Alpha Home - a Waters Community
2640 Cold Spring Rd, Indianapolis, IN 46222 · Marion County · 86 certified beds · avg 59 residents/day · certified since Oct 11, 2002
Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 28, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 20, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 26, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 18, 2024 (Past Non-Compliance)
All citations in the current public record (41)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 27, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Apr 27, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Dec 5, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Dec 5, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 5, 2025 | E · Potential for harm, repeated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not have an agreement with an approved laboratory to provide lab services, even though it doesn't offer lab services on site. |
| May 28, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Sep 26, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 26, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Sep 26, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 26, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 16, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Aug 11, 2023 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | E |
| 2024 | 16 | 1 | G ▲ |
| 2025 | 13 | 1 | G ▲ |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $22,386.
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2025 | Fine | $22,386 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.67 | 3.42 | 3.95 | bottom 9% in Indiana; bottom 6% in the U.S. |
| Registered Nurse hours | 0.48 | 0.62 | 0.69 | bottom 34% in Indiana; bottom 35% in the U.S. |
| Weekend total nurse staffing | 2.50 | 3.01 | 3.50 | bottom 17% in Indiana; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.47 | 0.48 | top 35% in Indiana; top 35% in the U.S. |
| Total nursing staff turnover (%) | 34.7 | 45.9 | 45.8 | top 17% in Indiana; top 23% in the U.S. |
| RN turnover (%) | 28.6 | 40.4 | 42.9 | top 28% in Indiana; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 0.59, weekend 3.03. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Blisko Enterprises Limited Partnership | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2020 |
| Blisko, Michael | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/2020 |
| Gubin Enterprises Limited Partnership | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2020 |
| Henry County Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/04/2014 |
| Strawberry Fields Reit LTD | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2020 |
| 2640 Cold Spring Road, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/22/2015 |
| Alpha Home - a Waters Community | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/22/2015 |
| Alpha Home - a Waters Community | Organization | ADP of the SNF | NOT APPLICABLE | 05/22/2015 |
| Aperion Care Fort Wayne LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/21/2018 |
| Brammer, Duane | Individual | Corporate Director | NOT APPLICABLE | 09/04/2014 |
| Brammer, Duane | Individual | Corporate Officer | NOT APPLICABLE | 09/04/2014 |
| Dynes, Sheldon | Individual | Corporate Director | NOT APPLICABLE | 09/04/2014 |
| Dynes, Sheldon | Individual | Corporate Officer | NOT APPLICABLE | 09/04/2014 |
| Dynes, Sheldon | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Mustaklem, Marwan | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2020 |
| Mustaklem, Marwan | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2020 |
| Pidgeon, John | Individual | Corporate Director | NOT APPLICABLE | 09/04/2014 |
| Pidgeon, John | Individual | Corporate Officer | NOT APPLICABLE | 09/04/2014 |
| Pidgeon, John | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Reed, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/25/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westpark a Waters Community | 1.5 mi | Indianapolis, IN | ★☆☆☆☆ | 2/5 | |
| North Capitol Nursing & Rehabilitation Center | 2.3 mi | Indianapolis, IN | ★★★☆☆ | 2/5 | |
| Evergreen Crossing and the Lofts | 3.8 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 | |
| Northwest Manor Health Care Center | 3.8 mi | Indianapolis, IN | ★★★☆☆ | 2/5 | |
| Envive of Indianapolis | 4.2 mi | Indianapolis, IN | ★☆☆☆☆ | 1/5 | |
| American Village | 5.2 mi | Indianapolis, IN | ★★★☆☆ | 2/5 | abuse |
| Eagle Valley Meadows | 5.3 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 | |
| Robin Run Health Center | 5.4 mi | Indianapolis, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Creekside Health and Rehabilitation Center | 5.5 mi | Indianapolis, IN | ★★★☆☆ | 2/5 | |
| Hooverwood | 5.6 mi | Indianapolis, IN | ★☆☆☆☆ | 1/5 | abuse |
| Westside Retirement Village | 6.1 mi | Indianapolis, IN | ★★☆☆☆ | 1/5 | |
| Fairway Village | 6.8 mi | Indianapolis, IN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 155717.