The Waters of Lagrange Skilled Nursing Facility
Nursing Home, Assisted Living, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Lagrange, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Waters of Lagrange Skilled Nursing Facility

Nursing Home, Assisted Living, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Lagrange, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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The Waters of Lagrange Skilled Nursing Facility accepts Medicaid, Medicare, and private pay.

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.

Since 2022 · 4 years of data 108 deficiencies 8 complaints 35 inspections
Inspection Score Info A composite 0–100 score combining this facility's inspections, deficiencies, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

14 points below the Indiana average for assisted living residences (83/100)

Rank #341 / 384 in Indiana Inspection Score — State benchmarked This home is ranked 341st out of 384 homes in Indiana. Shows this facility's inspection score compared to the Indiana average among 384 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 69 out of 100. Letter grade D+. 14 points below the Indiana average for assisted living residences (83/100)

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2022 vs. Indiana state average
Overall vs. IN average 7 Worse Metrics worse than Indiana average:
• Total deficiencies (200% above)
• Deficiencies per year (200% above)
• Deficiencies per inspection (63% above)
• Inspections with deficiencies (86% above)
• Inspections (92% above)
• Total complaints (60% above)
• Complaints per year (54% above)
1 At Avg Metrics at Indiana average:
• Inspection deficiency rate (at IN avg)
0 Better No metrics in this bucket.
Latest Inspection September 10, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10836 This facility has 200% more total deficiencies than a typical Indiana assisted living residence (108 vs. IN avg 36).↑ 200% worse Rank #353 / 386 Total deficiencies — State benchmarked This home is ranked 353rd out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Deficiencies per year Info Average deficiencies per year since 2022. 279 This facility has 200% more deficiencies per year than a typical Indiana assisted living residence (27 vs. IN avg 9).↑ 200% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.11.9 This facility has 63% more deficiencies per inspection than a typical Indiana assisted living residence (3.1 vs. IN avg 1.9).↑ 63% worse Rank #286 / 386 Deficiencies per inspection — State benchmarked This home is ranked 286th out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 3519 This facility has had 84% more total visits than the Indiana average (35 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 84% more
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 137 This facility has 86% more inspections with deficiencies than a typical Indiana assisted living residence (13 vs. IN avg 7).↑ 86% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 37%37% This facility has inspection deficiency rate in line with the Indiana average (37 vs. IN avg 37).— At avg
Inspections Info Routine, scheduled inspections conducted by state regulators. 2513 This facility has 92% more inspections than a typical Indiana assisted living residence (25 vs. IN avg 13).↑ 92% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 85 This facility has 60% more total complaints than a typical Indiana assisted living residence (8 vs. IN avg 5).↑ 60% worse Rank #297 / 352 Total complaints — State benchmarked This home is ranked 297th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.
Complaints per year Info Average complaints per year since 2022. 21.3 This facility has 54% more complaints per year than a typical Indiana assisted living residence (2 vs. IN avg 1.3).↑ 54% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on July 2, 2025 found no deficiencies related to the complaint investigated and the facility was in compliance with all applicable regulations.
  • The February 3, 2025 complaint investigation substantiated verbal abuse by a CNA and misappropriation of controlled medications by an LPN affecting multiple residents, with deficiencies cited and corrected prior to survey.
  • The October 10, 2024 annual inspection cited 10 deficiencies including failures in emergency preparedness drills, generator testing, fire alarm and sprinkler system maintenance, and improper use of extension cords and power strips.

Health Inspection History

Inspections since 2022
Total health inspections 8

State average N/A


Last Health inspection on Feb 2025

Total health citations
34 Rank #208 / 292Health citations — State benchmarkedThis home is ranked 208th out of 292 homes in Indiana. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 292 IN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.25 Rank #177 / 292Citations per inspection — State benchmarkedThis home is ranked 177th out of 292 homes in Indiana. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 292 facilities with citation data. Lower is better.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

32 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 4 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 106
Employees 96
Contractors 10
Staff to resident ratio 1.33 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,528

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 40 CNA Staff are full-time employees. No contractors work on this role. 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.7%

