Waters of Georgetown: Staffing Failures, Late Meds - IN
Inspectors documented the pattern in a complaint survey completed September 26, 2025. The delays weren't occasional. They were relentless.
On August 14, the 8:00 p.m. dose came at 12:50 a.m. On August 18, it came the following morning at 2:55 a.m. On August 19, the next night, it came at 1:09 a.m. The same story repeated through August and into September, night after night: 11:32 p.m., 11:42 p.m., 12:03 a.m., 11:31 p.m., 12:57 a.m., 11:28 p.m., 11:25 p.m., 11:19 p.m.
By September, the delays had become a near-nightly occurrence. The dose prescribed for 8:00 p.m. on September 8 wasn't given until 12:58 a.m. on September 9. The dose prescribed for September 9 came at 12:04 a.m. that same night. On September 16, the 8:00 p.m. medication wasn't administered until 1:47 a.m. on September 17.
Then came September 21. The resident's evening dose arrived at 4:59 a.m. on September 22 — nearly nine hours late.
Inspectors reviewed staffing records and found the explanation written plainly in the schedules.
For much of August, the facility assigned one nurse and one aide per villa. On August 8, during the night shift starting at 10:00 p.m., a single nurse covered all four villas. On August 23, the same thing happened: one nurse for all four villas after a medication aide finished the evening pass in two of them. On September 8, one nurse covered Villas 1 and 3 and also worked as the aide in Villa 3 because of a call-in. On September 13, after 10:46 p.m., there was again one nurse responsible for all four villas.
The facility did adjust its scheduling on August 20, moving to one nurse for two villas with aides and a small number of floats. But the medication delays continued for weeks after that change.
The inspection report tied the findings to five separate complaint intakes filed between the summer and fall of 2025, suggesting the problems had been raised repeatedly before inspectors arrived.
CMS classified the violation under F0725, which covers sufficient staffing, and rated it as causing minimal harm or potential for actual harm, affecting many residents.
What the records don't show is what the medication was, or what the resident experienced during those hours of waiting. The inspection report names neither. What it does show, in column after column of timestamps, is a person whose prescribed care was scheduled for 8:00 p.m. and who, on the worst night, was still waiting when the sun came up.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Waters of Georgetown, The from 2025-09-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 26, 2026 · Our methodology
WATERS OF GEORGETOWN, THE in GEORGETOWN, IN was cited for violations during a health inspection on September 26, 2025.
Inspectors documented the pattern in a complaint survey completed September 26, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.