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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 197th out of 270 homes in Indiana.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▼ 25% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | ▲ 17% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 50m per day | ▼ 19% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ▼ 7% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 26% State avg: 27m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
12% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
44% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #186 / 270Payroll — state benchmarkedThis home is ranked 186th out of 270 homes in Indiana.Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Indiana average: 68.1%Alpha Home – a Waters Community is legally operated by Henry County Memorial Hospital, and administrated by David Reed.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 42 | 36 | This facility has 17% more total deficiencies than a typical Indiana nursing home (42 vs. IN avg 36).↑ 17% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 10.5 | 9 | This facility has 17% more deficiencies per year than a typical Indiana nursing home (10.5 vs. IN avg 9).↑ 17% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.9 | 1.9 | This facility has deficiencies per inspection in line with the Indiana average (1.9 vs. IN avg 1.9).— At avg |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 22 | 19 | This facility has 16% more total visits than a typical Indiana nursing home (22 vs. IN avg 19).↑ 16% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 8 | 7 | This facility has 14% more inspections with deficiencies than a typical Indiana nursing home (8 vs. IN avg 7).↑ 14% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 36% | 37% | This facility has 1 percentage point lower inspection deficiency rate than a typical Indiana nursing home (36% vs. IN avg 37%).↓ 1% better |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 13 | 13 | This facility has inspections in line with the Indiana average (13 vs. IN avg 13).— At avg |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 5 | This facility has 20% fewer total complaints than a typical Indiana nursing home (4 vs. IN avg 5).↓ 20% better |
|
Complaints per year
Average complaints per year since 2022.
| 1 | 1.3 | This facility has 23% fewer complaints per year than a typical Indiana nursing home (1 vs. IN avg 1.3).↓ 23% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 26, 2025, found the facility in compliance with no deficiencies cited during the post-survey revisit related to a prior complaint investigation. Earlier inspections showed a pattern of deficiencies primarily involving resident care issues such as pressure ulcer prevention, fall interventions, and medication storage, as well as life safety concerns including corridor door latching and electrical safety. Substantiated complaint investigations included failures in pressure ulcer care resulting in hospitalization, lack of physician orders for tracheostomy care, and protection of resident property with unauthorized spending identified; enforcement actions such as fines or license suspensions were not listed in the available reports. Most complaint investigations were unsubstantiated, and the facility corrected cited deficiencies through systemic actions and follow-up surveys. The inspection history indicates improvement over time, with recent inspections showing compliance after addressing earlier identified issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on May 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
50 of 55 citations resulted from standard inspections; and 5 of 55 resulted from complaint investigations.
400% worse than Indiana averageIndiana average: 0.2
3
400% worse than Indiana averageIndiana average: 0.6
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 28, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 28, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 28, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 26, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Alpha Home – a Waters Community is located in INDIANAPOLIS, Indiana.
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3.1 miles from city center
Estimated distance in miles from Indianapolis's city center to Alpha Home – a Waters Community's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
1851752% better than Indiana averageIndiana average ratio: 0.00:1
6% worse than Indiana averageIndiana average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Total hours from contractors
1,364 contractor hours this quarter
| Certified Nursing Assistant | 29 | 0 | 29 | 6,767 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,928 | 91 | 100% | 7.1 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,512 | 91 | 100% | 7.1 |
| Registered Nurse | 5 | 4 | 9 | 2,332 | 91 | 100% | 8.5 |
| Other Dietary Services Staff | 22 | 0 | 22 | 2,098 | 90 | 99% | 7.2 |
| RN Director of Nursing | 4 | 0 | 4 | 1,031 | 70 | 77% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 531 | 65 | 71% | 8.2 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 59 | 65% | 8.8 |
| Administrator | 1 | 0 | 1 | 515 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 444 | 65 | 71% | 6.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 443 | 64 | 70% | 6.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 410 | 64 | 70% | 6.4 |
| Qualified Social Worker | 0 | 3 | 3 | 282 | 39 | 43% | 7.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 115 | 26 | 29% | 4.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 91 | 26 | 29% | 3.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
13% better than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
13% worse than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
8% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
15.4%
7% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
20% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
49% better than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
3.1%
28% better than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
1.1%
80% better than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
38.8%
61% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
11.8%
5% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
In line with Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.0%
17% worse than Indiana averageIndiana average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.6%
In line with Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
4.5%
228% worse than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
12.5%
84% worse than Indiana averageIndiana average: 79.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
26% higher than Indiana averageIndiana average: $27K
28% fewer fines than Indiana averageIndiana average: 1.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Indiana averageIndiana average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 28, 2025 · $34K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 28, 2025Last updated: Jan 2026
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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| Alpha Home – a Waters Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Historical financial and operational data for Alpha Home – a Waters Community based on CMS SNF Cost Reports.
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Alpha Home – a Waters Community is in the Near Westside neighborhood of INDIANAPOLIS.
Karen Nauden is the Director of Nursing at Alpha Home – a Waters Community.
The legal owner and operator of Alpha Home – a Waters Community is Henry County Memorial Hospital.
Alpha Home – a Waters Community has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IN state health department records, Alpha Home – a Waters Community's license number is 24-000376-1.
According to IN state health department records, Alpha Home – a Waters Community's license expires on September 30, 2025.
Alpha Home – a Waters Community's occupancy is 59%.
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