WATERS OF GEORGETOWN, THE
1002 SISTER BARBARA WAY, GEORGETOWN, IN 47122 · CCN 155770
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 68
- Avg residents/day
- 64.3
- Phone
- 8129405100
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-16 | 22 | 7.6 | 9.5 | +14.4 worse |
| 2 | 2024-06-28 | 6 | 7.9 | 9.8 | -1.9 better |
| 3 | 2023-04-26 | 8 | 8.8 | 9.3 | -0.8 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 10 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 4 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.42 | 51.2% |
| RN staffing (reported) | 0.36 | 75.0% |
| Total nurse staffing (adjusted) | 4.69 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- INFINITY HEALTHCARE CONSULTING
- Facilities in chain
- 70
- Chain avg overall
- 2.20 / 5
Inspection citations (36)
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-26 · Health · corrected 2025-12-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-26 · Health · corrected 2025-12-03
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-09-26 · Health · corrected 2025-12-03
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-09-26 · Health · corrected 2025-12-03
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- FF0679Provide activities to meet all resident's needs.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-16 · Health · corrected 2025-07-24
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-15 · Health · corrected 2025-05-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-27 · Health · corrected 2025-04-22
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-12-31 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-31 · Health · corrected 2025-02-04
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2024-12-31 · Health · corrected 2025-02-04
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-12-31 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-28 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-16 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-28 · Health · corrected 2024-01-19
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-26 · Health · corrected 2023-06-01
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-04-26 · Health · corrected 2023-06-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-26 · Health · corrected 2023-06-01
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-26 · Health · corrected 2023-06-01
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-04-26 · Health · corrected 2023-06-01
Potential for more than minimal harm
- DF0886Perform COVID19 testing on residents and staff.2023-04-26 · Health · corrected 2023-06-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-06 · Health · corrected 2023-03-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-01-01 |
| SMITH, SCOTT | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| SPRUNGER, KYLE | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| WHEELER, DANE | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| SMITH, KIMBERLY | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-01-01 |
Other facilities in GEORGETOWN
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.