{"schema_version":"1.0.0","facility":{"id":"cms-155223","ccn":"155223","name":"The Waters of Covington","source_name":"WATERS OF COVINGTON, THE","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"IN","address":{"line1":"1600 E Liberty St","city":"Covington","state":"IN","zip":"47932","county_name":"Fountain County","county_fips":"18045","county_method":"name_match","ssa_county_code":"220","urban":false},"location":{"lat":40.1404,"lon":-87.377,"method":"cms_published_coordinates"},"phone":"7657934818","certification":{"authority":"CMS","ccn":"155223","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1983-03-25","certified_beds":119,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/155223"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":119,"avg_residents_per_day":81.8},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"MAJOR HOSPITAL","flags":{"ccrc":false,"special_focus":"SFF Candidate","abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.4374,"lpn_hprd":0.43148,"rn_hprd":0.44201,"licensed_hprd":0.87349,"total_nurse_hprd":3.31089,"weekend_total_nurse_hprd":3.06457,"weekend_rn_hprd":0.36254,"pt_hprd":0.01196,"nursing_turnover_pct":45.5,"rn_turnover_pct":28.6,"administrators_left":1,"case_mix_index":1.6138,"case_mix_index_ratio":1.14433,"case_mix_total_nurse_hprd":4.46388,"adjusted_total_nurse_hprd":2.87058,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-15","cycle1_deficiencies":13,"cycle1_score":230,"cycle2_date":"2024-10-09","cycle23_deficiencies":17,"cycle23_score":100,"total_weighted_score":197.5},"cms_penalty_counts":{"fines":1,"fine_total":144668,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-763","cms_chain_id":"763","name":"INFINITY HEALTHCARE CONSULTING"},"operator_id":"op-major-hospital","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/155223","provenance":[{"source_id":"cms_provider_info","source_record_id":"155223","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"155223","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":11,"health_count":8,"fire_count":3,"complaint_count":5,"latest_date":"2025-12-15","latest_standard_health":"2025-12-15","earliest_date":"2023-09-13","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":71,"health_count":37,"fire_count":34,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":2,"serious_count":3,"complaint_count":12,"by_severity":{"potential":66,"minimal":2,"immediate_jeopardy":2,"actual_harm":1},"by_scope_severity":{"F":20,"E":17,"D":29,"C":2,"J":2,"G":1},"by_concept":{"emergency_preparedness":10,"environment_life_safety":24,"food_nutrition":5,"infection_prevention":2,"resident_rights":10,"clinical_care":13,"medication":6,"staffing":1},"type_ids":["cms-e0004","cms-e0013","cms-e0029","cms-e0036","cms-e0037","cms-e0039","cms-e0041","cms-k0300","cms-k0353","cms-k0918","cms-k0351","cms-k0363","cms-k0324","cms-k0291","cms-f0812","cms-f0881","cms-f0552","cms-f0809","cms-f0880","cms-f0605","cms-f0628","cms-f0645","cms-f0677","cms-f0756","cms-f0761","cms-f0600","cms-f0684","cms-f0689","cms-f0726","cms-f0580","cms-k0712","cms-k0914","cms-k0374","cms-k0753","cms-k0927","cms-k0321","cms-k0355","cms-f0623","cms-f0625","cms-f0657","cms-f0690","cms-f0693","cms-f0758","cms-f0695","cms-f0807","cms-f0755","cms-f0609","cms-k0511","cms-k0761","cms-k0911","cms-f0561","cms-f0686","cms-f0760","cms-f0842"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":144668,"payment_denials":0,"latest_date":"2025-10-20"},"ownership_summary":{"disclosures":4,"organizations":1,"individuals":3,"not_available":false}},"row":{"id":"cms-155223","ccn":"155223","name":"The Waters of Covington","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"IN","city":"Covington","zip":"47932","county_fips":"18045","county_name":"Fountain County","address":"1600 E Liberty St","beds":119,"residents":81.8,"ownership":"for_profit","operator_id":"op-major-hospital","operator_name":"Major Hospital","chain_id":"cms-chain-763","chain_name":"Infinity Healthcare Consulting","lat":40.1404,"lon":-87.377,"overall":1,"health_rating":1,"staffing_rating":2,"qm_rating":4,"nurse_hprd":3.31,"turnover":45.5,"sff":"SFF