Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

WATERS OF COVINGTON, THE

NURSING HOME

SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED

Created on: 07/25/2025

Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION: Address: 1600 E LIBERTY ST City: COVINGTON Telephone: (765) 793-4818 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 25-000128-1 License effective date: 05/01/2025 License expiration date: 04/30/2026
Administration and Staff
Administrator: BRADLEY KRAMER Start date: 06/09/2025 Director of Nursing: MICA HOLLAND Start date: 02/17/2025 Medical director: Tahir Hafeez Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: MAJOR HOSPITAL 2451 INTELLPLEX DR SHELBYVILLE IN 46176 Ownership type: OTHER Officer(s): DANA CALDWELL JEFF BEATY JOHN COFFIN JAN SANDMAN SHERRI TANDY PAULA GUSTAFSON GENE JONES RALPH MERCURI LINDA WESSIC ROB KINDER RYAN CLAXTON MELANIE STEVENS PHILP MATTHEW HAEHL ALEXANDER ISAKOVAN PREVIOUS OWNERSHIP CHANGES: Name of previous owner: THE WATERS OF COVINGTON LLC Date of last change of ownership: 05/19/2014
Bed Counts and Census
COMPREHENSIVE CARE BEDS: Number of Medicaid beds (NF): 0 Number of Medicare beds (SNF): 0 Number of Medicare/Medicaid beds (SNF/NF): 119 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 119 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 119 CENSUS: Facility census: 95 As reported by the facility on: 03/23/2022 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 03/23/2022 Residential care beds occupied: 0 As reported by the facility on: 03/23/2022 Alzheimer Beds: 18 Alzheimer Beds Occupied: 9 As reported by the facility on: / / Ventilator Beds: 0 Ventilator Beds Occupied: 0 As reported by the facility on: / /
Sprinklers and Smoke Detectors
This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 69 Number of comprehensive care resident rooms with battery operated smoke detectors: 69 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - FAY PRUITT Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR Date form completed - 06/27/2022
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 01/10/2018 Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2024 Nurse aide training and competency evaluation program (NATCEP) banned: Yes Nurse aide training and competency evaluation program (NATCEP) ban expires: 08/03/2025 CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: WATERS OF MARTINSVILLE, THE Approved: 08/08/2003 Terminated: 08/04/2023 WILLIAMSPORT NURSING AND REHABILITATION Approved: 08/01/2007 Terminated: 08/29/2008 PARKE-VERMILLION EDUCATION AND TRAINING INTERLOCAL Approved: N/A Terminated: 08/29/2008 WATERS OF COVINGTON, THE Approved: 01/10/2018 Terminated: 08/04/2023 MED ED INCORPORATED Approved: 10/01/2014 Terminated: 08/04/2023 WABASH RIVER CAREER & TECHNICAL EDUCATION Approved: 10/30/2020 Terminated: 08/04/2023 ALORA COLLEGE OF HEALTH SCIENCES Approved: 02/07/2023 Terminated: 08/04/2023
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  0
Facility Report Card
  03/01/2020 Current QTR 12/01/2019 Previous QTR 09/01/2019 Previous QTR 06/01/2019 Previous QTR
Report Card Score 194 194 245 278
Rank of Score 90 91 83 77
Average Score 302 296 295 296
 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 
Overview of Survey findings
  The Most Recent Set 2ND Most Recent Set 3RD Most Recent Set
Immediate Jeopardy No Yes No
Substandard Quality of Care No Yes No
Administrator Change Yes Yes No
Owner Change No No No
Number of Substantiated Complaints With Deficiencies 0 0 0
Deficiency Free Standard Health Survey No No No
 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 
Enforcement Actions
Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 07/21/2023 Date Ended: 08/06/2023 Amount proposed per day: 245 Amount proposed per day: 10440 Directed Plan of Correction Date Imposed: 01/21/2023 Date Ended: 01/13/2023 Civil Money Penalty Date Imposed: 12/13/2022 Date Ended: 12/13/2022 Amount proposed per day: Date terminated from Medicare/Medicaid: N/A
Survey History
The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved. The survey report therefore will likely not be posted until four to six weeks after the exit date. In the grid below click on an event ID that is underlined to see the survey report for that event.
Event ID Survey Type Exit Date
CPMP11 Complaint 06/12/2025
JEQM11 Complaint 04/10/2025
3GFX11 Complaint 02/24/2025
YY6K11 Complaint 02/13/2025
YKTL11 Complaint 01/09/2025
MOQW12 Complaint, Follow Up 12/31/2024
MNLH22 Recertification, Follow Up, Life Safety Code 12/05/2024
MOQW11 Complaint 11/22/2024
MNLH12 Recertification, Follow Up, State Licensure 11/21/2024
MNLH21 Recertification, Life Safety Code 10/24/2024
MNLH11 Recertification, State Licensure 10/09/2024
N1JF12 Complaint, Follow Up 10/01/2024
N1JF11 Complaint 09/03/2024
EISR11 Complaint 07/02/2024
QWM212 Complaint, Follow Up 06/14/2024
XI3411 Complaint 05/06/2024
QWM211 Complaint 04/05/2024
OPZ211 Complaint 01/31/2024
NYHE11 Complaint 01/05/2024
XRFK12 Recertification, Follow Up, State Licensure 11/20/2023
XRFK22 Recertification, Follow Up, Life Safety Code 11/02/2023
XRFK21 Recertification, Life Safety Code 09/26/2023
XRFK11 Recertification, Complaint, State Licensure 09/13/2023
1P1P12 Complaint, Follow Up 08/30/2023
1P1P11 Complaint 08/04/2023
472N11 Complaint 07/21/2023
PZ8011 Complaint 05/12/2023
D1KT11 Complaint 04/21/2023
7DDT12 Complaint, Follow Up 03/03/2023
YJMZ11 Complaint 02/09/2023
7DDT11 Complaint 12/13/2022
VUDG22 Recertification, Follow Up, Life Safety Code 10/11/2022
VUDG12 Recertification, Complaint, Follow Up, State Licensure 08/11/2022
VUDG21 Recertification, Life Safety Code 08/08/2022
 
 
Links and Resources
CMS nursing home compare page In addition to the information provided on this web site, the Centers for Medicare & Medicaid Services (CMS) has a web site which contains information on every Medicare and Medicaid certified nursing home in the country. The CMS nursing home survey results contain summary information about a facility's noncompliance of regulations regarding the care of residents found in the nursing homes. You can locate nursing homes in your area and find information about compliance with federal regulations. Resources and links to other organizations Choosing a Nursing Home Overview of the Survey Process State Wide Grouping of all Scores Overview of current comprehensive facility scores Spreadsheet of current comprehensive facility names and scores Legal Disclaimer for Long Term Care Reports.