Complaint Investigation

Waters Of Indianapolis, The

December 31, 2025 · Indianapolis, IN · 3895 S Keystone Ave

Citations 2

CMS Rating 1/5

Beds 81

Provider ID 155409

Healthcare Facility

Waters Of Indianapolis, The

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

WATERS OF INDIANAPOLIS, THE in INDIANAPOLIS, IN — inspection on December 31, 2025.

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

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

returned to Resident C's room with RN 1, Resident C was observed with the sheet pulled

CNA 1 initially.

When RN 1 asked Resident C if she had been touched, Resident C was unable to

provided a copy of a facility policy, titled Abuse Prevention Program, dated 10/22/22, and indicated this was the current policy used by the facility. A review of the policy indicated it was the policy of the facility to prevent abuse.This citation relates to Intake 2686747.3.1-27(a)(1)

155409 12/31/2025

Waters of Indianapolis, The 3895 S Keystone Ave Indianapolis, IN 46227

FF0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

During an interview on 12/31/25 at 10:32 a.m., RN 1 indicated she was the nurse caring for Resident C, on 12/5/25, when Resident C made an allegation of sexual abuse against Resident B. CNA 1 reported to RN 1 that she heard Resident C yelling no, so CNA 1 entered Resident C's room.

Resident B was in her room and was escorted out and back to his room which was just across the hallway from Resident C's room.

When RN 1 entered Resident C's room, she observed Resident C lying in bed with the left side of her brief unfasted.

Resident C indicated to RN 1 that a man entered her room and touched her then pointed at her breast.

Since Resident C's brief was unfastened, RN 1 asked if Resident B touched her anywhere else other than her breast and Resident C indicated no.

During an interview on 12/31/25 at 10:42 a.m., CNA 1 indicated, on 12/5/25 at approximately 11:00 a.m., she was at the nurse's station and heard Resident C yelling out. As CNA 1 was walking toward Resident C's room, she observed Resident B wheeling out of Resident C's room and he indicated he had gotten lost. CNA 1 instructed Resident B that he was not supposed to be in a female resident's room.

When CNA 1 entered Resident C's room, she observed Resident C lying in bed with the sheet pulled approximately halfway down the bed, her gown was pulled up, and her brief was unfastened on the left side and bent approximately halfway down in the front. CNA 1 thought this was suspicious because she had just changed Resident C's brief and repositioned her in bed. CNA 1 left Resident C as she found her and immediately went to get RN 1 so she could observe exactly what CNA 1 observed.

When CNA 1 returned to Resident C's room with RN 1, Resident C was observed with the sheet pulled approximately halfway down the bed, her brief unfastened on the left side and bent approximately halfway down in the front.

There had been no changes in the way Resident C had been observed by CNA 1 initially.

When RN 1 asked Resident C if she had been touched, Resident C was unable to verbalize what had happened but was able to point at her breast. On 12/30/25 at 9:09 a.m., the DON provided a copy of a facility policy, titled Abuse Prevention Program, dated 10/22/22, and indicated this was the current policy used by the facility. A review of the policy indicated allegations of abuse must be reported.This citation relates to Intake 2686747.3.1-28(c)

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 WATERS OF INDIANAPOLIS, THE 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.