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    WATERS OF INDIANAPOLIS, THE

    3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227

    81 beds · For profit - Limited Liability company

    CMS Provider #155409

    Data updated: March 1, 2026

    34
    IQ ScoreA composite score from 0–100 combining federal ratings, staffing, inspections, penalties, and complaint history.

    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.

    Facility vs. Indiana Averages

    Overall Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Health Inspection

    Facility★★★★★
    State Avg★★★★★
    Below State Avg

    Staffing Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Quality Rating

    Facility★★★★
    State Avg★★★★
    At State Avg
    State staffing benchmarks:Nursing hours/resident/day 3.7RN hours/resident/day 0.7

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    NursingHomeIQ Analysis

    Summary

    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.

    Detailed Analysis

    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.

    Key Findings

    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.

    Performance Trends (24 months)

    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.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall2★2★3★3★3★3★2★2★1★1★1★
    Staffing1★1★1★1★1★1★1★1★1★1★1★
    Health3★3★4★4★4★4★3★3★2★2★2★
    4-5 Stars 3 Stars 1-2 Stars

    Staffing Deep Dive

    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.

    Weekend vs. Weekday Staffing

    Weekday3.3 hrs/resident/day
    Weekend3.1 hrs/resident/day
    Drop6% — Consistent

    RN Hours Specifically

    Weekday RN0.21
    Weekend RN0.16
    RN Drop25%

    State avg total staffing: 3.7 hrs/resident/day

    Administrator Turnover

    1

    administrator departed in past year

    Some change

    Nursing Staff Turnover

    Total NursingElevated

    38.5%

    State avg: 47.0%

    RN TurnoverVery high

    80.0%

    State avg: 41.7%

    Agency/Contract Staff

    0.0%

    of nursing hours from contract/agency staff

    Low — good continuity
    RN contract %0.0%
    CNA contract %0.0%

    Source: PBJ data, 2025Q3

    Location & Neighborhood

    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

    Neighborhood Demographics (46227)

    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

    Google reviews provide firsthand accounts from residents' families and visitors.

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    12/31/20250600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Minimal harm
    1/15/2026Complaint
    12/31/20250609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Minimal harm
    1/16/2026Complaint
    7/21/20250921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Minimal harm
    8/5/2025Complaint
    6/26/20250761Pharmacy Service DeficienciesEnsure 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
    7/17/2025Standard
    6/26/20250812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Actual harm
    7/17/2025Standard
    6/26/20250880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Minimal harm
    7/17/2025Standard
    6/26/20250659Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.
    Minimal harm
    7/17/2025Complaint
    6/26/20250656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Minimal harm
    7/17/2025Standard
    6/26/20250689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Actual harm
    7/17/2025Standard
    3/21/20250602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.
    Minimal harm
    3/19/2025Complaint
    Page 1 of 3

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    Total Penalties

    1

    Total Fines

    $0

    DateTypeFine AmountPayment Denial
    6/3/2024Payment Denial9/3/2024 (14 days)

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Facilities in Chain

    70

    Chain Avg Rating

    2.2

    Years Operating

    34

    Owner NameTypeRoleOwnership %Association Date
    MAJOR HOSPITALOrganization100%5/19/2014
    THE WATERS OF INDIANAPOLIS, LLCOrganization5/19/2014
    KESLER, HEATHERIndividual5/19/2014
    HORNER, JOHNIndividual5/19/2014
    KESLER, HEATHERIndividual5/19/2014

    News & Media

    Recent news articles, lawsuits, and media coverage mentioning this facility.

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    Data updated: March 1, 2026 · CMS, OSCAR, state inspection records

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

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