Waters of Indianapolis: Alleged Resident Abuse - IN
Nothing had changed from what the certified nursing assistant had seen moments earlier.
The nurse asked Resident C if she had been touched. Resident C could not verbalize what had happened. She pointed at her breast.
That moment is now at the center of a federal abuse citation against Waters of Indianapolis, a nursing facility at 3895 S Keystone Ave in Indianapolis. Federal inspectors completed their complaint investigation on December 31, 2025, and cited the facility for failing to protect a resident from abuse. The level of harm was recorded as minimal harm or potential for actual harm.
The inspection report does not name who was in the room with Resident C before the nurse arrived. It does not describe how the sheet came to be pulled down, how the brief came to be unfastened, or what sequence of events preceded the nurse's return to the room. What it records is what was found, and what Resident C did when asked.
She pointed at her breast.
The detail is brief in the inspection report. It is the kind of detail that gets buried in regulatory language, listed alongside policy citations and intake numbers. Intake 2686747. Tag 3.1-27(a)(1). The form number. The OMB approval number. The event ID.
Resident C is not named anywhere in the report. Her age is not given. Her diagnosis is not given. What the report does say is that she was unable to verbalize what had happened — a description that, in nursing home inspection reports, typically indicates a resident with dementia, a cognitive impairment, or a condition affecting speech. She could not say what occurred. She could point.
The facility's Director of Nursing provided inspectors with a copy of the facility's Abuse Prevention Program policy the following morning, December 30, 2025, at 9:09 a.m. The policy was dated October 22, 2022. The Director of Nursing indicated it was the current policy used by the facility. Inspectors reviewed it. The policy stated it was the policy of the facility to prevent abuse.
That is what the policy said. That is the full substance of what the inspection report records about it.
There is a specific structure to how abuse allegations move through a nursing facility after something like this is discovered. A charge nurse is notified. A supervisor is called. The resident is assessed. Family is contacted. Law enforcement may be called. The alleged perpetrator is typically removed from resident care pending investigation. An internal investigation is opened. Inspectors, when they arrive, look at all of it: who was notified and when, what the investigation found, whether the facility moved quickly or slowly, whether anyone tried to determine what actually happened to the person in that bed.
The inspection report for Waters of Indianapolis does not describe what the facility did after the nurse walked into that room. It does not say whether law enforcement was contacted. It does not say whether the alleged perpetrator, whoever that was, was suspended or reassigned. It does not describe an investigation or its findings. It cites the facility for failing to protect Resident C from abuse, and it records what the nurse found when she returned to the room.
The sheet pulled halfway down. The brief unfastened on the left side, bent down in the front. The woman who could not speak, pointing at her breast.
Waters of Indianapolis is a for-profit nursing facility on the south side of Indianapolis. The facility's plan of correction for this citation is not contained in the inspection report. The report directs anyone seeking that information to contact the nursing home or the state survey agency directly.
The inspection was a complaint investigation, meaning it was triggered by a report filed with regulators, not a routine survey. Someone reported what happened, or what they believed happened, to the state. Inspectors came. They found what the report describes.
Complaint investigations at nursing homes are initiated when someone, whether a family member, a staff member, an ombudsman, or the facility itself, contacts the state agency to report a concern. The threshold for triggering a federal citation is not a criminal conviction, not a confirmed assault, not a finding beyond a reasonable doubt. It is a finding that the facility failed to protect a resident from abuse, or from the risk of abuse, based on what inspectors observed and documented.
What inspectors documented here was a woman who had been left in a state that required explanation, and who, when asked directly whether she had been touched, pointed at her breast.
The citation level, minimal harm or potential for actual harm, is the lowest tier in the federal harm scale. It does not mean nothing happened. It is the designation used when inspectors determine that harm was limited or that the situation created a risk of harm rather than confirmed serious injury. It is also, in practice, the designation that results in the smallest regulatory penalties and the least public attention.
Resident C is not identified. She will not be named in this article. The inspection report does not describe her condition after the nurse's assessment, does not say whether she was examined by a physician, does not say whether her family was reached. The report ends where the observation ends: the nurse in the room, the resident pointing, the brief unfastened, the sheet pulled down.
There are things the inspection report cannot answer. It cannot say what Resident C understood about what was happening to her, or what she experienced in the time before the nurse returned. It cannot say whether she was frightened, or in pain, or simply waiting for someone to come back. It records what she did when someone finally asked her a direct question.
She pointed at her breast.
That gesture, from a woman who could not speak, who could not say what had happened to her, is the center of this citation. It is what inspectors recorded. It is what the federal government's finding rests on. It is what the facility's Abuse Prevention Program, dated October 22, 2022, was supposed to prevent.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Waters of Indianapolis, The from 2025-12-31 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
WATERS OF INDIANAPOLIS, THE in INDIANAPOLIS, IN was cited for abuse-related violations during a health inspection on December 31, 2025.
Nothing had changed from what the certified nursing assistant had seen moments earlier.
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.