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

WATERS OF HUNTINGBURG, THE

HUNTINGBURG, IN · 95 certified beds · Last Life Safety survey September 12, 2025

CMS Certification Number 155217 · first certified July 1983

Ownership

Operated by INFINITY HEALTHCARE CONSULTING · For profit - Corporation

  • Ownership changed November 1, 2020 (change of ownership)to THE WATERS OF HUNTINGBURG from DEARBORN COUNTY HOSPITAL
17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within IN

17 citations — more than 57% 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 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to November 2026. This facility’s last Life Safety survey was September 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

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

1 of the 17 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)

6 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 17 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.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility17IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0772024-1032025-09
Citations at each Life Safety survey
Survey dateCitations
July 13, 20237
October 1, 20247
September 12, 20253

Most-cited tags

Most-cited tags at this facility
K-07122K-03242K-07612E-00411K-03211K-05111K-03741K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22024-10-01
K-0324Provide properly protected cooking facilities.22025-09-12
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22024-10-01
E-0041Implement emergency and standby power systems.12024-10-01
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-07-13
K-0511Have properly installed electrical wiring and gas equipment.12025-09-12
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12023-07-13
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-10-01

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

September 12, 2025 — 3 citations

Citations issued on September 12, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 21, 2025)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (November 21, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 21, 2025)

October 1, 2024 — 7 citations

Citations issued on October 1, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 28, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 28, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 28, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 28, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 28, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 28, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 28, 2024)

July 13, 2023 — 7 citations

Citations issued on July 13, 2023
TagWhat the surveyor checksStatus
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 11, 2023)
K-0321Ensure 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 (August 11, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 11, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 11, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 11, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 11, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 11, 2023)

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