About The Waters of Georgetown
The Waters Of Georgetown, located in GEORGETOWN, IN, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose The Waters of Georgetown
- More Nursing Time: Staff spends 5.15 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 5.15 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).
Above Average Staffing
The Waters of Georgetown provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 168 | Jun 16, 2025 |
| Weighted Average | 147 | 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) | 22.6% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 3.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.9% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.4% |
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) | 19.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 10.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.6% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 7.1% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 19.6% |
| 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) | 8.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 73.5% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 65.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 17.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 41.7% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 41.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 68.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.1% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 29.4% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 27.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 2 complaints
- 2025: 18 complaints
- 2026: 5 complaints
- Total: 25 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 06, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 06, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 06, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| May 06, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 06, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 03, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| Dec 03, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 03, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Dec 03, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 24, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| May 20, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Apr 22, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Apr 22, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Apr 22, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Apr 22, 2025 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| Apr 22, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Apr 22, 2025 | Ensure medication error rates are not 5 percent or greater. |
| Apr 22, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Feb 04, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. |
| Feb 04, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Feb 04, 2025 | Provide activities to meet all resident's needs. |
| Feb 04, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| May 03, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jan 19, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
Nearby Hospitals
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THE BROOK HOSPITAL - DUPONT
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THE BROOK HOSPITAL - KMI
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CENTRAL STATE HOSPITAL
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Owner & Operator Information
Business Entity
ADAMS COUNTY MEMORIAL HOSPITAL
Ownership Structure
Management & Direction
- KIMBERLY SMITH CONTRACTED MANAGING EMPLOYEE
- SCOTT SMITH CORPORATE OFFICER
- KYLE SPRUNGER CORPORATE OFFICER
- DANE WHEELER CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Nazareth Home | N/A | 5 |
| Signature Healthcare at Rockford Rehab and Wellness | N/A | 5 |
| Jeffersontown Rehabilitation | N/A | 5 |
| The Springs at Stony Brook | N/A | 5 |
| Forest Springs Health Campus | N/A | 4 |
| Sanders Ridge Health Campus | N/A | 5 |
| Todd-Dickey Nursing and Rehabilitation | N/A | 5 |
| Salem Crossing | N/A | 5 |
| Nazareth Home Clifton | N/A | 5 |
| Signature Healthcare at Jefferson Manor Rehab and We | N/A | 5 |
Related Analysis
Best Nursing Homes in GEORGETOWN, IN
Compare The Waters of Georgetown 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 Georgetown directly at 8129405100. 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.