Waters of Indianapolis, the
3895 S Keystone Ave, Indianapolis, IN 46227 · Marion County · (317) 787-5364
81 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155409 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 25 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.29 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
46.6% 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.
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.
506/23
211/23
206/24
111/24
502/25
103/25
606/25
107/25
212/25
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
4E
1F
Potential for minimal harm
0A
0B
1C
December 31, 2025Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect a resident's right to be free from sexual abuse for 1 of 3 residents reviewed for abuse. A male resident was observed leaving a female resident's room. The female resident indicated the male resident touched her breast. (Resident B, Resident C)
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to ensure a full description of an allegation of sexual abuse was reported to the state health department for 1 of 3 residents reviewed for abuse. A male resident was observed leaving a female resident's room. The female resident was found lying in her bed with the sheet pulled down, her brief unlatched on one side and bent down in the front, and her gown pulled up. (Resident B, Resident C)
July 21, 2025Complaint inspection · 1 citation
- D 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 safe and comfortable environment when the bathroom wall heater covers were removed leaving the metal heating elements exposed for 3 of 3 random observations; and failed to ensure the bathroom door frames were free from rust and decay for 2 of 3 random observations.
June 26, 2025Standard inspection, Complaint inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dietary staff's facial hair was covered to prevent exposure to food and drinks while in the kitchen for 1 of 2 observations. This had the potential to affect 63 of 63 residents residing in the facility who received food from the kitchen. (Dietary Aide 2)
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the facility was free from accident hazards for 1 of 1 observation, potentially affecting 13 of 19 self-mobile cognitively impaired residents residing in the Memory Care Unit. An electrical cord was observed on the floor in the middle of a walkway area that was used by the residents. (Resident 29)
- 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, interview, and record review, the facility failed to ensure the person-centered comprehensive care plan was developed for 1 of 21 residents reviewed for care plans. The care plan was not developed for a resident who was at risk for falls and whose preference was to keep the bed in the high position. (Resident 42)
- D Provide care by qualified persons according to each resident's written plan of care.
Inspectors wroteBased on record review and interview, the facility failed to ensure a medication was administered by qualified personnel for 1 of 19 residents reviewed for medication administration. (Resident B)
- 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 and interview, the facility failed to ensure a treatment cart was securely locked for 1 of 1 random observations. (Faith Hall Treatment Cart)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to implement infection control practices for 2 of 5 residents reviewed for immunizations. The two-step tuberculosis skin test series was not completed. (Resident 15, Resident 58)
March 21, 2025Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interview and record review, the facility failed to protect the residents' rights to be free from misappropriation of property for 1 of 3 residents reviewed for misappropriation of medications. (Resident C)
February 7, 2025Complaint inspection · 5 citations
- 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 resident rights were maintained when a cognitively intact resident was not allowed to sign out for a leave of absence for 1 of 3 residents reviewed for resident's rights. (Resident C)
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse for 1 of 3 residents reviewed for abuse. Staff did not immediately report to the administrator when staff overheard a female resident tell a male staff member she would report him for hitting her and did not accurately report all known information regarding the allegation of abuse at the time the allegation was reported to the state survey agency. (Resident B, CNA 1, CNA 2, DON, Floor Tech)
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility failed to follow the abuse policy and ensure an alleged perpetrator of abuse was immediately removed from the facility for 1 of 3 residents reviewed for abuse. (Resident B, Floor Tech, CNA 1, CNA 2)
- 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.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control was maintained during the administration of eye drops for 1 of 3 residents reviewed for medication administration. (Resident D, LPN 1)
November 14, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from verbal abuse by a CNA for 1 of 5 resident reviewed for abuse. (CNA 3, Resident B)
June 3, 2024Standard inspection · 2 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a self-medication administration assessment was completed for residents with medications left at bedside for 1 of 1 random observations. (Resident 125)
- D Have policies on smoking.
