Waters of Dillsboro-Ross Manor, the
12803 Lenover St., Dillsboro, IN 47018 · Dearborn County · (812) 432-5226
123 certified beds, about 66 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155280 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 9 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 32 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
37.9% 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.
Health inspections
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.
603/24
102/25
703/25
105/25
406/25
307/25
102/26
903/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 32 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
25D
6E
0F
Potential for minimal harm
0A
0B
0C
March 26, 2026Standard inspection · 9 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review, the facility failed to act promptly regarding residents' concerns voiced during the Resident Council meetings for 4 of 12 months of meeting minutes reviewed. (August, September, October, and December 2025)
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to store medications appropriately for 3 of 5 medication carts observed. (Upstairs Medication Cart 3-2, Upstairs Medication Cart 3-1, and the Dementia Unit Medication Cart)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a resident's care plan related to the resident's leg prosthesis for 1 of 18 residents reviewed for care plans. (Resident 3)
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with a visual impairment received optical services in a timely manner for 1 of 1 resident reviewed for vision. (Resident 33)
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control guidelines related to urinary catheters for 2 of 3 residents reviewed for Urinary Tract Infections (UTI). (Residents 4 and 52)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to ensure a newly admitted resident's weight was obtained as ordered and address a significant weight gain for 1 of 2 residents reviewed for nutrition. (Resident 11)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to have medications available for a resident for 1 of 18 residents reviewed for pharmacy services. (Resident 4)
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, the facility failed to maintain complete and accurate resident records related to medication administration for 1 of 18 residents reviewed for medical records. (Resident 36)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview, observation, and record review, the facility failed to follow appropriate infection control guidelines for a resident with indwelling devices and for a resident during medication administration for 2 of 20 residents reviewed for infection control. (Residents 6 and 7)
February 5, 2026Complaint inspection · 1 citation
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on record review and interview, the facility failed to provide behavior health services for a resident who required 15-minute monitoring for 1 of 3 residents reviewed for behaviors. (Resident C)
July 18, 2025Complaint inspection · 3 citations
- E Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were treated with respect and dignity related to Activities of Daily Living (ADL) care and monitoring inventory of personal belongings for 4 of 9 residents reviewed for resident rights. (Residents B, C, K, and L)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to treat and identify pressure ulcers in a timely manner for 1 of 3 residents reviewed for pressure ulcers. (Resident C)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control guidelines related to Enhanced Barrier Precautions (EBP) for 2 of 2 wound care observations. (Residents C and F)
June 17, 2025Complaint inspection · 4 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff supervised a resident that resided on a secured unit when off the unit for 1 of 3 residents reviewed for accident hazards. (Resident C)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to provide medications in a timely manner for 1 of 3 residents reviewed for pharmacy services. (Resident B)
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on record review and interview, the facility failed to obtain a STAT x-ray in a timely manner for 1 of 3 residents reviewed for radiology services. (Resident B)
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to document a resident's behaviors for 1 of 3 residents reviewed for medical records. (Resident B)
May 16, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview, and record review, the facility failed to ensure a resident was treated with respect and dignity for 1 of 3 residents reviewed. (Resident D)
March 6, 2025Standard inspection · 7 citations
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store medications appropriately related to vials of insulin for 2 of 3 medication carts reviewed. (Station 3 Medication Cart 2 and Station 2 Medication Cart)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to follow the physician's orders related to medication hold parameters (Resident 13) and implement fall interventions of non-skid strips (Resident 54) for 2 of 20 residents reviewed for Quality of Care.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to promptly identify and treat a pressure wound infection in a timely manner for 1 of 3 residents reviewed for pressure ulcers/skin impairments. (Resident 64)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's food preferences were identified and replacement meal options were offered for 1 of 3 residents reviewed for nutrition. (Resident 76)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's medications were available for 1 of 5 residents observed for pharmacy services. (Resident 33)
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review and interview, the facility failed to obtain a wound culture in a timely manner for 1 of 2 residents reviewed for infections. (Resident 64)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to follow appropriate infection control guidelines related to hand hygiene for 2 of 6 residents observed during medication administration. (Residents 52 and 7)
February 3, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, and interview, the facility failed to ensure a maintenance staff removed lye-based chemical drain cleaner from the bathroom of vulnerable resident for 1 of 3 residents reviewed for accidents. (Resident C) This deficient practice resulted in the resident ingesting the chemical liquid and sustaining low-grade esophageal injury and moderate-grade gastric injury that required intensive care at an acute care hospital.
