3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227
81 beds · For profit - Limited Liability company
CMS Provider #155409
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
3.3 hrs/resident
Steady
Inspection findings
10
More issues
Ownership changes
0
For-profit limited liability company part of a 70-facility chain.
Complaint trend
Steady
Steady volume of complaints resulting in findings.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Federal records show a '1-star' overall rating, an official abuse icon designation, and registered nurse staffing levels significantly below both state and chain averages.
The data indicates significant challenges regarding direct care and safety at this facility. Records show the facility has been assigned a federal abuse icon, signifying recent citations related to resident protection from neglect or abuse. Health inspection data reveals a trajectory of increasing concerns, with 10 findings in the most recent cycle compared to 8 in the prior period. These findings include failures in food safety, medication labeling, and reporting of suspected theft or abuse.
Staffing levels are a primary area of concern relative to state benchmarks. Registered nurse care is recorded at approximately 12 minutes (0.20 hours) per resident per day, significantly below the Indiana average of nearly 40 minutes (0.66 hours). Furthermore, while the facility maintains 0% contract staffing, providing continuity of care, it faces a high registered nurse turnover rate of 80%, meaning four out of five registered nurses left within the year. The facility also experienced a 14-day denial of payment from the government in June 2024 as a result of inspection findings. While quality measures for long-stay residents are rated above average, the overall profile is impacted by staffing shortages and safety citations.
The facility was cited for failing to protect residents from abuse and neglect, resulting in a formal 'Abuse Icon' designation on its public profile.
Registered nurse staffing provides 0.20 hours of care per resident per day, which is 69% lower than the Indiana state average of 0.66 hours.
Public records indicate a 14-day denial of payment penalty was issued in 2024 following health inspection findings.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 2★ | 2★ | 3★ | 3★ | 3★ | 3★ | 2★ | 2★ | 1★ | 1★ | 1★ | |
| Staffing | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | |
| Health | 3★ | 3★ | 4★ | 4★ | 4★ | 4★ | 3★ | 3★ | 2★ | 2★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 3.7 hrs/resident/day
1
administrator departed in past year
Some change38.5%
State avg: 47.0%
80.0%
State avg: 41.7%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
70
Very Walkable
Transit Score
27
Some Transit
Median Income
$49,032
Median Home Value
$179,200
Poverty Rate
17.0%
Age 65+
13.8%
Median Age
33
Pop. Density
56,794/mi²
Median Rent
$939
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 12/31/2025 | 0600 | 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. | Minimal harm | 1/15/2026 | Complaint | |
| 12/31/2025 | 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Minimal harm | 1/16/2026 | Complaint | |
| 7/21/2025 | 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Minimal harm | 8/5/2025 | Complaint | |
| 6/26/2025 | 0761 | 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. | Minimal harm | 7/17/2025 | Standard | |
| 6/26/2025 | 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Actual harm | 7/17/2025 | Standard | |
| 6/26/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Minimal harm | 7/17/2025 | Standard | |
| 6/26/2025 | 0659 | Resident Assessment and Care Planning Deficiencies | Provide care by qualified persons according to each resident's written plan of care. | Minimal harm | 7/17/2025 | Complaint | |
| 6/26/2025 | 0656 | 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. | Minimal harm | 7/17/2025 | Standard | |
| 6/26/2025 | 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Actual harm | 7/17/2025 | Standard | |
| 3/21/2025 | 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | Minimal harm | 3/19/2025 | Complaint |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
1
Total Fines
$0
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 6/3/2024 | Payment Denial | — | 9/3/2024 (14 days) |
Ownership structure and changes can affect facility quality.
Facilities in Chain
70
Chain Avg Rating
2.2 ★
Years Operating
34
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| MAJOR HOSPITAL | Organization | — | 100% | 5/19/2014 |
| THE WATERS OF INDIANAPOLIS, LLC | Organization | — | — | 5/19/2014 |
| KESLER, HEATHER | Individual | — | — | 5/19/2014 |
| HORNER, JOHN | Individual | — | — | 5/19/2014 |
| KESLER, HEATHER | Individual | — | — | 5/19/2014 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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