Waters of Indianapolis, the

Name: Waters of Indianapolis, the
Address: 3895 S KEYSTONE AVE, Indianapolis, IN, 46227, US
Telephone: 3177875364

3895 S Keystone Ave, Indianapolis, IN 46227 · Marion County · 81 certified beds · avg 64 residents/day · certified since Nov 1, 1991

Abuse citation flag (CMS)

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

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.75

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: 2/5

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.

All citations in the current public record (25)

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
Dec 31, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 31, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 21, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jun 26, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 26, 2025	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.
Jun 26, 2025	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.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · from a complaint
Jun 26, 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.
Jun 26, 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.
Mar 21, 2025	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
Feb 7, 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
Feb 7, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 7, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 7, 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
Feb 7, 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
Nov 14, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 3, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jun 3, 2024	D · Potential for harm, one-off	The facility did not have policies on smoking.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Nov 9, 2023	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
Jun 16, 2023	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 16, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 16, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jun 16, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 16, 2023	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 6).

Year	Citations	Worst severity that year
2023	7	E
2024	3	D
2025	15	F

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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Jun 3, 2024	Payment Denial	14 days from Sep 3, 2024

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)	2.75	3.42	3.95	bottom 13% in Indiana; bottom 7% in the U.S.
Registered Nurse hours	0.46	0.62	0.69	bottom 31% in Indiana; bottom 32% in the U.S.
Weekend total nurse staffing	2.50	3.01	3.50	bottom 18% in Indiana; bottom 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.47	0.48	bottom 28% in Indiana; bottom 37% in the U.S.
Total nursing staff turnover (%)	46.6	45.9	45.8	bottom 47% in Indiana; bottom 46% in the U.S.
RN turnover (%)	40.0	40.4	42.9	top 49% in Indiana; top 46% 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 3.29, RN 0.55, weekend 3.00. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Horner, John	Individual	Corporate Officer	NOT APPLICABLE	05/19/2014
Kesler, Heather	Individual	Contracted Managing Employee	NOT APPLICABLE	05/19/2014
Kesler, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	05/19/2014
The Waters of Indianapolis, LLC	Organization	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.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure every shift actually follows each resident's care plan?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Altenheim Health & Living Community	0.8 mi	Indianapolis, IN	★★★★☆	4/5
Bethany Village	1.1 mi	Indianapolis, IN	★★☆☆☆	2/5
Beech Grove Meadows	1.3 mi	Beech Grove, IN	★★★★☆	3/5
Fairway Village	1.4 mi	Indianapolis, IN	★★★★★	5/5
Brickyard Healthcare - Churchman Care Center	1.5 mi	Indianapolis, IN	★★★★☆	3/5
Envive of Beech Grove	1.7 mi	Beech Grove, IN	★★★☆☆	4/5
Forest Creek Village	1.9 mi	Indianapolis, IN	★★★★☆	3/5
Majestic Care of Southport	2.9 mi	Indianapolis, IN	★★★☆☆	3/5
Hawthorne Healthcare Center	3.6 mi	Indianapolis, IN	★★★★☆	3/5
Southpointe Healthcare Center	3.9 mi	Indianapolis, IN	★★★★★	5/5
Rosegate Village	4.2 mi	Indianapolis, IN	★★★★☆	4/5
Rosewalk Village	5.2 mi	Indianapolis, IN	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Indianapolis →

Facility data as of CMS processing date 2026-08-01. CCN 155409.

The Care File

Visit checklist — Waters of Indianapolis, the

3895 S Keystone Ave, Indianapolis, IN 46227 · 3177875364

Health inspection rating 2/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure every shift actually follows each resident's care plan?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 155409 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)