Candidate","abuse":true,"inspections":11,"last_inspection":"2025-12-15","deficiencies":71,"serious":3,"ij":2,"open":0,"penalties":1,"fines_total":144668,"deficiency_type_ids":["cms-e0004","cms-e0013","cms-e0029","cms-e0036","cms-e0037","cms-e0039","cms-e0041","cms-k0300","cms-k0353","cms-k0918","cms-k0351","cms-k0363","cms-k0324","cms-k0291","cms-f0812","cms-f0881","cms-f0552","cms-f0809","cms-f0880","cms-f0605","cms-f0628","cms-f0645","cms-f0677","cms-f0756","cms-f0761","cms-f0600","cms-f0684","cms-f0689","cms-f0726","cms-f0580","cms-k0712","cms-k0914","cms-k0374","cms-k0753","cms-k0927","cms-k0321","cms-k0355","cms-f0623","cms-f0625","cms-f0657","cms-f0690","cms-f0693","cms-f0758","cms-f0695","cms-f0807","cms-f0755","cms-f0609","cms-k0511","cms-k0761","cms-k0911","cms-f0561","cms-f0686","cms-f0760","cms-f0842"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-major-hospital","name":"Major Hospital","legal_name":"MAJOR HOSPITAL","facility_count":35,"states":["IN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-763","name":"Infinity Healthcare Consulting","cms_chain_id":"763","facility_count":70,"states":["IL","IN","TN"],"cms_reported":{"facility_count":70,"avg_overall_rating":2.2,"avg_health_inspection_rating":2.2,"avg_staffing_rating":1.5,"avg_qm_rating":3.9}},"ownership":[{"owner_id":"org-the-waters-of-covington-llc","owner_type":"organization","owner_name":"The Waters of Covington, LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2014-05-19"},{"owner_type":"individual","owner_name":"Fay Pruitt","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2014-05-19","owner_name_raw":"PRUITT, FAY"},{"owner_type":"individual","owner_name":"John Horner","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-05-19","owner_name_raw":"HORNER, JOHN"},{"owner_type":"individual","owner_name":"Fay Pruitt","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2014-05-19","owner_name_raw":"PRUITT, FAY"}],"inspections":[{"id":"cms-155223-20251215-fire","ccn":"155223","date":"2025-12-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-e0013","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-e0029","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-e0036","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-e0037","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0300","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"},{"t":"cms-k0291","ss":"C","sl":1,"cs":"corrected","cd":"2026-02-13","std":1,"tv":"New"}]},{"id":"cms-155223-20251215-health","ccn":"155223","date":"2025-12-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0809","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-27","std":1},{"t":"cms-f0881","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-27","std":1}]},{"id":"cms-155223-20251020-health","ccn":"155223","date":"2025-10-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"J","sl":4,"cs":"corrected","cd":"2025-11-15","cmp":1},{"t":"cms-f0684","ss":"J","sl":4,"cs":"corrected","cd":"2025-11-15","cmp":1}]},{"id":"cms-155223-20250723-health","ccn":"155223","date":"2025-07-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2025-08-21","cmp":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","cmp":1},{"t":"cms-f0726","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-21","cmp":1}]},{"id":"cms-155223-20241122-health","ccn":"155223","date":"2024-11-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-12","cmp":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-12","cmp":1}]},{"id":"cms-155223-20241009-fire","ccn":"155223","date":"2024-10-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0300","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0355","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0753","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0927","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"}]},{"id":"cms-155223-20241009-health","ccn":"155223","date":"2024-10-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1}]},{"id":"cms-155223-20240903-health","ccn":"155223","date":"2024-09-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-25","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-25","cmp":1},{"t":"cms-f0807","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-25","cmp":1}]},{"id":"cms-155223-20240405-health","ccn":"155223","date":"2024-04-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-07","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-07","cmp":1}]},{"id":