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Nursing HomeMedicaid Investigative

Waters of Indianapolis, the

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

3895 S Keystone Ave, University Heights · Indianapolis, IN 4622781 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 55 Google reviews

5
4
3
2
1
Waters of Indianapolis, the Nursing Home in Indianapolis, IN — Street View
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7/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (10 vs median 6)
  • High RN turnover (80%)

Bottom 25% in IN · Critically understaffed (RN) · Worst in INFINITY HEALTHCARE CONSULTING chain · Abuse citation

Source: Medicare data

What this means for your family

While the therapy and activities departments are frequently praised, the facility has recurring reports of neglect regarding basic hygiene and wound care. We strongly advise you to conduct unannounced visits and closely monitor your loved one's personal care and medical documentation to ensure standards are being met.

Google Reviews

Google Reviews

55 reviews on Google
The Waters of Indianapolis receives highly polarized feedback, with a significant cluster of recent five-star reviews praising the staff's kindness and the therapy department. However, critical negative reviews consistently highlight serious concerns regarding neglect, poor hygiene, and unprofessional communication from management. Families should be aware of the stark contrast between the positive experiences of some residents and the distressing reports of inadequate basic care.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean5.0Activities9.0Meds2.0MemoryN/AComms3.0Value2.0

Strengths

  • Highly regarded therapy department
  • Compassionate and attentive nursing staff
  • Engaging activities department
  • Recent facility improvements

Concerns

  • Neglect of basic personal care (hygiene, diaper changes) (mentioned by 4 reviewers)
  • Poor communication and unprofessional management (mentioned by 3 reviewers)
  • Low quality or unsatisfactory food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'22(2)'24(5)'26(2)

Distribution · 58 analyzed

5
43
4
1
3
4
2
0
1
10
24 reviews posted between Aug 26, 2025Aug 30, 2025 · 22 were 5-star

How They Respond to Reviews

85%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the therapy department is highly regarded here; how do you integrate those services into the daily routine for residents who need extra support?
  • 2Given the recent facility improvements, what specific changes have been made to ensure residents receive consistent, high-quality assistance with their daily personal hygiene and comfort?
  • 3How does your management team ensure that families stay well-informed and receive timely updates regarding their loved one's care and health status?
  • 4I see that you actively engage with feedback online; what is your process for addressing family concerns to ensure that communication remains transparent and responsive?
  • 5With your current staffing levels, what steps are you taking to ensure that every resident receives prompt attention for their medication management and daily needs?
  • 6Could you walk me through how your team handles medical emergencies or sudden changes in a resident's condition, especially during overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The staff at this facility have been wonderful in caring for my loved one. They are attentive, professional, and always treat residents with kindness and respect.

Family member · 2025★★★★★

The level of care that residents receive here is absolutely disgusting. They are not getting cared for properly, and the staff is belittling and rude to residents.

Family member · 2026☆☆☆☆

My nephew is currently there. He injured his toe and despite a doctor's written instructions to the facility to change the bandages daily they failed to do so and now he's just this week had to have his toes amputated.

Family member · 2022☆☆☆☆
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
50%
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
50%
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
4/ 5
Better Than Avg

7

measures

Worse Than Avg

10

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility96.1%
Worse than Avg
Here
96.1%
US
12.1%
IN
24.8%
Marion
22.4%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility53.4%
Worse than Avg
Here
53.4%
US
93.4%
IN
93.6%
Marion
93.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
14.4%
IN
11.4%
Marion
9.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
19.5%
IN
23.5%
Marion
20.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.8%
Worse than Avg
Here
20.8%
US
15.4%
IN
13.6%
Marion
11.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
IN
23.8%
Marion
19.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
81.8%
IN
81.5%
Marion
81.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility18.5%
Worse than Avg
Here
18.5%
US
79.7%
IN
79.0%
Marion
76.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IN
1.3%
Marion
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Above state avg (7.6)
14 complaint-triggered

This facility shows a concerning pattern of 14 complaint-triggered deficiencies, indicating families have repeatedly filed reports about care issues. The most recurring problems involve abuse and neglect protection, fire safety systems, and food handling. While all deficiencies show correction dates, the repeated nature of abuse-related violations and ongoing safety issues suggest persistent challenges in maintaining consistent standards.

Dec 31, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 21, 2025Complaint
1
0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jun 26, 2025Routine
18
0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0300Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0754Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

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.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 26, 2025Complaint
1
0659Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

Mar 21, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Feb 7, 2025Complaint
5
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Payment Denial

Jun 3, 2024

14-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Waters of Indianapolis, the

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 48 of 69 (Worst)

Ownership & Management

Owners

Major Hospital

Owner · Organization

100%

Key personnel

Kesler, HeatherContracted Managing EmployeeHorner, JohnOfficer / DirectorThe Waters of Indianapolis, LLCManagerKesler, HeatherManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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