| Waters of Lagrange Skilled Nursing Facility, the | |
| 787 N Detroit St, Lagrange, Indiana 46761 | |
| (260) 463-2172 | |
| Name | Waters of Lagrange Skilled Nursing Facility, the |
|---|---|
| Location | 787 N Detroit St, Lagrange, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 100 |
| Occupancy Rate | 83.5% |
| Medicare ID (CCN) | 155118 |
| Legal Business Name | Johnson Memorial Hospital |
| Ownership Type | For Profit - Corporation |
| Chain | Infinity Healthcare Consulting (69 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1255352399 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Johnson Memorial Hospital |
| Doing Business As | The Waters of Lagrange Skilled Nursing Facility |
| Address | 787 N Detroit St, Lagrange, IN 46761 |
| Phone Number | 574-466-2172 |
| NPI Number | 1043928807 |
| Match | Possible same name, address or phone number |
| Organization Name | The Waters of Lagrange Skilled Nursing Facility LLC |
| Address | 787 N Detroit St, Lagrange, IN 46761 |
| Phone Number | 260-463-2172 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.37 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.35 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.7 | 0.86 |
| Nurse aide hours per resident per day | 2.32 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.03 | 3.42 |
| RN hours per resident per day on the weekend | 0.14 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 40% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Sep 10, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Oct 3, 2025 |
| Sep 10, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 3, 2025 |
| Sep 10, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 3, 2025 |
| Feb 3, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Past non-compliance (already corrected) |
| Feb 3, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Oct 1, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 11, 2024 |
| Oct 1, 2024 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection, Complaint inspection | Minimal harm potential, widespread | Corrected by Oct 11, 2024 |
| Sep 4, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Sep 30, 2024 |
| Sep 4, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 30, 2024 |
| Jul 18, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 10, 2024 |
| Jul 18, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 10, 2024 |
| Apr 2, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 22, 2024 |
| Apr 2, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 22, 2024 |
| Apr 2, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 22, 2024 |
| Dec 1, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 8, 2024 |
| Dec 1, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 1, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.82 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.33 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.36 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 33.33 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.09 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.65 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.23 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.41 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.02 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.47 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.9 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.64 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.19 | 15.38 |
Life Care Center of Lagrange Location: 0770 North 075 East, Lagrange, Indiana 46761 Phone: (260) 463-7445 |