"cms-155223-20230913-fire","ccn":"155223","date":"2023-09-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-02","std":1,"tv":"New"},{"t":"cms-k0300","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-09","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-09","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-27","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-27","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-27","std":1,"tv":"New"},{"t":"cms-k0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-27","std":1,"tv":"New"},{"t":"cms-k0911","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-10","std":1,"tv":"New"},{"t":"cms-e0041","ss":"C","sl":1,"cs":"corrected","cd":"2023-09-27","std":1,"tv":"New"}]},{"id":"cms-155223-20230913-health","ccn":"155223","date":"2023-09-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1}]}],"deficiency_types":{"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0013":{"code":"E-0013","title":"Develop Emergency Preparedness policies and procedures.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0029":{"code":"E-0029","title":"Develop a communication plan.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0036":{"code":"E-0036","title":"Establish emergency prep training and testing.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0037":{"code":"E-0037","title":"Establish staff and initial training requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0300":{"code":"K-0300","title":"Meet other general requirements that are deficient.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0809":{"code":"F-0809","title":"Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests.  Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0753":{"code":"K-0753","title":"Have restrictions on the use of highly flammable decorations.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0927":{"code":"K-0927","title":"Have proper fire barriers, ventilation and signs for the transfilling of oxygen.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0625":{"code":"F-0625","title":"Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0807":{"code":"F-0807","title":"Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0911":{"code":"K-0911","title":"Meet requirements for the installation and maintenance of electrical systems.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-155223-pen-f139192","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-10-20","amount":144668,"fine_id":"139192","evidence_class":"VERIFIED","source_record_id":"155223|Fine|139192"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=155223&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"IN","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.3,"staffing_rating":2.6,"avg_residents_per_day":72.5,"cycle1_health_deficiencies":7.2,"cycle1_fire_deficiencies":5.6,"nurse_aide_hprd":2.28,"lpn_hprd":0.78,"rn_hprd":0.67514,"licensed_hprd":1.46,"total_nurse_hprd":3.73279,"weekend_total_nurse_hprd":3.25709,"weekend_rn_hprd":0.46,"pt_hprd":0.06,"nursing_turnover_pct":45.9,"rn_turnover_pct":40.5,"administrators_left":0.5,"case_mix_index":1.52303,"fines":0.2,"fine_amount":8174,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"IN","name":"Indiana"},"county":{"fips":"18045","name":"Fountain County"},"zip":"47932","city":"Covington"},"related":{"same_operator":[{"id":"cms-155022","ccn":"155022","name":"Willows of Shelbyville","address":"2309 S Miller St","city":"Shelbyville","state":"IN","zip":"46176","beds":121,"overall":2,"inspections":9,"last_inspection":"2025-12-23","deficiencies":67,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155064","ccn":"155064","name":"Aperion Care Kokomo","address":"3518 S Lafountain St","city":"Kokomo","state":"IN","zip":"46902","beds":105,"overall":1,"inspections":11,"last_inspection":"2026-08-11","deficiencies":85,"serious":2,"ij":1,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155131","ccn":"155131","name":"Munster Med-Inn","address":"7935 Calumet Ave","city":"Munster","state":"IN","zip":"46321","beds":225,"inspections":10,"last_inspection":"2026-01-28","deficiencies":84,"serious":5,"ij":2,"open":0,"fines_total":0,"sff":"SFF","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155156","ccn":"155156","name":"Aperion Care Arbors Michigan