Nursing Home

The Waters of Lagrange Skilled Nursing Facility

Nursing Home

The Waters of Lagrange Skilled Nursing Facility

LAGRANGE, IN 46761 View map
Overview of The Waters of Lagrange Skilled Nursing Facility
The Waters of LaGrange Skilled Nursing & Rehabilitation is dedicated to providing exceptional care. It offers a range of services including skilled nursing, rehabilitation, and memory care. The facility promotes a healthy environment that focuses on the needs of residents and their families.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Indiana average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Indiana average: 2.7/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Indiana average: 2.6/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Indiana average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
2h 37m per day

This home provides 26% less nursing time per resident than the Indiana average.

Indiana average: 3h 32m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 100

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Indiana average
Occupancy rate 76%
Residents per day (avg) 74
Occupancy rate
76%
Residents per day (avg)
74

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

46% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Governmental community
Operated by county authorities.
Home revenue
$9.5M
Surplus of revenue
$1.6M
Governmental community Operated by county authorities.
Home revenue
$9,489,633.00
Surplus of revenue
$1,568,050.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
27.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
Total costs $7.9M
Bed community size
100-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
76%
10% higher than Indiana average

Indiana average: 69%

Occupied beds
76 / 100
Average residents 70 per day

License details

Facility type
Nursing Home (skilled Nursing Facility)
Status Active
Issuance June 1, 2025

Additional licensing details

License number: 25-000049-1
CMS Certification Number: 155118

Ownership & operating entity

The Waters of Lagrange Skilled Nursing Facility is administrated by ERIC HUNTER.

Profit status: OTHER

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: SARAH MARBLE

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
24-Hour Staffing

Contact Information

Fax: (260) 463-2180

Amenities & Lifestyle

24-hour skilled nursing
therapies (physical
occupational & speech)
restorative therapy
early to late-stage dementia care
on-site psychiatric and psychological services
ongoing dementia and behavioral education
beauty/barber shop
onsite podiatry
dental
audiology services.

Programs & Activities

Specific Programs
Living Well, In Motion, Memory Springs, Respite Care, Assisted Living
Operating Hours
24 hours - 7 days a week

Pricing & Financial Information

Dining & Nutrition

Food Description
Delicious menus are designed around a balanced diet featuring a variety of choices under the direction of a registered dietitian.

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

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.

11 visits/inspections

Results

5 with citations

0 without citations

Indiana average: 8 complaint visits

Indiana average: 3 inspections with citations

8 complaints

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Indiana average: 4 complaints

Latest inspection

Date:July 2, 2025
Type:Complaint Investigation

59 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Indiana average: 26 citations

63 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for The Waters of Lagrange Skilled Nursing Facility

The most recent inspection on July 2, 2025, found no deficiencies related to the complaint investigated. Earlier inspections showed a pattern of deficiencies primarily involving resident abuse prevention, behavior management, dementia care, emergency preparedness, and life safety code compliance. Several substantiated complaints cited issues such as verbal abuse, misappropriation of property, failure to prevent resident-to-staff altercations, and inadequate dementia care, along with fire safety and emergency preparedness deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have made improvements over time, with recent inspections showing compliance following correction of prior deficiencies.

Health Inspection History

Inspections
Total health inspections 8

Indiana average 6


Last Health inspection on Feb 2025

Total health citations 34
Citations per inspection
4.25

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 34 citations resulted from standard inspections; 10 of 34 resulted from complaint investigations; and 10 of 34 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Indiana average

Indiana average: 0.2


Serious Health citations More info 1
67% worse than Indiana average

Indiana average: 0.6

0 critical citations More info Indiana average: 0.2

1 serious citation More info Indiana average: 0.6

32 moderate citations More info Indiana average: 23.8

1 minor citation More info Indiana average: 0.4
Citations history (last 3 years)
Abuse/Neglect moderate citation Feb 03, 2025
Corrected

Abuse/Neglect moderate citation Feb 03, 2025
Corrected

Abuse/Neglect moderate citation Oct 01, 2024
Corrected

Abuse/Neglect moderate citation Oct 01, 2024
Corrected

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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Nursing Home 24/7 care needed

