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Waters of Lebanon, the
1585 Perry Worth Rd, Lebanon, IN 46052 (opens Google Maps) · Boone County · (765) 482-6391· 64 certified beds · avg 42 residents/day · certified since Feb 22, 1983 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: INFINITY HEALTHCARE CONSULTING (69 facilities, chain avg rating 2.0★)
2/5
Health inspection rating (on-site)
inspected Sep 11, 2025
0
Serious findings on record
$0
Fines, last 3 years
2.62
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
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. F-0585
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. F-0725
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). F-0628
View all 31 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0585 |
| Sep 11, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0725 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | 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). · F-0628 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jul 31, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0695 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Mar 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Jul 14, 2023 | F · Potential for more than minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
All citationsSerious citations (G–L)
2023
All citations: 13
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 0 | F |
| 2024 | 8 | 0 | D |
| 2025 | 10 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIndiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.62
Indiana average: 3.42
U.S. average: 3.95
Registered Nurse hours
This facility: 0.35
Indiana average: 0.62
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.36
Indiana average: 3.01
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.19 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Waters of Lebanon, the. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 8 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Infinity Healthcare Consulting — 69 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Waters of Martinsville, the — Martinsville, IN · overall 1/5
- Waters of Middletown Skilled Nursing Facility, the — Middletown, IN · overall 4/5
- Waters of Muncie, the — Muncie, IN · overall 2/5
- Waters of New Castle, the — New Castle, IN · overall 3/5
- Waters of Peru Skilled Nursing Facility, the — Peru, IN · overall 4/5
- Waters of Princeton, the — Princeton, IN · overall 1/5
- Waters of Rising Sun, the — Rising Sun, IN · overall 3/5
- Waters of Rockport Skilled Nursing Facility, the — Rockport, IN · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 68 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Indiana midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 66% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 42 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 |
Facility data as of CMS processing date 2026-08-01. CCN 155211.
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