City","address":"1101 E Coolspring Ave","city":"Michigan City","state":"IN","zip":"46360","beds":180,"overall":1,"inspections":17,"last_inspection":"2026-07-15","deficiencies":79,"serious":2,"ij":1,"open":0,"fines_total":16543,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155209","ccn":"155209","name":"The Waters of Clifty Falls","address":"950 Cross Ave","city":"Madison","state":"IN","zip":"47250","beds":138,"overall":1,"inspections":19,"last_inspection":"2026-08-18","deficiencies":77,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155210","ccn":"155210","name":"Willows of Greensburg","address":"410 Park Rd","city":"Greensburg","state":"IN","zip":"47240","beds":100,"overall":2,"inspections":12,"last_inspection":"2026-08-26","deficiencies":57,"serious":0,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155220","ccn":"155220","name":"Dyer Nursing and Rehabilitation Center","address":"601 Sheffield Ave","city":"Dyer","state":"IN","zip":"46311","beds":161,"overall":1,"inspections":15,"last_inspection":"2026-06-03","deficiencies":98,"serious":2,"ij":1,"open":0,"fines_total":23257,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155233","ccn":"155233","name":"The Waters of Batesville","address":"958 E Hwy 46","city":"Batesville","state":"IN","zip":"47006","beds":86,"overall":1,"inspections":11,"last_inspection":"2026-03-19","deficiencies":52,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_operator_total":34,"same_chain":[{"id":"cms-155006","ccn":"155006","name":"Waters of Wabash Skilled Nursing Facility East the","address":"1900 N Alber St","city":"Wabash","state":"IN","zip":"46992","beds":84,"overall":1,"inspections":12,"last_inspection":"2026-03-17","deficiencies":68,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155039","ccn":"155039","name":"The Waters of Peru Skilled Nursing Facility","address":"317 Blair Pike","city":"Peru","state":"IN","zip":"46970","beds":130,"overall":4,"inspections":6,"last_inspection":"2025-06-27","deficiencies":27,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155053","ccn":"155053","name":"The Waters of Rushville Skilled Nursing Facility","address":"612 E 11th St","city":"Rushville","state":"IN","zip":"46173","beds":98,"overall":1,"inspections":11,"last_inspection":"2026-08-10","deficiencies":72,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155059","ccn":"155059","name":"The Waters of Huntington Skilled Nursing Facility","address":"1500 Grant St","city":"Huntington","state":"IN","zip":"46750","beds":85,"overall":2,"inspections":14,"last_inspection":"2026-07-29","deficiencies":60,"serious":3,"ij":1,"open":0,"fines_total":85480,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155118","ccn":"155118","name":"The Waters of Lagrange Skilled Nursing Facility","address":"787 N Detroit St","city":"Lagrange","state":"IN","zip":"46761","beds":100,"overall":3,"inspections":12,"last_inspection":"2026-03-30","deficiencies":59,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155150","ccn":"155150","name":"Waters of Columbia City Skilled Nursing Facility","address":"640 W Ellsworth St","city":"Columbia City","state":"IN","zip":"46725","beds":84,"overall":3,"inspections":7,"last_inspection":"2025-12-12","deficiencies":40,"serious":2,"ij":2,"open":0,"fines_total":60590,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155183","ccn":"155183","name":"The Waters of Martinsville","address":"2055 Heritage Dr","city":"Martinsville","state":"IN","zip":"46151","beds":103,"overall":1,"inspections":13,"last_inspection":"2026-01-30","deficiencies":68,"serious":2,"ij":0,"open":0,"fines_total":22165,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-155202","ccn":"155202","name":"The Waters of Greencastle","address":"1601 Hospital Dr","city":"Greencastle","state":"IN","zip":"46135","beds":100,"overall":2,"inspections":8,"last_inspection":"2026-06-18","deficiencies":36,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":69,"same_site_review":[],"nearby":[{"id":"cms-155568","ccn":"155568","name":"Williamsport Nursing and Rehabilitation","address":"200 Short St","city":"Williamsport","state":"IN","zip":"47993","beds":80,"overall":3,"inspections":7,"last_inspection":"2025-06-13","deficiencies":32,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18.7}]}}