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TROXWELL, MELANIE
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The Waters of Lagrange Skilled Nursing Facility
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IN 46761
100
-
THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC
74.0%
$9,491,112.00
$2,641,405.00
27.8%
74.20
2/5
2.6164
1/5
1/5
5/5
-
34
1
-41%
-24%
+7%

Places of interest near The Waters of Lagrange Skilled Nursing Facility

Address 1.7 miles from city center

Address LAGRANGE, IN 46761

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

108
Total Staff
94
Employees
14
Contractors
25,635
Total Hours (Quarter)
36
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse69.8 No
Licensed Practical Nurse119.1 No
Certified Nursing Assistant438.3 No
Staff by Category
Administration
1 staff
7.9hs shift avg
Nursing Staff
75 staff
8.6hs shift avg
Physicians & Practitioners
3 staff
7.4hs shift avg
Therapy Services
12 staff
4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
1.8hs shift avg
Dietary Services
13 staff
6.5hs shift avg
Other Services
2 staff
8hs shift avg
Contractor Analysis
3.5%
of total hours from contractors
900 contractor hours this quarter
Speech Language Pathologist: 3 Physical Therapy Assistant: 4 Physical Therapy Aide: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 3
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant430439,17291100%8.3
Licensed Practical Nurse110114,35691100%9.1
Medication Aide/Technician9093,56691100%8.7
Other Dietary Services Staff9091,5178998%6.3
Nurse Aide in Training5051,4048897%8.1
Registered Nurse6061,2948391%9.8
Dietitian4041,1507481%6.8
Mental Health Service Worker2026156774%8
Clinical Nurse Specialist2025747178%7.3
Nurse Practitioner1015707582%7.6
Administrator1014685965%7.9
Speech Language Pathologist0333716369%5.9
Physical Therapy Aide0223306571%5.1
Qualified Social Worker0221035055%1.8
Respiratory Therapy Technician033564246%1.3
RN Director of Nursing1015067%8.3
Physical Therapy Assistant044402932%1.4

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
80 residents
Residents by payment source
Medicare
3 residents (3.8%)
Medicaid
65 residents (81.3%)
Private pay or other
12 residents (15%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.9
14% better than Indiana average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.8
10% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.7%
5% worse than Indiana average

Indiana average: 12.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.4%
42% better than Indiana average

Indiana average: 14.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.3%
43% worse than Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
7% worse than Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.6%
28% worse than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
72% better than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
38% better than Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 26.5%
10% worse than Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.2%
In line with Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
5% better than Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.3%
12% better than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Indiana average

Indiana average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.5%
13% better than Indiana average

Indiana average: 79.0%

Penalties and fines

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)

Total fines amount $0
100% lower than Indiana average

Indiana average: $27K

Number of fines 0
100% fewer fines than Indiana average

Indiana average: 1.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
152% more payment denials than Indiana average

Indiana average: 0.4

Fines amount comparison
Fines amount comparison
This facility $0
Indiana average $27K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Sep 4, 2024
10 days

Last updated: Jan 2026

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Financial Aid for Indiana Seniors

Get financial aid guidance

Aged and Disabled Waiver

Indiana Medicaid A&D Waiver

Age 65+ or disabled, Indiana resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires level-of-care determination.

CHOICE Program

Indiana CHOICE

Age 60+, Indiana resident, at risk of nursing home.

~$2,000/month (varies).

$10,000 (individual).

Limited funding; regional variation.

Residential Care Assistance Program (RCAP)

Indiana Residential Care Assistance Program

Age 65+, or blind, or disabled, Indiana resident, in approved facility, low-income or SSI recipient.

~$1,004/month (including SSI).

$2,000 (individual), $3,000 (couple).

~50 facilities statewide; per diem rate set by FSSA.

Medicare Savings Program (MSP)

Indiana Medicare Savings Program

Age 65+ or disabled, Indiana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

National Family Caregiver Support Program (NFCSP) Respite

Indiana NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Indiana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

16 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Indiana SCSEP

Age 55+, unemployed, low-income, Indiana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Indiana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Indiana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand statewide.