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Home / Indiana / Lagrange

Waters of Lagrange Skilled Nursing Facility, the

787 N Detroit St., Lagrange, IN 46761 · Lagrange County · (260) 463-2172

100 certified beds, about 84 residents a day · For profit - Corporation · Medicare and Medicaid since 1970

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155118 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 10, 2025, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 35 health citations since December 2023, 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 3.37 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

40.0% 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.

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 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
26D
4E
3F
Potential for minimal harm
0A
0B
1C
March 30, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to assess and evaluate smoking safety for 2 of 3 residents reviewed for accidents (Resident F and Resident H). The facility also failed to ensure the environment was free of accident hazards by not correcting bunched up and uneven carpet in a resident hallway creating a tripping hazard for residents.
September 10, 2025Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all opened food items were labeled and dated, expired food was discarded, and thermometers were properly maintained in cooled and frozen food storage areas in the kitchen. 71 of 71 residents residing in the facility were served food prepared in the kitchen. During an observation in the walk-in refrigerator, on 09/04/2025 9:28 AM, a Ziploc bag containing pink sliced meat had illegible markings on the package . A plastic sealed bag labeled ham had a date of 8/27/25. A thermometer on an upper shelf had a temperature of 16 degrees. No items in the refrigerator appeared frozen solid or had visible frost. In an interview, on 09/04/2025 9:30 AM, the Dietary Manager (DM) indicated opened items should be used within 3 days or discarded. [...]
  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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were secured in locked environments when not directly attended for 32 of 71 residents residing in the facility. During an observation on 09/04/2025 11:56 AM the treatment cart and a medication cart on the southwest unit were both unlocked with no staff in the area. One resident was observed propelling her wheelchair in the immediate area of the carts. In an interview, on 09/04/2025 11:58 AM, Licensed Practical Nurse (LPN) 3 indicated the medication cart contained medications in pill and liquid forms and the treatment cart contained medication in liquid, cream and ointment forms. She indicated both carts should be locked when not attended to by staff. In an observation, on 09/04/2025 12:12 PM, the lock on the medication refrigerator in the medication room was not engaged. [...]
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure complete and accurate documentation in 3 of 24 resident records reviewed. (Resident 78, Resident 17, and Resident 42)During an observation, on 9/5/25 at 1:30 PM, the following was observed: A clean and dry dressing covered the insertion site of a Jackson Pratt Drain (JP Drain) on Resident 78's left lateral chest.1. A record review for Resident 78 began on 9/8/25 9:12 AM. Diagnoses included a history of kidney transplant, colostomy, and end stage kidney disease. A review of Resident 78's current quarterly MDS, dated [DATE], indicated their BIMS (Basic Interview for Mental Status) score was 13 (cognitively intact). The MDS indicated the resident had an ostomy present. A review of physician orders, dated 8/30/25, indicated a dressing change to the JP drain was changed every evening. [...]
February 3, 2025Complaint inspection · 2 citations
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from misappropriation of property for 4 of 4 residents reviewed (Resident K, Resident L, Resident M, and Resident N). The deficient practice was corrected on 1/22/25 prior to the start of the survey and was therefore past non-compliance.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to ensure residents were free from verbal abuse for 1 of 3 residents reviewed (Resident J). The deficient practice was corrected on 1/22/25 prior to the start of the survey and was therefore past non-compliance.
October 1, 2024Standard inspection, Complaint inspection · 14 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure sufficient nursing staff to meet the anticipated and unanticipated needs for 82 of 82 residents residening in the facility receiving nursing services.
  2. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a process was in place to identify and correct deficiencies from re-occurring for 82 of 82 residents residing in the facility
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure adequate supervision to prevent resident elopement, falls and ensure safe smoking for 4 of 6 residents reviewed (Residents 32, Resident 19, Resident 64 and Resident 76).
  4. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure an advance directive (code status) was accurate for 1 of 7 residents reviewed (Resident 4).
