Waters of Covington, the

1600 E Liberty St · Covington, IN · 47932 · 7657934818

119 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 22
Serious harm & abuse 20% 0
Staffing 20% 57
Federal penalties 15% 59
Trend 10% 37
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.393.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.22≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)1 · $97,313

Inspection citations (38 in the current record)

  • Potential for harm · E December 15, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected January 27, 2026 · Resident Rights

  • Potential for harm · D December 15, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 15, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected January 27, 2026 · Resident Rights

  • Potential for harm · D December 15, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 15, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 27, 2026 · Quality of Life and Care

  • Potential for harm · D December 15, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected January 27, 2026 · Pharmacy Service

  • Potential for harm · D December 15, 2025

    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.

    Corrected January 27, 2026 · Pharmacy Service

  • Potential for harm · E December 15, 2025

    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.

    Corrected January 27, 2026 · Nutrition and Dietary

  • Potential for harm · F December 15, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 27, 2026 · Nutrition and Dietary

  • Potential for harm · E December 15, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 27, 2026 · Infection Control

  • Potential for harm · F December 15, 2025

    Implement a program that monitors antibiotic use.

    Corrected January 27, 2026 · Infection Control

  • Immediate jeopardy · J October 20, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 15, 2025 · Quality of Life and Care

  • Actual harm · G July 23, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 21, 2025 · Quality of Life and Care

  • Potential for harm · D July 23, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 21, 2025 · Resident Rights

  • Potential for harm · E July 23, 2025 · found via complaint

    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.

    Corrected August 21, 2025 · Nursing and Physician Services

  • Potential for harm · D November 22, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 12, 2024 · Resident Rights

  • Potential for harm · E November 22, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · D October 9, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected November 19, 2024 · Resident Rights

  • Potential for harm · D October 9, 2024

    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.

    Corrected November 19, 2024 · Resident Rights

  • Potential for harm · D October 9, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 9, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected November 19, 2024 · Quality of Life and Care

  • Potential for harm · D October 9, 2024

    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.

    Corrected November 19, 2024 · Quality of Life and Care

  • Potential for harm · D October 9, 2024

    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.

    Corrected November 19, 2024 · Pharmacy Service

  • Potential for harm · D October 9, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 19, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 4, 2023Fine$97,313

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155223 · certified since March 25, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.