Waters of Lebanon, TheCMS ratings, inspections and fines
- Address
- 1585 Perry Worth Rd, Lebanon, IN 46052
- CCN
- 155211
- Ownership type
- For-profit, corporation
- Certified beds
- 64
- Residents per day
- 42
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Waters of Lebanon, The an overall rating of 1 of 5 stars. The last standard survey was on 11 Sep 2025. The latest survey cycle has 9 health citations. The median for nursing homes in Indiana is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Boone County median | Indiana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 507 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Indiana median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Sep 2025 | 9 | 6 |
| Cycle 2 | 12 Sep 2024 | 8 | 6 |
| Cycle 3 | No date | 14 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Sep 2025 | F0585 | Honor 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. | F | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0761 | Ensure 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. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Oct 2025 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Aug 2025 |
| 12 Sep 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 15 Oct 2024 |
| 12 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 15 Oct 2024 |
| 12 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 Oct 2024 |
| 12 Sep 2024 | F0688 | Provide 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. | D | Standard survey | 15 Oct 2024 |
| 12 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 15 Oct 2024 |
| 12 Sep 2024 | F0761 | Ensure 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. | D | Standard survey | 15 Oct 2024 |
| 12 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Oct 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 25 Mar 2024 |
| 14 Jul 2023 | F0578 | Honor 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. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0761 | Ensure 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. | E | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Aug 2023 |
| 14 Jul 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 22 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Indiana median | Indiana average (CMS) |
|---|---|---|---|
| All nurse staff | 3.19 | 3.60 | 3.68 |
| Registered nurses (RN) | 0.43 | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | 0.71 | 0.78 | |
| Nurse aides | 2.05 | 2.23 | |
| All nurse staff, weekends | 2.87 | 3.10 | 3.24 |
- Nurse staff turnover in a year
- 65.9%
- Nurse staff turnover, Indiana median
- 45.4%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.4% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.4% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 11.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Setting
- In a hospital
- Legal business name
- Hendricks County Hospital
- Chain
- Infinity Healthcare Consulting (69 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Waters of Lebanon LLC | Operational/managerial control | 15 Jul 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Boone County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Signature Healthcare at Parkwood | Lebanon | 5 of 5 | 1 | $8,018 | 6 Mar 2026 | |
| Homewood Health Campus | Lebanon | 2 of 5 | 15 | $0 | 19 May 2025 | |
| Restoracy of Whitestown, The | Whitestown | 5 of 5 | 3 | $0 | 13 Feb 2026 | |
| Zionsville Meadows | Zionsville | 4 of 5 | 4 | $0 | 28 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Waters of Lebanon, The (CCN 155211). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/waters-of-lebanon-the-lebanon-in-155211/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Waters of Lebanon, The last inspected?
- The latest inspection with a citation in the CMS record was on 11 Sep 2025. It was a standard survey. It gave 9 citations. The standard survey before the last one was on 12 Sep 2024.
- Who operates Waters of Lebanon, The?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Infinity Healthcare Consulting. The CMS ownership file names The Waters of Lebanon LLC for operational or managerial control. This site does not show the names of persons.
- Is Waters of Lebanon, The a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Indiana as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.