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Nursing HomeMedicaid Investigative

Waters of Lebanon, the

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

1585 Perry Worth Rd, Lebanon, IN 4605264 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 66 Google reviews

5
4
3
2
1
Waters of Lebanon, the Nursing Home in Lebanon, IN — Street View
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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (10 vs median 6)
  • High staff turnover (51%)

Below average in IN · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

The Waters of Lebanon offers an exceptionally active social environment and a strong rehab team, which may benefit those seeking short-term recovery. However, families should be vigilant regarding daily hygiene and resident safety; we strongly recommend unannounced visits and direct observation of care routines to ensure your loved one's needs are being met.

Google Reviews

Google Reviews

66 reviews on Google
The Waters of Lebanon receives polarized feedback, with many recent reviews praising the facility's active social calendar, friendly staff, and clean environment. However, some families have reported serious concerns regarding hygiene, resident safety, and the handling of interpersonal conflicts between residents. Prospective families should carefully weigh the positive community engagement against specific reports of inadequate daily care.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean8.0Activities10.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Engaging and frequent resident activities
  • Clean and well-maintained facility
  • Friendly and approachable staff
  • Effective rehabilitation therapy department

Concerns

  • Inadequate hygiene and incontinence care (mentioned by 2 reviewers)
  • Poor communication and lack of transparency regarding medical records (mentioned by 2 reviewers)
  • Safety issues and inadequate response to resident-on-resident aggression (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(1)'22(3)'24(5)'26(5)

Distribution · 60 analyzed

5
43
4
5
3
1
2
0
1
11
20 reviews posted between Sep 3, 2025Sep 3, 2025 · 18 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you have a very active calendar of events; could you walk me through how you encourage residents to participate in these daily activities?
  • 2Given the importance of consistent personal care, what protocols do you have in place to ensure residents receive timely assistance with hygiene and incontinence needs?
  • 3I see you actively engage with families online, which is great; how do you maintain that same level of transparency and communication regarding a resident's medical records and health status?
  • 4With the current staffing levels, how does your team ensure that residents are closely supervised to prevent safety incidents or resident-on-resident conflicts?
  • 5Since rehabilitation therapy is a noted strength here, how do you coordinate those sessions with the nursing staff to ensure a resident's daily care plan remains consistent?
  • 6What specific steps are taken to address and resolve concerns when a family feels that communication regarding their loved one's care has fallen short?

Personalized based on this facility's data


Key Review Excerpts

They got me walking after my spinal cord surgery when two other places couldn't!

Rehab patient · 2018★★★★

Tracy goes above and beyond every single day. She's constantly organizing fun and meaningful activities, not just within the community but also out in the larger Boone County area.

Community member/visitor · 2025★★★★★

Every single time I visited him he was soaking wet through double (they put on two) pairs of adult underwear, his sheets and the pad underneath.

Long-term resident's family · 2026☆☆☆☆
Source: 66 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
70%
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 · 16 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility93.0%
Worse than Avg
Here
93.0%
US
12.1%
IN
24.8%
Boone
13.1%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.3%
Worse than Avg
Here
31.3%
US
15.3%
IN
13.0%
Boone
13.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.9%
Worse than Avg
Here
30.9%
US
19.5%
IN
23.5%
Boone
22.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.3%
Worse than Avg
Here
29.3%
US
19.4%
IN
23.8%
Boone
23.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.7%
Worse than Avg
Here
18.7%
US
14.4%
IN
11.4%
Boone
15.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility90.5%
Worse than Avg
Here
90.5%
US
95.5%
IN
95.4%
Boone
94.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.4%
Better than Avg
Here
95.4%
US
81.8%
IN
81.5%
Boone
77.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility10.5%
Worse than Avg
Here
10.5%
US
1.6%
IN
1.3%
Boone
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (7.6)
6 complaint-triggered

This facility shows concerning patterns with 38 deficiencies across six surveys, including eight complaint-triggered issues where families filed reports. Recurring problems involve medication management, resident safety and accident prevention, and fire safety violations. While all issues show correction dates, the facility continues to struggle with basic care standards, nursing competency, and maintaining safe environments, suggesting ongoing quality concerns families should carefully consider.

Sep 11, 2025Routine
11
0585Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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.

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.

Jul 31, 2025Complaint
1
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.

Sep 12, 2024Routine
6
0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Sep 12, 2024Complaint
3
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Mar 7, 2024Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Jul 14, 2023Routine
13
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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

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.

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.

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.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Waters of Lebanon, the

Organization Type

for profit

Chain Affiliation

Chain Name

Infinity Healthcare Consulting

Chain Size

70 facilities nationwide

Chain avg rating: 2.2/5 · Rank 33 of 69

Ownership & Management

Key personnel

Jones, DonnaContracted Managing EmployeeEngels, ErinOfficer / DirectorGentry, MarkOfficer / DirectorStarkey, TylerOfficer / DirectorWaite, JohnOfficer / Director
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 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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