Waters of Dillsboro-Ross Manor, the

Name: Waters of Dillsboro-Ross Manor, the
Address: 12803 LENOVER ST, Dillsboro, IN, 47018, US
Telephone: 8124325226

12803 Lenover St, Dillsboro, IN 47018 · Dearborn County · 123 certified beds · avg 66 residents/day · certified since Oct 31, 1985

Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · 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 · Feb 3, 2025 · F-0689 · triggered by a complaint

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 9, 2025 (Past Non-Compliance)

All citations in the current public record (33)

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
Mar 26, 2026	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.
Mar 26, 2026	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.
Mar 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 26, 2026	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.
Feb 5, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
Jul 18, 2025	E · Potential for harm, repeated	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Jul 18, 2025	D · Potential for 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
Jul 18, 2025	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. · from a complaint
Jun 17, 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
Jun 17, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jun 17, 2025	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. · from a complaint
Jun 17, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
May 16, 2025	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. · from a complaint
Mar 6, 2025	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.
Mar 6, 2025	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.
Mar 6, 2025	D · Potential for 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.
Mar 6, 2025	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.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Mar 6, 2025	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.
Feb 3, 2025	▲ 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. · from a complaint
Mar 26, 2024	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.
Mar 26, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 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.
Mar 26, 2024	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. · from a complaint
Mar 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.
Mar 26, 2024	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.
Aug 23, 2023	E · Potential for harm, repeated	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. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	E
2024	6	0	E
2025	16	1	G ▲
2026	10	0	E

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)

No fines or payment denials in the published 3-year window.

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)	2.60	3.42	3.95	bottom 7% in Indiana; bottom 5% in the U.S.
Registered Nurse hours	0.30	0.62	0.69	bottom 6% in Indiana; bottom 10% in the U.S.
Weekend total nurse staffing	2.33	3.01	3.50	bottom 7% in Indiana; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.47	0.48	bottom 24% in Indiana; bottom 33% in the U.S.
Total nursing staff turnover (%)	37.9	45.9	45.8	top 25% in Indiana; top 31% in the U.S.
RN turnover (%)	0.0	40.4	42.9	—

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 3.31, RN 0.38, weekend 2.96. Staffing rating: 1/5.

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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Horner, John	Individual	Corporate Officer	NOT APPLICABLE	05/19/2014
Horner, John	Individual	Operational/Managerial Control	NOT APPLICABLE	05/19/2014
The Waters of Dillsboro-Ross Manor, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/19/2014
Zoz, Joni	Individual	Contracted Managing Employee	NOT APPLICABLE	05/19/2014
Zoz, Joni	Individual	Operational/Managerial Control	NOT APPLICABLE	05/19/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Silver Memories Health Care	10.8 mi	Versailles, IN	★★★★☆	3/5
Ripley Crossing	10.9 mi	Milan, IN	★★☆☆☆	2/5
Ridgewood Health Campus	11.3 mi	Lawrenceburg, IN	★★★★☆	3/5
Envive of Lawrenceburg	11.5 mi	Lawrenceburg, IN	★★★☆☆	2/5
Shady Nook Care Center	11.7 mi	Lawrenceburg, IN	★☆☆☆☆	2/5
Waters of Rising Sun, the	11.7 mi	Rising Sun, IN	★★★☆☆	3/5
Manderley Health Care Center	14.3 mi	Osgood, IN	★★★☆☆	3/5
Gallatin Nursing and Rehab	18.6 mi	Warsaw, KY	★★★★☆	4/5
Swiss Villa Nursing and Rehabilitation	19.2 mi	Vevay, IN	★★★★☆	4/5
Boonespring Transitional Care Center, LLC	19.3 mi	Union, KY	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Dillsboro →

Facility data as of CMS processing date 2026-08-01. CCN 155280.

The Care File

Visit checklist — Waters of Dillsboro-Ross Manor, the

12803 Lenover St, Dillsboro, IN 47018 · 8124325226

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Feb 3, 2025 (F-0689, 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155280 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)