1600 E Liberty St., Covington, IN 47932 · Fountain County · (765) 793-4818
119 certified beds, about 77 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1983
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155223 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 15, 2025, inspectors cited 11 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 37 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $222,565 in the last three years; the largest was $222,565, and the latest is dated October 20, 2025.
Nurses and nurse aides worked 3.40 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
48.6% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Infinity Healthcare Consulting, an affiliated group of 70 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.
Inspectors wroteA. Based on observation, record review, and interview, the facility failed to ensure the kitchen dish machine temperature and sanitation logs, and the refrigeration temperature logs were maintained, and failed to ensure the paper towels at the kitchen handwash sink were maintained in a sanitary manner, for 1 of 3 kitchen observations. This deficient practice had the potential to affect 81 of 81 residents residing at the facility. B. Based on observation, interview, and record review, the facility failed to ensure resident hall trays were delivered in a sanitary manner for 1 of 1 meal service observation.
Inspectors wroteBased on record review and interview, the facility failed to follow antibiotic stewardship protocol program. This deficient practice had the potential to affect 81 of 81 residents residing at the facility.
Inspectors wroteBased on record review and interview, the facility failed to ensure informed consent was obtained for the administration of psychotropic medications (drugs that affect the brain's chemical makeup to treat mental and emotional disorders), for 5 of 5 resident reviewed for unnecessary medications (Residents 53, 11, 10, 74, and 47).
Inspectors wroteBased on record review and interviews the facility failed to offer snacks to residents in the evening for 5 of 5 residents reviewed for snacks at bedtime (Residents 27, 28, 42, 87, and 91).
Inspectors wroteA. Based on observation, record review, and interview, the facility failed to ensure a catheter (tube inserted into the bladder to drain urine) bag did not come in contact with an unclean surface for 1 of 1 residents reviewed for catheters (Resident 10). B. Based on observation, interview, and record review, the facility failed to ensure hand hygiene was performed during the medication pass for 4 of 4 residents reviewed on the medication pass (Residents 92, 93, 96, and 39).
Inspectors wroteBased on record review and interview, the facility failed to ensure the physician signed and dated a pharmacy recommendation for psychotropic medications, failed to ensure behavior documentation was available to justify an increase in psychotropic medication dosage, and failed to ensure documentation to justify the declination of psychotropic medication dosage reductions for 3 of 5 residents reviewed for unnecessary medications (Residents 53, 11, and 10).
Inspectors wroteBased on record review and interview, the facility failed to ensure a notice of transfer or discharge and bed hold policy was provided to the resident who was transferred to the hospital for 1 of 2 residents reviewed for hospitalization (Resident 12).
Inspectors wroteBased on record review and interview, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) (screening assessment to determine if a resident has a serious mental illness) was completed accurately for 1 of 2 residents reviewed for PASRR (Resident 2).
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were provided assistance with activities of daily living (ADLs) to ensure good hygiene for 3 of 4 residents reviewed for ADLs (Residents 10, 2, and 90).
Inspectors wroteBased on record review and interview, the facility failed to ensure a pharmacy recommendation was implemented as requested and approved by physician for 1 of 5 residents reviewed for unnecessary medications (Resident 47).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure expired medications were disposed of for 1 of 1 medication storage rooms reviewed and 1 of 5 medication carts reviewed for medication storage (Residents 23 and 10).
Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from neglect when staff ignored a resident's continued reports of acute pain and his request to be sent to the hospital which resulted in prolonged pain and a delay of treatment for 1 of 3 residents reviewed for neglect (Resident B). The immediate jeopardy began on 9/24/25 at 10:00 p.m., when Certified Nursing Aide (CNA) 3 observed Resident B to be sweaty and he complained of acute pain. CNA 3 reported his concerns to Licensed Practical Nurse (LPN) 4. CNA 3 and CNA 8 reported to LPN 4 around 1 or 2 a.m., that Resident B was still in pain and wanted to see the nurse. LPN 4 failed to assess the resident or report the resident's change of condition to a physician. CNA 3 reported Resident B's pain to the incoming dayshift nurse, Registered Nurse (RN) 5. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with constipation, no recent bowel movements (BM), and reporting pain was monitored and treated timely resulting in the resident having a delay in treatment and requiring interventions under anesthesia for a severe fecal impaction for 1 of 5 residents reviewed for quality of care related to their bowel management program (Resident B), and the facility failed to ensure an effective protocol was put in place for the ongoing monitoring of 5 of 5 residents reviewed for quality of care related to the bowel management program (Residents B, E, F, G, and H). The Immediate Jeopardy (IJ) began on 9/24/25 when Resident B began to experience and complain of acute pain. His last recorded BM was 9/19/25 at 11:17 a.m. [...]
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a resident was assessed for and safely transferred in a mechanical lift resulting in actual harm when the resident fell from the mechanical lift sling during a transfer and sustained a fracture to the right tibia (bone in the lower leg) (Resident B), failed to ensure residents were appropriately transferred in mechanical lifts using the correct slings (Residents B and D), and to ensure a resident with multiple falls received updated interventions to prevent further falls (Resident C) for 3 of 4 residents reviewed for accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff were competent in performing mechanical lift transfers during 2 of 2 observed mechanical lift transfers (Residents B and D). This deficient practice had the potential to affect 15 of 15 residents who required a mechanical lift for transfers.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's family member was notified in a timely manner of a resident's fracture for 1 of 4 residents reviewed for accidents (Resident B).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living (ADL) (daily self-care activities) received assistance with removal of facial hairs for 3 of 3 residents reviewed for facial hair (Residents E, F, and G), failed to clean and cut finger nails for 1 of 4 residents reviewed for ADL care (Resident B), and the facility failed to ensure a resident was provided showers for 1 of 3 residents reviewed for showers (Resident D).
