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Waters of Georgetown: Narcotic Recordkeeping Failures - IN

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

Inspectors from the state arrived on a complaint inspection and reviewed four residents' records on March 30. Three of the four had the same problem: the controlled drug log showed narcotics going out, and the medication administration record showed nothing.

For one resident, identified in the report as Resident L, the gap was not a handful of missed entries. It was nearly the entire month. Resident L, who has fibromyalgia, diabetes, and depression, was prescribed hydrocodone every four hours as needed for pain. The controlled drug record shows doses going out on March 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, and 28. Some days, the resident received three or four doses. The medication administration record for March 2026 recorded none of them.

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That is more than 60 individual narcotic administrations with no nurse's signature to account for them.

Resident E, who has osteoarthritis, lymphedema, diabetes, and depression, was prescribed hydrocodone every six hours as needed. The controlled drug record shows 19 doses given across the month, mostly in the evenings, from March 1 through March 26. The medication administration record was blank for all of them.

Resident H, prescribed tramadol every six hours as needed, had six doses recorded in the controlled drug log between March 23 and March 29. Same result: nothing in the medication administration record.

The medication administration record is the document that closes the loop on a controlled substance. A nurse removes a narcotic from the secure supply, gives it to a resident, and signs the MAR. That signature is how a facility tracks what was dispensed, to whom, and when. Without it, there is no way to confirm from the medical record alone that the resident actually received the medication, or that no one else did.

Staff Member 6, interviewed during the survey, confirmed the expectation plainly: when an as-needed pain medication is given, the nurse who gives it signs the MAR.

Nobody had.

The Regional Director of Operations handed inspectors a copy of the facility's own medication administration policy, dated January 25, 2019, on the afternoon of March 30. The policy states that medications are administered as prescribed, in accordance with good nursing principles and practices, and that the resident's MAR is initialed by the person administering the medication.

The policy was clear. The records were empty.

What the inspection report does not answer is why. It does not say whether the narcotics were given to the residents and simply not documented, whether the controlled drug logs were filled out in error, or whether something else happened to account for the difference between the two sets of records. The inspectors rated the violation at the level of minimal harm or potential for actual harm. The facility's own records, as they stood, could not resolve the question either way.

For Resident L, the person in the most pain by the volume of doses, the prescription had been in place since May 2025. The March records suggest a resident who needed hydrocodone multiple times a day, most days, for weeks. Whether that person got it, and got it correctly, is not something the medical record as reviewed could confirm.

The violation was cited under Indiana Administrative Code 16.2-3.1-50(a)(2) and relates to complaint intake 2743599.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Waters of Georgetown, The from 2026-03-30 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 20, 2026  ·  Our methodology

Quick Answer

WATERS OF GEORGETOWN, THE in GEORGETOWN, IN was cited for violations during a health inspection on March 30, 2026.

Inspectors from the state arrived on a complaint inspection and reviewed four residents' records on March 30.

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 GEORGETOWN, THE?
Inspectors from the state arrived on a complaint inspection and reviewed four residents' records on March 30.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
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 GEORGETOWN, 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 GEORGETOWN, 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 155770.
Has this facility had violations before?
To check WATERS OF GEORGETOWN, 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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