Waters of Lagrange Skilled Nursing Facility, the

CMS star ratings

Overall★★★★★ 2/5

State avg 3.1

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 1/5

State avg 2.5

Quality measures★★★★★ 5/5

State avg 4.1

Long-stay quality★★★★★ 5/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.37 (state 3.68 · U.S. 3.86)
Registered nurses (RN): 0.35 (state 0.67 · U.S. 0.69)
Licensed practical nurses: 0.70 (state 0.78 · U.S. 0.86)
Nurse aides: 2.32 (state 2.23 · U.S. 2.32)
Weekend total: 3.03 (state 3.24 · U.S. 3.42)
Nursing staff turnover: 40.0 (state 45.9 · U.S. 45.8)%
RN turnover: 50.0 (state 40.3 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: September 10, 2025
Health deficiencies (last cycle): 4.0 (state 7.2 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 36 health · 24 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-03-30	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-05-01
2025-09-10	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-10-03
2025-09-10	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-03
2025-09-10	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-10-03
2025-02-03	Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-01-22
2025-02-03	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-01-22
2024-10-01	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-11
2024-10-01	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection	C No actual harm, potential for minimal harm	Corrected 2024-10-11
2024-09-04	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2024-09-30
2024-09-04	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-30
2024-07-18	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-08-10
2024-07-18	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-08-10
2024-04-02	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-22
2024-04-02	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-22
2024-04-02	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-22
2023-12-01	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-12-01	Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-08
2023-08-16	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-09-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

Date	Type	Amount
2024-09-04	Payment Denial	10 days payment denial

Ownership & management

Name	Role	Since
Johnson Memorial Hospital (organization)	5%+ Direct Ownership Interest · 100%
Lenon, Isaac (individual)	Contracted Managing Employee · NOT APPLICABLE
Thomas, Myran (individual)	Contracted Managing Employee · NOT APPLICABLE
Berkhouse, Steven (individual)	Corporate Director · NOT APPLICABLE
Dunkle, David (individual)	Corporate Director · NOT APPLICABLE
Berkhouse, Steven (individual)	Corporate Officer · NOT APPLICABLE
Dunkle, David (individual)	Corporate Officer · NOT APPLICABLE
Dunkle, David (individual)	Operational/managerial Control · NOT APPLICABLE
Miller's Health Systems INC (organization)	Operational/managerial Control · NOT APPLICABLE
The Waters of Lagrange Skilled Nursing Facility LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Decola, Robert (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Waters of Lagrange Skilled Nursing Facility, the?

Waters of Lagrange Skilled Nursing Facility, the has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Indiana.

How many beds does Waters of Lagrange Skilled Nursing Facility, the have?

It has 100 certified beds and cares for about 84 residents per day.

Has Waters of Lagrange Skilled Nursing Facility, the been fined?

Yes. CMS lists 1 penalty in the last three years.

Who owns Waters of Lagrange Skilled Nursing Facility, the?

It is part of Infinity Healthcare Consulting and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Waters of Lagrange Skilled Nursing Facility, the?

(260) 463-2172. The facility is located at 787 N Detroit ST, Lagrange, IN 46761.

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Contact & location

Facility details