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.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-11 | 10 | 7.6 | 9.5 | +2.4 worse |
| 2 | 2024-09-12 | 8 | 7.9 | 9.8 | +0.1 worse |
| 3 | 2023-07-14 | 15 | 8.8 | 9.3 | +6.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 2 |
| Resident rights | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.26 | 51.2% |
| RN staffing (reported) | 0.58 | 28.6% |
| 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)
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-09-11 · Health · corrected 2025-10-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health · corrected 2025-10-24
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-09-12 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-09-12 · Health · corrected 2024-10-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2024-03-07 · Health · corrected 2024-03-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-07-14 · Health · corrected 2023-08-22
Potential for more than minimal harm
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-07-14 · Health · corrected 2023-08-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-07-15 |
| THE WATERS OF LEBANON LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-07-15 |
| ENGELS, ERIN | Individual | CORPORATE DIRECTOR | — | 2017-07-15 |
| GENTRY, MARK | Individual | CORPORATE DIRECTOR | — | 2022-01-12 |
| STARKEY, TYLER | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| WAITE, JOHN | Individual | CORPORATE DIRECTOR | — | 2020-08-01 |
| WHICKER, TIMOTHY | Individual | CORPORATE DIRECTOR | — | 2022-01-12 |
| FENOUGHTY, DEANNA | Individual | CORPORATE OFFICER | — | 2023-07-10 |
| JONES, DONNA | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-12-27 |
Other facilities in LEBANON
| Name | Overall | Beds |
|---|---|---|
| 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.