March 26, 2024Standard inspection, Complaint inspection · 6 citations
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on interview, observation, and record review, the facility failed to provide activities for 1 of 4 stations reviewed. This had the potential to affect 13 of 68 resident residing in the facility. (Memory Springs-Dementia Unit)
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to provide a homelike environment related to odors for 1 of 4 stations reviewed. This had the potential to affect 13 of 68 resident residing in the facility. (Memory Springs-Dementia Unit)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, observation, and record review, the facility failed to develop a care plan related to dentures for 1 of 20 residents care plans reviewed. (Resident 37)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview the facility failed to provide routine bathing for 1 of 3 residents reviewed for ADL (Activities of Daily Living) care. (Resident B)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders related to wound treatments and TED (anti-embolism) hose for 3 of 20 residents reviewed for quality of care. (Residents 44, 61, and 30)
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to label and store medications appropriately for 2 of 3 medication storage refrigerators observed. (Station 1 medication refrigerator and Station 3 medication refrigerator)
Fire safety inspections
2 fire safety citations on file: 1 on March 26, 2026, 1 on March 26, 2024.
Every fire safety citation2 citations
- E Implement emergency and standby power systems.
- F Conduct testing and exercise requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.31 | 3.69 | 3.86 |
| Registered nurses | 0.38 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.96 | 3.25 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 37.9% | 45.9% | 45.8% |
| Registered nurse turnover | not reported | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.87 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.45 on weekdays and 2.96 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.06 in April to June 2025 to 3.31 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 | 3.31 | 0.38 | 3.45 | 2.96 | 0.0% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.31 | 0.44 | 3.41 | 3.06 | 0.0% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.13 | 0.39 | 3.25 | 2.83 | 0.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.06 | 0.26 | 3.17 | 2.77 | 0.0% | 0 of 91 | 69 |
| 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.
Quality measures
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 | 3.6 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.5 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.3 | 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 | 2.3 | 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 |
Owners and operators
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 |
|---|---|---|---|---|
| Zoz, Joni | Contracted managing employee | Individual | 05/19/2014 | |
| Horner, John | Corporate officer | Individual | 05/19/2014 | |
| The Waters of Dillsboro-Ross Manor, LLC | Operational/managerial control | Organization | 05/19/2014 | |
| Horner, John | Operational/managerial control | Individual | 05/19/2014 | |
| Zoz, Joni | 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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on March 26, 2026: "Assist a resident in gaining access to vision and hearing services."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 26, 2026: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 26, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 26, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Silver Memories Health Care Versailles, 10.8 mi · 4 of 5 stars · 14 citations
- Ripley Crossing Milan, 10.9 mi · 2 of 5 stars · 24 citations
- Ridgewood Health Campus Lawrenceburg, 11.3 mi · 4 of 5 stars · 16 citations
- Envive of Lawrenceburg Lawrenceburg, 11.5 mi · 3 of 5 stars · 23 citations
- Shady Nook Care Center Lawrenceburg, 11.7 mi · 1 of 5 stars · 21 citations
- Waters of Rising Sun, the Rising Sun, 11.7 mi · 3 of 5 stars · 26 citations
- Manderley Health Care Center Osgood, 14.3 mi · 3 of 5 stars · 20 citations
- Gallatin Nursing and Rehab Warsaw, 18.6 mi · 4 of 5 stars · 12 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Waters of Dillsboro-Ross Manor, the's Medicare star rating?
- CMS rates Waters of Dillsboro-Ross Manor, the 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waters of Dillsboro-Ross Manor, the get at its last inspection?
- 9 health deficiencies at the standard inspection on March 26, 2026. The Indiana average is 7.2.
- Has Waters of Dillsboro-Ross Manor, the been fined?
- CMS lists no fines in the last three years.
- Does Waters of Dillsboro-Ross Manor, the accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Waters of Dillsboro-Ross Manor, the?
- CMS lists 5 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: MAJOR HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.