Starfile

Starfile / Indiana

WATERS OF LEBANON, THE

1585 PERRY WORTH RD, LEBANON, IN 46052 · CCN 155211

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
64
Avg residents/day
41.4
Phone
7654826391

Inspection history vs Indiana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIndiana avgNational avgvs state
12025-09-11107.69.5+2.4 worse
22024-09-1287.99.8+0.1 worse
32023-07-14158.89.3+6.2 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning2
Nursing and physician services2
Resident rights2
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2651.2%
RN staffing (reported)0.5828.6%
Total nurse staffing (adjusted)2.69

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 (33)

  1. FF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  3. DF0641Ensure each resident receives an accurate assessment.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  5. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  6. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  7. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  8. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-31 · Health · corrected 2025-08-25

    Potential for more than minimal harm

  11. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  12. DF0641Ensure each resident receives an accurate assessment.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  13. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  14. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  16. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  17. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-12 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  18. DF0583Keep residents' personal and medical records private and confidential.2024-03-07 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  19. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  22. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  23. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  24. DF0692Provide enough food/fluids to maintain a resident's health.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  25. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  27. DF0760Ensure that residents are free from significant medication errors.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  28. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  29. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  30. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  31. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-14 · Health · corrected 2023-05-18

    Potential for more than minimal harm

  33. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-04-14 · Health · corrected 2023-05-18

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HENDRICKS COUNTY HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-07-15
THE WATERS OF LEBANON LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-07-15
ENGELS, ERINIndividualCORPORATE DIRECTOR2017-07-15
GENTRY, MARKIndividualCORPORATE DIRECTOR2022-01-12
STARKEY, TYLERIndividualCORPORATE DIRECTOR2020-08-01
WAITE, JOHNIndividualCORPORATE DIRECTOR2020-08-01
WHICKER, TIMOTHYIndividualCORPORATE DIRECTOR2022-01-12
FENOUGHTY, DEANNAIndividualCORPORATE OFFICER2023-07-10
JONES, DONNAIndividualCONTRACTED MANAGING EMPLOYEE2022-12-27

Other facilities in LEBANON

NameOverallBeds
SIGNATURE HEALTHCARE AT PARKWOOD★★★★☆106
HOMEWOOD HEALTH CAMPUS★★☆☆☆68

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.