/15/2017 |
Other nursing homes near Waters of Lebanon, the
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Frequently asked questions
What is Waters of Lebanon, the's rating?
Waters of Lebanon, the has 1 out of 5 stars on the CMS overall star rating. The average for Indiana nursing homes is 3.1 stars.
How many inspection citations did Waters of Lebanon, the receive?
Its most recent standard health inspection found 9 citations, compared with a Indiana average of 7.2. Every citation is listed on this page with its severity.
Does Waters of Lebanon, the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Waters of Lebanon, the?
It is for profit - corporation and part of Infinity Healthcare Consulting. The ownership section on this page lists the owners and managers reported to CMS.
Where is Waters of Lebanon, the and how do I contact it?
Waters of Lebanon, the is at 1585 Perry Worth Rd, Lebanon, IN 46052. Phone: (765) 482-6391.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.