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Nursing HomeMedicaid Investigative

Waters of Dillsboro-Ross Manor, the

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

12803 Lenover St, Dillsboro, IN 47018123 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 45 Google reviews

5
4
3
2
1
Waters of Dillsboro-Ross Manor, the Nursing Home in Dillsboro, IN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (15 vs median 6)

Bottom 25% in IN · Below recommended RN staffing · Worst in INFINITY HEALTHCARE CONSULTING chain · No penalties on record

Source: Medicare data

What this means for your family

While some families report positive experiences, the facility has a pattern of serious complaints regarding cleanliness and staffing levels. If you choose this facility, it is critical that you visit frequently and remain highly involved in your loved one's daily care to ensure hygiene and medical needs are met.

Google Reviews

Google Reviews

45 reviews on Google
The Waters of Dillsboro-Ross Manor receives highly polarized feedback, with some families praising the staff's kindness and care, while others report severe neglect and unsanitary conditions. Critical reviews frequently cite issues with hygiene, slow response times, and poor communication, while positive reviews often highlight a friendly environment and successful rehabilitation outcomes. Potential families should be aware of the significant inconsistency in care quality reported across different stays.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean2.0Activities5.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Friendly and caring nursing staff
  • Effective rehabilitation therapy
  • Positive outcomes for some long-term residents

Concerns

  • Facility cleanliness and strong odors (mentioned by 4 reviewers)
  • Understaffing leading to slow response times (mentioned by 3 reviewers)
  • Neglect of basic hygiene (showers, dressing changes) (mentioned by 3 reviewers)
  • Poor communication and difficulty reaching staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(3)'21(1)'24(6)'26(4)

Distribution · 46 analyzed

5
28
4
4
3
0
2
3
1
11
14 reviews posted between Aug 25, 2025Aug 29, 2025 · 14 were 5-star

How They Respond to Reviews

63%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed some of your staff are mentioned for being very friendly and caring; how do you ensure that this level of personal connection is maintained across all shifts?
  • 2What specific protocols do you have in place to ensure the facility remains clean and fresh-smelling for the residents and their visitors?
  • 3How does the nursing team manage communication with families to ensure we are always kept up-to-date on any changes in our loved one's condition?
  • 4Could you walk us through your process for medication management and how you ensure accuracy and timeliness for every resident?
  • 5In the event of a medical emergency during the night, what is the immediate procedure for getting a doctor or supervisor involved?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

My mamaw was there for almost 3 hours and nobody helped her to get dressed, she was still in a hospital gown after being transported, nobody came to get her lunch tray until hours later, the place was absolutely filthy, it smelled strongly of old pee, the outside was a mess and the staff was rude.

Memory care family member · 2026☆☆☆☆

Sometimes they are a little slow when summoned because of not enough staff. They are helping really sick patients first. The food is good and plenty servings.

Long-term resident's family · 2018★★★★

I’m sure they could use a few more people and some modernization. As with anyplace, you need to make sure you visit the resident and stay on top of things.

Long-term resident's family · 2022★★★★
Source: 45 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility60.5%
Worse than Avg
Here
60.5%
US
12.1%
IN
24.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
14.4%
IN
11.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
15.3%
IN
13.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IN
93.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
19.5%
IN
23.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IN
95.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
IN
81.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.7%
Better than Avg
Here
92.7%
US
79.8%
IN
79.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
IN
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
Well above state avg (7.6)
12 complaint-triggered

This facility has a concerning pattern of complaint-triggered deficiencies, with families filing 11 reports that led to federal citations across multiple surveys. The most recurring issues involve medication management, resident safety and accident prevention, and care planning, with many problems persisting across multiple years rather than being fully resolved. While most deficiencies show correction dates, the repeated nature of similar violations and high volume of family complaints suggest ongoing quality concerns that warrant careful consideration.

Mar 26, 2026Routine
10
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0041Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 5, 2026Complaint
1
0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Jul 18, 2025Complaint
3
0557Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 17, 2025Complaint
4
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0776Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

May 16, 2025Complaint
1
0550Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Mar 6, 2025Routine
7
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Waters of Dillsboro-Ross Manor, the

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 55 of 69 (Worst)

Ownership & Management

Key personnel

Zoz, JoniContracted Managing EmployeeHorner, JohnOfficer / DirectorThe Waters of Dillsboro-Ross Manor, LLCManagerHorner, JohnManagerZoz, JoniManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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