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

WATERS OF GREENCASTLE, THE

GREENCASTLE, IN · 100 certified beds · Last Life Safety survey December 5, 2025

CMS Certification Number 155202 · first certified October 1981

Ownership

Operated by INFINITY HEALTHCARE CONSULTING · Government - Hospital district

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

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within IN

12 citations — more than 37% 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

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

The latest survey found 3 citations; the earlier surveys in the window averaged 4.5. 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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Which alerts

1 inspection-and-testing tag has 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

1 of the 12 citations on file is 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)

4 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 12 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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.

This facility12IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0832024-0932025-12
Citations at each Life Safety survey
Survey dateCitations
August 15, 20236
September 30, 20243
December 5, 20253

Most-cited tags

Most-cited tags at this facility
K-03003K-03532K-03512K-03241K-03631K-02221E-00411K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0300Meet other general requirements that are deficient.32025-12-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-12-05
K-0351Install an approved automatic sprinkler system.22024-09-30
K-0324Provide properly protected cooking facilities.12024-09-30
K-0363Install corridor and hallway doors that block smoke.12023-08-15
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12025-12-05
E-0041Implement emergency and standby power systems.12023-08-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-08-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

December 5, 2025 — 3 citations

Citations issued on December 5, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (January 9, 2026)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (January 9, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 16, 2026)

September 30, 2024 — 3 citations

Citations issued on September 30, 2024
TagWhat the surveyor checksStatus
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (October 25, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 25, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (October 25, 2024)

August 15, 2023 — 6 citations

Citations issued on August 15, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 9, 2023)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (September 16, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (September 7, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 10, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 7, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 9, 2023)

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