Nursing homes › Indiana › Waters of Lebanon, the
1585 Perry Worth Rd, Lebanon, IN 46052 · 7654826391 · 64 certified beds
Per CMS filings, this facility is affiliated with Infinity Healthcare Consulting, a group operating 70 facilities in 4 states. Group record: average rating 2.1/5, 14 abuse citation icons, 5 facilities on the Special Focus list, $4,187,160 in federal fines. This facility rates below its group average (2.1/5).
Total nurse staffing: 3.19 (Indiana median: 3.55). RN hours: 0.43. Weekend total: 2.87. Nursing staff turnover: 66%.
All-time on record: 31 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-11 | 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 | Health | corrected 2025-10-24 |
| 2025-09-11 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2025-10-24 |
| 2025-09-11 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-10-24 |
| 2025-09-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-10-24 |
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-10-24 |
| 2025-09-11 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-10-24 |
| 2025-09-11 | 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 | Health | corrected 2025-10-24 |
| 2025-09-11 | 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 | Health | corrected 2025-10-24 |
| 2025-09-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-10-24 |
| 2025-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-08-25 |
| 2024-09-12 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-10-15 |
| 2024-09-12 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-10-15 |
| 2024-09-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-10-15 |
| 2024-09-12 | 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 | Health | corrected 2024-10-15 |
| 2024-09-12 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-10-15 |
| 2024-09-12 | 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 | Health | corrected 2024-10-15 |
| 2024-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2024-10-15 |
| 2024-03-07 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-03-25 |
| 2023-07-14 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | complaint | corrected 2023-08-22 |
| 2023-07-14 | 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 | Health | corrected 2023-08-22 |
| 2023-07-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-08-22 |
| 2023-07-14 | 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 | Health | corrected 2023-08-22 |
| 2023-07-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | 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 | Health | corrected 2023-08-22 |
| 2023-07-14 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-08-22 |
| 2023-07-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-08-22 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ENGELS, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 07/15/2017 |
| GENTRY, MARK | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2022 |
| STARKEY, TYLER | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| WAITE, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2020 |
| WHICKER, TIMOTHY | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2022 |
| FENOUGHTY, DEANNA | Corporate Officer | Individual | NOT APPLICABLE | since 07/10/2023 |
| THE WATERS OF LEBANON LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/15/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155211. Corrections: data@carerecords.org.