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Complaint Investigation

Alpha Home - A Waters Community

April 27, 2026 · Indianapolis, IN · 2640 Cold Spring Rd
Citations 2
CMS Rating 1/5
Beds 86
Provider ID 155717
Healthcare Facility
Alpha Home - A Waters Community
Indianapolis, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ALPHA HOME - A WATERS COMMUNITY in INDIANAPOLIS, IN — inspection on April 27, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0627
Resident Rights Deficiencies

discharges not within the same certified facility will receive notice 30 days before transfer or

resident's welfare and the resident's needs cannot be met in the facility.7.

Before a facility transfers

resident/responsible party that specifies the duration of the bed-hold policy and the facility's policies regarding bed-holds.

This citation is related to Intake 2695301.

155717 04/27/2026

Alpha Home - A Waters Community 2640 Cold Spring Rd Indianapolis, IN 46222

with this transfer because the resident's family member had not come into the facility.

The DON

the resident's representative if the resident was confused.

The resident had not been issued a 30-day

representative indicated they were not provided any paperwork, including a notice of transfer or discharge or bed hold policy, when the resident was transferred on 11/25/25.

The resident had been in the psychiatric hospital since 11/25/25.

The resident's representative indicated they would have appealed the facility's discharge of the resident if they had known it was an option, or how to appeal, but they had not received the notice of transfer of discharge with the appeal information.

The resident was not issued a 30-day notice of transfer or discharge. On 4/27/26 at 10:30 a.m., the Regional Director of Operations provided an undated document titled, Transfer and Discharge Policy and Procedure and indicated it was the policy currently being used by the facility.

The policy indicated, .GUIDELINE: The facility shall permit each resident to remain in the facility unless such transfer or discharge is made in recognition of the resident's rights to receive considerate and respectful care; to receive necessary care and services and to participate in the development of the Comprehensive Care Plan and in recognition of the rights of other residents in the facility. PROCEDURE.2.

Non-emergency transfers or discharges not within the same certified facility will receive notice 30 days before transfer or discharge.

Notice will be given to the resident/ responsible party.5.

The resident may be transferred from the facility when it's been determined that: a.

The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility.7.

Before a facility transfers a resident to a hospital or a therapeutic leave, the nursing facility will provide information to the resident/responsible party that specifies the duration of the bed-hold policy and the facility's policies regarding bed-holds. On 4/28/27 at 2:05 p.m. the Indiana Department of Health (IDOH) form titled, Notice of Transfer or Discharge, was accessed at https://forms.in.gov.

The form included resident information, information regarding where the resident was being transferred, and the reason for the transfer.

The form indicated, Bed Hold Policy: The facility must attach a copy of the facility's bed hold policy to this Notice of Transfer or Discharge and provide contact information for a facility employee to contact about the bed hold policy.Appeal Rights: You have the right to appeal the health facility's decision to transfer you. If you think you should not have to leave this facility, you may file a written request for a hearing with the Indiana State Department of Health postmarked within ten (10) days after you receive this notice. If you request a hearing, it will be held within twenty-three (23) days after you receive this notice, and you will not be transferred from the facility earlier than thirty-four (34) days after you receive this notice of transfer or discharge, unless the facility is authorized to transfer you as an emergency transfer.If you wish to appeal this transfer or discharge, please fill out the attached State Form.and return to the address below.

This citation is related to Intake 2695301. 410 IAC (Indiana Administrative Code) 16.2-3.1-12(a)(6)(iii) 410 IAC 16.2-3.1-12(a)(26)

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in INDIANAPOLIS, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALPHA HOME - A WATERS COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.