Waters of Lebanon, the

Name: Waters of Lebanon, the
Address: 1585 PERRY WORTH RD, Lebanon, IN, 46052, US
Telephone: 7654826391

1585 Perry Worth Rd, Lebanon, IN 46052 · Boone County · 64 certified beds · avg 42 residents/day · certified since Feb 22, 1983

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

2.62

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.

All citations in the current public record (31)

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
Sep 11, 2025	F · Potential for harm, facility-wide	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Sep 11, 2025	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Sep 11, 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).
Sep 11, 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.
Sep 11, 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.
Sep 11, 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.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Sep 11, 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.
Sep 11, 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.
Jul 31, 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
Sep 12, 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.
Sep 12, 2024	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. · from a complaint
Sep 12, 2024	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
Sep 12, 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 12, 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
Sep 12, 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.
Sep 12, 2024	D · Potential for harm, one-off	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.
Mar 7, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jul 14, 2023	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 14, 2023	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.
Jul 14, 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.
Jul 14, 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.
Jul 14, 2023	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.
Jul 14, 2023	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.
Jul 14, 2023	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.
Jul 14, 2023	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.
Jul 14, 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.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 14, 2023	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.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

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

Year	Citations	Worst severity that year
2023	13	F
2024	8	D
2025	10	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)

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)	2.62	3.42	3.95	bottom 7% in Indiana; bottom 5% in the U.S.
Registered Nurse hours	0.35	0.62	0.69	bottom 10% in Indiana; bottom 15% in the U.S.
Weekend total nurse staffing	2.36	3.01	3.50	bottom 9% in Indiana; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.57	0.47	0.48	top 25% in Indiana; top 25% in the U.S.
Total nursing staff turnover (%)	65.9	45.9	45.8	bottom 5% in Indiana; bottom 9% in the U.S.
RN turnover (%)	60.0	40.4	42.9	bottom 18% in Indiana; bottom 22% 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 3.19, RN 0.43, weekend 2.87. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Engels, Erin	Individual	Corporate Director	NOT APPLICABLE	07/15/2017
Fenoughty, Deanna	Individual	Corporate Officer	NOT APPLICABLE	07/10/2023
Gentry, Mark	Individual	Corporate Director	NOT APPLICABLE	01/12/2022
Jones, Donna	Individual	Contracted Managing Employee	NOT APPLICABLE	12/27/2022
Starkey, Tyler	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
The Waters of Lebanon LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/15/2017
Waite, John	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
Whicker, Timothy	Individual	Corporate Director	NOT APPLICABLE	01/12/2022

Questions to ask on your visit

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

"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"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	Flags
Signature Healthcare at Parkwood	3.0 mi	Lebanon, IN	★★★★★	4/5
Homewood Health Campus	4.5 mi	Lebanon, IN	★★☆☆☆	2/5
Restoracy of Whitestown, the	5.1 mi	Whitestown, IN	★★★★★	4/5
Zionsville Meadows	9.5 mi	Zionsville, IN	★★★★☆	3/5
Hoosier Village	11.6 mi	Indianapolis, IN	★★★★☆	4/5
Copper Trace Health & Living Community	12.4 mi	Westfield, IN	★★★☆☆	3/5
Brownsburg Meadows	12.6 mi	Brownsburg, IN	★★★☆☆	2/5
Retreat at the Stratford, the	12.7 mi	Carmel, IN	★★★★☆	4/5
Brownsburg Health Care Center	13.2 mi	Brownsburg, IN	★☆☆☆☆	1/5	abuseSFF
Majestic Care of Sheridan	13.8 mi	Sheridan, IN	★★★★★	4/5
Robin Run Health Center	13.9 mi	Indianapolis, IN	★☆☆☆☆	1/5	abuseSFF
St Augustine Home for the Aged	14.3 mi	Indianapolis, IN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Lebanon →

Facility data as of CMS processing date 2026-08-01. CCN 155211.

The Care File

Visit checklist — Waters of Lebanon, the

1585 Perry Worth Rd, Lebanon, IN 46052 · 7654826391

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

Questions for the administrator:

☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "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 155211 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)