About The Waters of Lebanon
The Waters Of Lebanon, located in LEBANON, IN, is a for-profit organization that accepts Medicare and Medicaid. It is located within a hospital setting.
Why Families Choose The Waters of Lebanon
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.20 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the INFINITY HEALTHCARE CONSULTING network. This chain operates 70 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
The Waters of Lebanon provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 2 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 64 | Sep 11, 2025 |
| Weighted Average | 60 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 18.7% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.2% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.7% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 93.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 96.5% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 95.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 10.5% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 31.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 30.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 90.5% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 2.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 29.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 16.7% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 1 complaint
- 2024: 4 complaints
- 2025: 1 complaint
- Total: 6 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Aug 25, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 15, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Oct 15, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Oct 15, 2024 | Ensure each resident receives an accurate assessment. |
| Mar 25, 2024 | Keep residents' personal and medical records private and confidential. |
| Aug 22, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
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Owner & Operator Information
Business Entity
HENDRICKS COUNTY HOSPITAL
Ownership Structure
Management & Direction
- ERIN ENGELS CORPORATE DIRECTOR
- DEANNA FENOUGHTY CORPORATE OFFICER
- MARK GENTRY CORPORATE DIRECTOR
- DONNA JONES CONTRACTED MANAGING EMPLOYEE
- TYLER STARKEY CORPORATE DIRECTOR
- THE WATERS OF LEBANON LLC OPERATIONAL/MANAGERIAL CONTROL
- JOHN WAITE CORPORATE DIRECTOR
- TIMOTHY WHICKER CORPORATE DIRECTOR
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Barrington of Carmel | N/A | 5 |
| Fairway Village | N/A | 5 |
| Ben Hur Health and Rehabilitation | N/A | 5 |
| Southpointe Healthcare Center | N/A | 5 |
| Mulberry Health and Rehabilitation Center | N/A | 5 |
| Prairie Lakes Health Campus | N/A | 5 |
| Majestic Care of Sheridan | N/A | 5 |
| The Restoracy of Whitestown | N/A | 5 |
| Hoosier Village | N/A | 5 |
| Danville Regional Rehabilitation | N/A | 5 |
Related Analysis
Best Nursing Homes in LEBANON, IN
Compare The Waters of Lebanon to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact The Waters of Lebanon directly at 7654826391. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.