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure family notification of an episode of resident-to-resident contact for 1 of 2 residents reviewed (Resident 63).
  6. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure contents of a urinary catheter bag were not visible from the hallway for 1 of 2 residents reviewed (Resident 44).
  7. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and record review, the facility failed to prevent abuse for 1 of 2 residents reviewed (Resident 41).
  8. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure unusual incidents were reported to the appropriate agencies for 2 of 2 residents reviewed (Resident 63 and Resident 19).
  9. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the elopement of a resident was investigated for 1 of 2 residents reviewed (Residents 19).
  10. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview, and record review the facility failed to ensure showers were consistently offered for 1 of 6 residents reviewed (Resident 76).
  11. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure supervision and maintain seizure precautions for 2 of 6 residents reviewed (Resident 32 and Resident 5).
  12. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide trauma informed care by identifying triggers to minimize re-traumatization for 1 of 2 residents reviewed (Resident 41).
  13. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure specific resident behaviors were identified, investigated and communicated with individualized interventions for a resident with dementia for 1 of 1 resident reviewed (Resident 49).
  14. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nursing staffing numbers including the facility name, date, facility census, total number and actual hours worked per shift by licensed and unlicensed direct care staff were posted in an area accessible to residents and visitors. for 82 of 82 residents resided in the building.
September 4, 2024Complaint inspection · 2 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff effectively identified skin impairment on the left inner calf from friction and shear was correctly identified as a pressure injury, failed to ensure a physician's order was received prior to the use of a medical device, and failed to ensure a resident with a history of pressure injuries received effective treatment and services to prevent the wound from deteriorating, from developing infection, or to prevent the development of a second wound for 1 of 1 resident reviewed for wound care. (Resident J) This deficient practice resulted in Wound 1 deteriorating to a stage three pressure injury with infection and required sharp debridement.
  2. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide effective pain management for 1 of 1 residents experiencing pain (Resident L).
July 18, 2024Complaint inspection · 2 citations
  1. E
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement an effective behavior management plan for a resident with a history of alcohol abuse. This resulted in public resident to staff altercations (Resident G) and 5 residents fearing for their safety (Resident P, Resident Q, Resident S, Resident T, and Resident U).
  2. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure dementia care and services was provided to 1 of 3 residents reviewed for dementia care (Resident E).
April 2, 2024Complaint inspection · 3 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's right to be free from abuse for 1 of 3 residents reviewed (Resident Q).
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a timely report of suspected abusefor 1 of 3 residents reviewed. (Resident Q).
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 22, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure protection from abuse for residents while an investigation of abuse was conducted for 1 or 3 residents reviewed (Resident Q).
December 1, 2023Standard inspection, Complaint inspection · 8 citations
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to maintain minimum staffing levels to ensure safety with 2 staff members to transfer 22 residents who required use of a mechanical lift daily.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to report an episode of attempted self-harm for 1 of 1 resident reviewed (Resident 34).
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to investigate an episode of attempted self-harm for 1 of 1 resident reviewed (Resident 34).
  4. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure services were provided for communication deficits and activities of daily living for 2 of 2 residents reviewed. (Resident 34, Resident 16).
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow care planned interventions for 1 of 3 residents reviewed with pressure ulcers (Resident 35).
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow care planned interventions to prevent accidents for 2 of 5 residents reviewed (Resident 3 and Resident 74).
  7. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to investigate and identify underlying causes of resident specific behaviors for 1 of 1 resident reviewed (Resident 34).
  8. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide Social Services to identify and track abnormal behaviors for 1 of 1 resident reviewed (Resident 34).

