SNF

WATERS OF INDIANAPOLIS, THE

CCN: 155409 · INDIANAPOLIS, IN 46227 · Marion County

⚠ Abuse citation flag

Overview

Address
3895 S KEYSTONE AVE, INDIANAPOLIS, IN 46227
Phone
3177875364
Certified beds
81
Avg daily residents
65 (81% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1991-11-01
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.32 4.63 2.77 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.21 0.81 0.17 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.82 1.03 0.68 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.30 2.79 1.92 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.02 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.13
hrs / resident / day
RN (weekend)
0.16
hrs / resident / day
Total nurse (adjusted, weekend)
2.61
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
38.5%
annual
RN turnover
80.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.64
higher acuity than avg
Case-Mix Index Ratio
1.19
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-26 10 6 5 56 1 56
Cycle 2/3 (prior) 2024-06-03 11 2 9 48 1 48
Total weighted health score
54.0
lower is better

Deficiencies (26)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
25 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-12-31 2026-01-15
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-12-31 2026-01-16
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-07-21 2025-08-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-06-26 2025-07-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-06-26 2025-07-17
0761 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. D 2025-06-26 2025-07-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-06-26 2025-07-17
0880 Provide and implement an infection prevention and control program. D 2025-06-26 2025-07-17
0659 Provide care by qualified persons according to each resident's written plan of care. D 2025-06-26 2025-07-17
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2025-03-21 2025-03-19
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-02-07 2025-02-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-02-07 2025-02-23
0610 Respond appropriately to all alleged violations. D 2025-02-07 2025-02-23
0761 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. D 2025-02-07 2025-02-23
0880 Provide and implement an infection prevention and control program. D 2025-02-07 2025-02-23
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-11-14 2024-12-12
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-06-03 2024-07-05
0926 Have policies on smoking. D 2024-06-03 2024-07-05
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-11-09 2023-12-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-11-09 2023-12-14
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2023-06-16 2023-07-22
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. E 2023-06-16 2023-08-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-06-16 2023-07-22
0814 Dispose of garbage and refuse properly. C 2023-06-16 2023-07-22
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-06-16 2023-07-22
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-04-21 2023-05-15

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2024-06-03 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.3% Medicaid 79.8% Other 12.9%

Operating performance

Operating Margin
23.0%
Total Margin
23.0%
Occupancy Rate
81.6%
Cost per Resident Day
$31

Revenue & costs

Net Patient Revenue
$8.2M
Total Costs
$749K
Net Income
$1.9M

Balance sheet

Total Assets
$5.2M
Total Liabilities
$1.2M
Fund Balance
$4.0M
Current Ratio
3.79

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: INFINITY HEALTHCARE CONSULTING

Chain ID
763
Facilities in chain
70
Legal business name
MAJOR HOSPITAL
Chain-average star ratings (for peer context)
Overall
2.2
Health
2.3
Staffing
1.5
QM
3.8

Owner / manager organizations (2)

Organization Role Association
MAJOR HOSPITAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/19/2014
THE WATERS OF INDIANAPOLIS, LLC OPERATIONAL/MANAGERIAL CONTROL since 05/19/2014

Owner / manager individuals (3)

Name Role Association
KESLER, HEATHER OPERATIONAL/MANAGERIAL CONTROL since 05/19/2014
HORNER, JOHN CORPORATE OFFICER since 05/19/2014
KESLER, HEATHER CONTRACTED MANAGING EMPLOYEE since 05/19/2014

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $31 metrics.cost_per_resident_day
Cost Report Current Ratio 3.79 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 79.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.3% metrics.medicare_day_share
Cost Report Net Income ($) $1,899,270 metrics.net_income
Cost Report Net Patient Revenue ($) $8,247,113 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.6% metrics.occupancy_rate
Cost Report Operating Margin (%) 23.0% metrics.operating_margin
Cost Report Total Assets ($) $5,166,858 metrics.total_assets
Cost Report Total Costs ($) $749,025 metrics.total_costs
Cost Report Total Fund Balances ($) $3,970,146 metrics.fund_balance
Cost Report Total Liabilities ($) $1,196,712 metrics.total_liabilities
Cost Report Total Margin (%) 23.0% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.67992 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.91757 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.17239 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.76988 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.60786 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 65.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.02837 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.79487 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.81058 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.63382 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.08422 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.5 Chain Average Staffing Rating
Provider Information Chain ID 763 Chain ID
Provider Information Chain Name INFINITY HEALTHCARE CONSULTING Chain Name
Provider Information City/Town INDIANAPOLIS City/Town
Provider Information CMS Certification Number (CCN) 155409 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Marion County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1991-11-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 39.7098 Latitude
Provider Information Legal Business Name MAJOR HOSPITAL Legal Business Name
Provider Information Location 3895 S KEYSTONE AVE,INDIANAPOLIS,IN,46227 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -86.12 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 81 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 70 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.64155 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.19156 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3895 S KEYSTONE AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WATERS OF INDIANAPOLIS, THE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 480 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 56 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-26 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 56 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 2 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-06-03 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 48 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 9 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 48 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.15529 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 80.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.02292 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.81603 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.30144 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01392 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.20689 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.32436 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State IN State
Provider Information Telephone Number 3177875364 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.12991 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 38.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 54.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 46227 ZIP Code