742 contractor hours this quarter

Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4004010,86692100%8.2
Licensed Practical Nurse100104,01892100%8.9
Medication Aide/Technician9093,39692100%8.9
Nurse Aide in Training120122,6957683%8.2
Registered Nurse7071,2987885%9.6
Other Dietary Services Staff100101,0078491%5.7
Dietitian2028476773%7
Mental Health Service Worker1016737480%9.1
Nurse Practitioner1015767683%7.6
RN Director of Nursing2025325863%8.7
Clinical Nurse Specialist1014686166%7.7
Administrator1014095560%7.4
Speech Language Pathologist0113586368%5.7
Physical Therapy Aide0222656065%4.4
Respiratory Therapy Technician022693841%1.7
Physical Therapy Assistant033393033%1.3
Qualified Social Worker022131112%1.1
40 Certified Nursing Assistant
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
9 Medication Aide/Technician
% of Days 100%
12 Nurse Aide in Training
% of Days 83%
7 Registered Nurse
% of Days 85%
10 Other Dietary Services Staff
% of Days 91%
2 Dietitian
% of Days 73%
1 Mental Health Service Worker
% of Days 80%
1 Nurse Practitioner
% of Days 83%
2 RN Director of Nursing
% of Days 63%
1 Clinical Nurse Specialist
% of Days 66%
1 Administrator
% of Days 60%
1 Speech Language Pathologist
% of Days 68%
2 Physical Therapy Aide
% of Days 65%
2 Respiratory Therapy Technician
% of Days 41%
3 Physical Therapy Assistant
% of Days 33%
2 Qualified Social Worker
% of Days 12%

Penalties and fines

Includes penalties issued in 2024

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 Rank #1 / 293Federal fines — State benchmarkedThis home is ranked 1st out of 293 homes in Indiana. Shows this facility's cumulative CMS federal fine dollars versus the Indiana average among facilities with fines, and where it ranks among 293 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% lower than State average

State average: $27K

Number of fines 0
100% fewer fines than State average

State 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 State average

State average: 0.4

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

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

1 penalty in the past 3 years

Sep 4, 2024 · 10 days

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

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 State average

State 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 State average

State average: 17.1

Long-stay resident measures
Significantly above average State avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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 State average

State average: 12.0%

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

State 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 State average

State 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 State average

State 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 State average

State average: 4.4%

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

State average: 1.2%

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

State average: 5.7%

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

State average: 24.1%

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

State average: 12.4%

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

State average: 93.7%

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

State average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.05
34% better than State average

State average: 1.60

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.92
38% better than State average

State average: 1.48

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

State average: 81.7%

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

State average: 1.4%

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

State average: 79.0%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 31.0%
39% worse than State average

State average: 50.6%

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

Facility Characteristics

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

Total residents 80
Medicare
3
3.8% of residents
Medicaid
65
81.3% of residents
Private pay or other
12
15% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.6M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.2M Rank #181 / 294Revenue — State benchmarkedThis home is ranked 181st out of 294 homes in Indiana. Shows this facility's annual revenue compared to the Indiana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.6M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
-$1.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #246 / 294Payroll — State benchmarkedThis home is ranked 246th out of 294 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.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M 35.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #284 / 294Payroll % — State benchmarkedThis home is ranked 284th out of 294 homes in Indiana. Shows payroll as a percentage of revenue versus the Indiana average. Well-run Indiana facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Indiana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.6M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 5 - 6 months.

Admissions
123 total

Coverage residents most often arrive under.

Medicare 26%
Private pay 46%
Medicaid 28%
Discharges
113 total

Coverage residents most often leave under.

Medicare 13%
Private pay 54%
Medicaid 33%

Places of interest near The Waters of Lagrange Skilled Nursing Facility

Address 1.7 miles from city center Info Estimated distance in miles from Lagrange's city center to The Waters of Lagrange Skilled Nursing Facility's address, calculated via Google Maps.

Calculate Travel Distance to The Waters of Lagrange Skilled Nursing Facility

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Address

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The information below is reported by the Indiana Department of Health, Division of Long Term Care.

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Frequently Asked Questions about The Waters of Lagrange Skilled Nursing Facility

Who is the Director of Nursing at The Waters of Lagrange Skilled Nursing Facility?

Sarah Marble is the Director of Nursing at The Waters of Lagrange Skilled Nursing Facility.

Who is the owner of The Waters of Lagrange Skilled Nursing Facility?

The Waters of Lagrange Skilled Nursing Facility is legally operated by Johnson Memorial Hospital, and administered by Eric Hunter.

Is The Waters of Lagrange Skilled Nursing Facility in a walkable area?

The Waters of Lagrange Skilled Nursing Facility has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The Waters of Lagrange Skilled Nursing Facility?

According to IN state health department records, The Waters of Lagrange Skilled Nursing Facility's license number is 25-000049-1.

When does The Waters of Lagrange Skilled Nursing Facility's license expire?

According to IN state health department records, The Waters of Lagrange Skilled Nursing Facility's license expires on May 31, 2027.

What is the occupancy rate at The Waters of Lagrange Skilled Nursing Facility?

The Waters of Lagrange Skilled Nursing Facility's occupancy is 76%.

Does The Waters of Lagrange Skilled Nursing Facility operate as a for-profit or non-profit?

The Waters of Lagrange Skilled Nursing Facility is registered as a for-profit in IN.

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