Inspectors wroteBased on interview and record review, the facility failed to notify a resident's representative of changes in condition and treatment for 1 of 3 residents reviewed for family and /or representative notification. (Resident B)
Inspectors wroteBased on record review and interview, the facility failed to ensure transfer and discharge documents were completed and provided to a resident's representative for a discharge to the hospital for 1 of 2 residents reviewed for hospitalization (Resident 57).
Inspectors wroteBased on record review and interview, the facility failed to ensure bed hold documents were completed and provided to a resident's representative for a discharge to the hospital for 1 of 2 residents reviewed for hospitalization (Resident 57).
Inspectors wroteBased on interview and record review, the facility failed to ensure care plan meetings had been conducted in a timely manner for 2 of 24 residents reviewed for care plan meetings (Residents 44 and 76).
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's indwelling urinary catheter bag (a bag that collects urine from a catheter inserted into the bladder) was kept from coming in contact with the floor for a resident with a UTI (urinary tract infection) for 1 of 4 residents reviewed for catheters (Resident 4), and failed to ensure measured urine output amounts from indwelling urinary catheter bags were accurate for 2 of 4 residents reviewed for catheter/UTI (Residents 4 and 1).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an opened bottle of tube feeding formula (a liquid mixture that contained all the necessary nutrients, delivered directly into a person's stomach or intestines through a tube when they were unable to eat normally by mouth) was labeled and dated for 1 of 1 resident reviewed for tube feeding (Resident 74).
Inspectors wroteBased on record review and interview, the facility failed to address a pharmacy recommendation for 1 of 5 residents reviewed for unnecessary medications (Resident 36).
Inspectors wroteBased on observation and interview, the facility failed to ensure expired foods were disposed of, failed to ensure facial hair was covered with hair restraints, and failed to ensure potentially hazardous food (uncooked meats) were stored separately from other foods (cooked meat) during 2 of 2 kitchen observations.
Inspectors wroteBased on observation and interview, the facility failed to ensure respiratory equipment was cleaned, dated, and stored appropriately and residents had respiratory treatment orders for 8 of 8 Residents reviewed for respiratory care (Residents C, D, E, F, G, H, J, and K).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had alternative hydration choices available for 2 of 3 days of the survey. This had the potential to effect for 81 of 81 residents who received hydration from the kitchen.
Inspectors wroteBased on record review and interview the facility failed to obtain ordered medication for administration for 1 of 3 residents reviewed for medication administration (Resident AA).
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's allegation of abuse, and investigation of bruising on bilateral arms were accurately reported after the resident was found to have bruising on bilateral arms, face, and chest, and a laceration on the lip for 1 of 4 incidents reviewed for reporting (Resident B).
Inspectors wroteBased on observation, interview, and record review, the facility failed to have a system in place for documentation of falls, non-pressure wounds, and injuries, and failed to ensure assessments and documentation were completed after falls, non-pressure wounds, and allegations of abuse were identified for 3 of 4 residents reviewed for falls and bruises (Residents B, C, and D).
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was provided showers as preferred for 1 of 2 residents reviewed for choices (Resident 13).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living (ADL) (daily self-care activities) received assistance with removal of facial hairs for 1 of 3 residents reviewed for ADL care (Resident 96).
Inspectors wroteBased on record review and interview, the facility failed to ensure that a resident received daily dressing changes to an unstageable pressure ulcer to his left heel for 1 of 3 residents reviewed for pressure ulcers (Resident 94).
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure insulin medication was administered within 15 minutes of meal service for 2 of 2 residents reviewed for significant medication error in a sample of 26 residents (Resident's 2 and 48).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication was labeled properly for 1 of 2 medication storage rooms reviewed for medication storage.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper handwashing for 1 of 2 dining observations.
Inspectors wroteBased on record review and interview, the facility failed to ensure documented evidence of medication administration for 1 of 5 residents reviewed for unnecessary medications (Resident 91).
34 fire safety citations on file: 14 on December 15, 2025, 11 on October 9, 2024, 9 on September 13, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| October 20, 2025 | Fine | $222,565 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.40 | 3.69 | 3.86 |
| Registered nurses | 0.43 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.25 | 3.42 |
| Nurse aides | 2.48 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 48.6% | 45.9% | 45.8% |
| Registered nurse turnover | 44.4% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.49 on weekdays and 3.18 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.40 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.40 | 0.43 | 3.49 | 3.18 | 0.1% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.39 | 0.35 | 3.46 | 3.22 | 0.1% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.33 | 0.43 | 3.42 | 3.08 | 0.0% | 0 of 92 | 77 |
| Apr to Jun 2025 | 3.17 | 0.42 | 3.26 | 2.94 | 0.1% | 0 of 91 | 83 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.3 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.2 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.5 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.2 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Waters of Covington, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.8% this home
No different from the national rate
US median of homes 51.5% · Indiana: 111 better, 7 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 59 eligible stays.
11.6% this home
No different from the national rate
US median of homes 10.7% · Indiana: 0 better, 17 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 67 eligible stays.
6.4% this home
No different from the national rate
US median of homes 7.1% · Indiana: 0 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.
22.6% this home
Median of homes: Indiana60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
0.0% this home
Median of homes: Indiana0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.
4.9% this home
Median of homes: Indiana1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Indiana100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: MAJOR HOSPITAL. CMS links this home to Infinity Healthcare Consulting, a group of 70 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pruitt, Fay | Contracted managing employee | Individual | 05/19/2014 | |
| Horner, John | Corporate officer | Individual | 05/19/2014 | |
| The Waters of Covington, LLC | Operational/managerial control | Organization | 05/19/2014 | |
| Pruitt, Fay | Operational/managerial control | Individual | 05/19/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.