Inspectors wroteBased on interview and record review, the facility failed to perform safe smoking assessments per facility policy for 1 of 5 residents reviewed for safe smoking. (Resident 1)
November 9, 2023Complaint inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pans and cooking utensils were cleaned in a sanitary manner for 2 of 2 kitchen observations.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to protect the resident's right to be treated with dignity for 2 of 3 residents reviewed. Meals were served on styrofoam and residents were wearing two incontinence briefs. (Resident B, Resident C)
June 16, 2023Standard inspection · 5 citations
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview, the facility failed to provide 8 continuous hours of Registered Nursing (RN) services, seven days a week, for 12 of 31 days reviewed.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 6 of 7 kitchen observations. Staff hair was not covered while in the kitchen food preparation area and the steam table was in disrepair. (Dietary Aide 2, Dietary Aide 3, [NAME] 4, Dietary Manager, and Maintenance Director)
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's medications were reconciled before discharge for 1 of 3 residents reviewed for discharge. (Resident 29)
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to follow vaccine administration guidelines for the pneumococcal vaccine. The pneumococcal vaccine was not given for residents who had consented to receive the vaccinations for 3 of 8 resident reviewed for vaccines. (Resident 5, Resident 26, Resident 52)
- C Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the dumpster container top lids and a side panel door were kept closed when not in use and failed to ensure the dumpster container area was free of debris, for 2 of 2 observations.
Fire safety inspections
37 fire safety citations on file: 13 on June 26, 2025, 15 on June 3, 2024, 9 on June 16, 2023.
Every fire safety citation37 citations
- F Meet requirements for the installation and maintenance of electrical systems.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Meet other general requirements.
- E Meet other general requirements that are deficient.
- E Install an approved automatic sprinkler system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Meet other general requirements that are deficient.
- E Provide properly sized and located linen or trash receptacles.
- E Have proper medical gas storage and administration areas.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Develop Emergency Preparedness policies and procedures.
- F Develop a communication plan.
- F Establish emergency prep training and testing.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet other general requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 3, 2024 | Payment Denial | 14 days from September 3, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.29 | 3.69 | 3.86 |
| Registered nurses | 0.55 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.25 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 46.6% | 45.9% | 45.8% |
| Registered nurse turnover | 40.0% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.59 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 3.41 on weekdays and 3.00 on weekends, 12% 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 3.21 in April to June 2025 to 3.29 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 | 3.29 | 0.55 | 3.41 | 3.00 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.27 | 0.37 | 3.36 | 3.03 | 0.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.32 | 0.21 | 3.40 | 3.13 | 0.0% | 0 of 92 | 65 |
| Apr to Jun 2025 | 3.21 | 0.25 | 3.33 | 2.91 | 0.2% | 0 of 91 | 64 |
| 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 | 2.8 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 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 | 6.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.0 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.3 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 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 |
|---|---|---|---|---|
| Kesler, Heather | Contracted managing employee | Individual | 05/19/2014 | |
| Horner, John | Corporate officer | Individual | 05/19/2014 | |
| The Waters of Indianapolis, LLC | Operational/managerial control | Organization | 05/19/2014 | |
| Kesler, Heather | 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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on December 31, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 26, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on June 26, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Altenheim Health & Living Community Indianapolis, 0.8 mi · 4 of 5 stars · 11 citations
- Bethany Village Indianapolis, 1.1 mi · 2 of 5 stars · 20 citations
- Beech Grove Meadows Beech Grove, 1.3 mi · 4 of 5 stars · 13 citations
- Fairway Village Indianapolis, 1.3 mi · 5 of 5 stars · 0 citations
- Brickyard Healthcare - Churchman Care Center Indianapolis, 1.5 mi · 5 of 5 stars · 15 citations
- Envive of Beech Grove Beech Grove, 1.7 mi · 4 of 5 stars · 11 citations
- Forest Creek Village Indianapolis, 1.9 mi · 4 of 5 stars · 31 citations
- Majestic Care of Southport Indianapolis, 2.9 mi · 3 of 5 stars · 20 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 Indianapolis, the's Medicare star rating?
- CMS rates Waters of Indianapolis, the 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waters of Indianapolis, the get at its last inspection?
- 6 health deficiencies at the standard inspection on June 26, 2025. The Indiana average is 7.2.
- Has Waters of Indianapolis, the been fined?
- CMS lists no fines in the last three years.
- Does Waters of Indianapolis, 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 Indianapolis, the?
- CMS lists 4 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.