Fire safety inspections

24 fire safety citations on file: 3 on September 10, 2025, 10 on October 1, 2024, 11 on December 1, 2023.

Every fire safety citation24 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 10, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · September 10, 2025 · Corrected (the home has a date of correction)
  3. E
    Provide properly protected cooking facilities.
    K 324 · September 10, 2025 · Corrected (the home has a date of correction)
  4. F
    Conduct testing and exercise requirements.
    E 39 · October 1, 2024 · Corrected (the home has a date of correction)
  5. F
    Implement emergency and standby power systems.
    E 41 · October 1, 2024 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 1, 2024 · Corrected (the home has a date of correction)
  7. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 1, 2024 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 1, 2024 · Corrected (the home has a date of correction)
  9. E
    Provide properly protected cooking facilities.
    K 324 · October 1, 2024 · Corrected (the home has a date of correction)
  10. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · October 1, 2024 · Corrected (the home has a date of correction)
  11. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 1, 2024 · Corrected (the home has a date of correction)
  12. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · October 1, 2024 · Corrected (the home has a date of correction)
  13. C
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · October 1, 2024 · Corrected (the home has a date of correction)
  14. F
    Establish staff and initial training requirements.
    E 37 · December 1, 2023 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · December 1, 2023 · Corrected (the home has a date of correction)
  16. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 1, 2023 · Corrected (the home has a date of correction)
  17. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 1, 2023 · Corrected (the home has a date of correction)
  18. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 1, 2023 · Corrected (the home has a date of correction)
  19. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · December 1, 2023 · Corrected (the home has a date of correction)
  20. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 1, 2023 · Corrected (the home has a date of correction)
  21. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 1, 2023 · Corrected (the home has a date of correction)
  22. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · December 1, 2023 · Corrected (the home has a date of correction)
  23. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · December 1, 2023 · Corrected (the home has a date of correction)
  24. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 1, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 4, 2024Payment Denial 10 days from October 1, 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.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.373.693.86
Registered nurses0.350.670.69
All nursing staff on weekends3.033.253.42
Nurse aides2.32
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)40.0%45.9%45.8%
Registered nurse turnover50.0%40.3%42.9%
Administrators who left0

CMS expects 4.27 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 3.50 on weekdays and 3.03 on weekends, 13% 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 3.11 in April to June 2025 to 3.37 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.370.353.503.03 0.0%0 of 9084
Oct to Dec 20253.350.333.473.06 0.0%0 of 9277
Jul to Sep 20253.390.413.552.98 0.0%0 of 9274
Apr to Jun 20253.110.363.212.86 0.0%0 of 9174
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.811.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.13.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.411.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.93.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.213.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.41.8

Owners and operators

Legal business name: JOHNSON MEMORIAL HOSPITAL. CMS links this home to Infinity Healthcare Consulting, a group of 70 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Johnson Memorial Hospital5% or greater direct ownership interestOrganization100%03/01/2013
Lenon, IsaacContracted managing employeeIndividual12/16/2021
Thomas, MyranContracted managing employeeIndividual07/07/2022
Decola, RobertW-2 managing employeeIndividual02/16/2019
Berkhouse, StevenCorporate directorIndividual10/18/2021
Dunkle, DavidCorporate directorIndividual03/01/2019
Berkhouse, StevenCorporate officerIndividual10/18/2021
Dunkle, DavidCorporate officerIndividual06/01/2019
Miller's Health Systems IncOperational/managerial controlOrganization03/01/2013
The Waters of Lagrange Skilled Nursing Facility LLCOperational/managerial controlOrganization11/01/2022
Dunkle, DavidOperational/managerial controlIndividual03/01/2019

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on March 30, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 10 problems in this area, most recently on February 3, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on October 1, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  4. 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 October 1, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.03 hours per resident per day, below the Indiana average of 3.25.

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Common questions

What is Waters of Lagrange Skilled Nursing Facility, the's Medicare star rating?
CMS rates Waters of Lagrange Skilled Nursing Facility, the 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waters of Lagrange Skilled Nursing Facility, the get at its last inspection?
3 health deficiencies at the standard inspection on September 10, 2025. The Indiana average is 7.2.
Has Waters of Lagrange Skilled Nursing Facility, the been fined?
CMS lists no fines in the last three years.
Does Waters of Lagrange Skilled Nursing Facility, 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 Lagrange Skilled Nursing Facility, the?
CMS lists 11 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: JOHNSON MEMORIAL HOSPITAL.

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