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Waters of Indianapolis: Abuse Protection Failures - IN

Healthcare Facility
Waters Of Indianapolis, The
Indianapolis, IN  ·  1/5 stars

The CNA, identified in federal inspection records only as CNA 1, had changed Resident C's brief and repositioned her shortly before. She knew what she had left behind. This was not it.

CNA 1 did not touch anything. She did not adjust the sheet or refasten the brief. She left the room exactly as she found it and went to get a nurse.

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When CNA 1 returned with RN 1, nothing had changed. The sheet was still pulled halfway down the bed. The brief was still unfastened on the left side, still bent approximately halfway down in the front. The two of them stood in that room and looked at what CNA 1 had first seen, now confirmed by a second set of eyes.

RN 1 asked Resident C whether she had been touched.

Resident C could not answer in words. She pointed at her breast.

Federal inspectors cited Waters of Indianapolis on December 31, 2025, following a complaint investigation. The deficiency, tagged F0600, covers the right of residents to be free from abuse, neglect, and exploitation. Inspectors classified the level of harm as minimal harm or potential for actual harm and noted the incident affected few residents.

The citation does not name who may have touched Resident C, or whether anyone was ever identified. It does not say whether law enforcement was contacted. It does not describe what happened to Resident C before CNA 1 walked into that room.

What the record does say is that CNA 1 recognized immediately that something was wrong. She had just been in that room. She knew the difference between what she had left and what she found. That instinct, to leave the scene undisturbed and bring a witness, is the reason there is any documentation at all.

The inspection report notes that on December 30, 2025, the Director of Nursing provided inspectors with a copy of the facility's Abuse Prevention Program policy, dated October 22, 2022. The Director of Nursing indicated this was the current policy used by the facility. The policy stated it was the policy of the facility to prevent abuse.

That a policy exists is not the same as what happened in Resident C's room.

Resident C is described in the inspection records only through what she could not do and what she did instead. She could not verbalize what had happened to her. She pointed. That single gesture, a woman unable to speak pointing at her own breast after being asked whether she had been touched, is the center of this inspection record and the limit of what the public record reveals about her.

The inspection was completed December 31, 2025. Waters of Indianapolis is located at 3895 S. Keystone Ave. in Indianapolis.

The facility's plan of correction is not included in the inspection record reviewed for this report. Inspectors directed anyone seeking that information to contact the nursing home or the state survey agency directly.

What remains in the public record is this: a woman who could not speak, a brief that had been fastened and was no longer, a sheet pulled down a bed, and a nursing assistant who knew the difference between what she had left and what she came back to find. She brought a witness. The witness saw the same thing. When someone finally asked Resident C what had happened, she answered the only way she could.

She pointed.

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.

Additional Resources


Editorial Standards

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 21, 2026  ·  Our methodology

Quick Answer

WATERS OF INDIANAPOLIS, THE in INDIANAPOLIS, IN was cited for abuse-related violations during a health inspection on December 31, 2025.

The CNA, identified in federal inspection records only as CNA 1, had changed Resident C's brief and repositioned her shortly before.

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.

Frequently Asked Questions

What happened at WATERS OF INDIANAPOLIS, THE?
The CNA, identified in federal inspection records only as CNA 1, had changed Resident C's brief and repositioned her shortly before.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in INDIANAPOLIS, IN, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from WATERS OF INDIANAPOLIS, THE or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 155409.
Has this facility had violations before?
To check WATERS OF INDIANAPOLIS, THE's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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