Alpha Home - a Waters Community

Nursing Home · Indianapolis, IN

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number155717

Contact & location

2640 Cold Spring RD
Indianapolis, IN 46222
Marion County
Phone
(317) 923-1518
ZIP code
46222 – all care providers

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Facility details

Certified beds
86
Residents per day
59.3 (69% occupied)
Ownership
For profit - Limited Liability company
Legal name
Henry County Memorial Hospital
Chain
Infinity Healthcare Consulting (69 facilities, avg 2.0★)
Medicare certified since
October 11, 2002
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.5
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
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
3.24 (state 3.68 · U.S. 3.86)
Registered nurses (RN)
0.59 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.80 (state 0.78 · U.S. 0.86)
Nurse aides
1.86 (state 2.23 · U.S. 2.32)
Weekend total
3.03 (state 3.24 · U.S. 3.42)
Nursing staff turnover
34.7 (state 45.9 · U.S. 45.8)%
RN turnover
28.6 (state 40.3 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 5, 2025
Health deficiencies (last cycle)
12.0 (state 7.2 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
41 health · 16 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-27 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-04-27 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2025-12-05 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-12-05 Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
F0772 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-19
2025-05-28 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-06-20
2025-05-28 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 2025-06-20
2025-05-28 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-20
2024-09-26 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
G
Actual harm
Corrected 2024-01-18
2024-09-26 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-26 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-30
2024-09-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-01-31 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-28
2023-08-11 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
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 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 2023-09-08
2023-08-11 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 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 2023-09-08
2023-08-11 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-08-11 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2023-09-08

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, including $22,386 in fines.

DateTypeAmount
2025-05-28Fine$22,386

Ownership & management

NameRoleSince
Henry County Memorial Hospital (organization)5%+ Direct Ownership Interest · 100%
2640 Cold Spring Road, LLC (organization)Administrator · NOT APPLICABLE
Alpha Home - a Waters Community (organization)Administrator · NOT APPLICABLE
Mustaklem, Marwan (individual)Administrator · NOT APPLICABLE
Reed, David (individual)Administrator · NOT APPLICABLE
Strawberry Fields Reit LTD (organization)Administrator · NOT APPLICABLE
Brammer, Duane (individual)Corporate Director · NOT APPLICABLE
Dynes, Sheldon (individual)Corporate Director · NOT APPLICABLE
Pidgeon, John (individual)Corporate Director · NOT APPLICABLE
Shore, Marion (individual)Corporate Director · NOT APPLICABLE
Brammer, Duane (individual)Corporate Officer · NOT APPLICABLE
Dynes, Sheldon (individual)Corporate Officer · NOT APPLICABLE
Pidgeon, John (individual)Corporate Officer · NOT APPLICABLE
Blisko, Michael (individual)Direct Ownership Interest · NOT APPLICABLE
Strawberry Fields Reit LTD (organization)Direct Ownership Interest · NOT APPLICABLE
Blisko Enterprises Limited Partnership (organization)Indirect Ownership Interest · NOT APPLICABLE
Gubin Enterprises Limited Partnership (organization)Indirect Ownership Interest · NOT APPLICABLE
Alpha Home - a Waters Community (organization)Operational/managerial Control · NOT APPLICABLE
Aperion Care Fort Wayne LLC (organization)Operational/managerial Control · NOT APPLICABLE
Mustaklem, Marwan (individual)Operational/managerial Control · NOT APPLICABLE
Reed, David (individual)Operational/managerial Control · NOT APPLICABLE
Ring, Brian (individual)Operational/managerial Control · NOT APPLICABLE
Dynes, Sheldon (individual)Trustee Of The Snf · NOT APPLICABLE
Pidgeon, John (individual)Trustee Of The Snf · NOT APPLICABLE
Ring, Brian (individual)Trustee Of The Snf · NOT APPLICABLE
Shore, Marion (individual)Trustee Of The Snf · NOT APPLICABLE
Ware, Deborah (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Alpha Home - a Waters Community?

Alpha Home - a Waters Community has a 1-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 Alpha Home - a Waters Community have?

It has 86 certified beds and cares for about 59 residents per day.

Has Alpha Home - a Waters Community been fined?

Yes. CMS lists 1 penalty totaling $22,386 in the last three years.

Who owns Alpha Home - a Waters Community?

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

What is the phone number of Alpha Home - a Waters Community?

(317) 923-1518. The facility is located at 2640 Cold Spring RD, Indianapolis, IN 46222.

Other nursing homes in Indianapolis

Compare all nursing homes in Indianapolis, IN →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.