Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WATERS OF COVINGTON, THE

COVINGTON, IN · 119 certified beds · Last Life Safety survey December 15, 2025

CMS Certification Number 155223 · first certified March 1983

Ownership

Operated by INFINITY HEALTHCARE CONSULTING · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IN

34 citations — more than 92% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 14 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was December 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 of the 34 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 34 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	34
Median facility in IN	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 13, 2023	9
October 9, 2024	11
December 15, 2025	14

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0300	Meet other general requirements that are deficient.	3	2025-12-15
E-0041	Implement emergency and standby power systems.	3	2025-12-15
K-0351	Install an approved automatic sprinkler system.	2	2025-12-15
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2024-10-09
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-12-15
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2025-12-15
E-0039	Conduct testing and exercise requirements.	2	2025-12-15
K-0363	Install corridor and hallway doors that block smoke.	2	2025-12-15

What the citations cover

Citations by CMS category

Smoke Deficiencies 11
Emergency Preparedness Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 5
Egress Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	11
Emergency Preparedness Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	4
Miscellaneous Deficiencies	3
Services Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 15, 2025 — 14 citations

Citations issued on December 15, 2025
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 13, 2026)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (February 13, 2026)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (February 13, 2026)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (February 13, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (February 13, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 13, 2026)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (February 13, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 13, 2026)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (February 13, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 13, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (February 13, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 13, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 13, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 13, 2026)

October 9, 2024 — 11 citations

Citations issued on October 9, 2024
Tag	What the surveyor checks	Status
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (November 15, 2024)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (November 15, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 15, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (November 15, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 15, 2024)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (November 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 15, 2024)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (November 15, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (November 15, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 15, 2024)
K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen.	Deficient, Provider has date of correction (November 15, 2024)

September 13, 2023 — 9 citations

Citations issued on September 13, 2023
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 2, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (September 27, 2023)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (October 9, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 9, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 27, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 27, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (September 27, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (September 27, 2023)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (October 10, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.