Federal inspection record · CMS data as of October 1, 2026

Alpha Home - A Waters Community

2640 Cold Spring Rd, Indianapolis, IN · (317) 923-1518

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
86
Residents per day
59
Ownership
For-Profit
Chain
Infinity Healthcare Consulting
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 11, 2002

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Indiana homes

Alpha Home - A Waters Community carries 75 inspection points. That is fewer than 18% of Indiana's 504 rated homes.

5★4★3★2★1★+16 homes above 163.2505102550100inspection points → fewer is better on the leftThis home · 75 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–24 pts
  • 3★ 24–42 pts
  • 2★ 42–72 pts
  • 1★ over 72 pts

Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 30 4 pts
E 8 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 28, 2025 · Complaint inspection · Quality of Life and Care · F686 · Corrected June 20, 2025

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 26, 2024 · Standard inspection · Quality of Life and Care · F689 · Corrected January 18, 2024

Everything else, by area of care

Quality of Life and Care12E
  1. E

    Provide activities to meet all resident's needs.

    December 5, 2025 · Standard · F679 · Corrected January 19, 2026

  2. E

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    December 5, 2025 · Standard · F744 · Corrected January 19, 2026

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 5, 2025 · Standard · F677 · Corrected January 19, 2026

  4. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    December 5, 2025 · Standard · F698 · Corrected January 19, 2026

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 28, 2025 · Complaint · F689 · Corrected June 20, 2025

  6. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 26, 2024 · Standard · F684 · Corrected October 30, 2024

  7. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    September 26, 2024 · Standard · F688 · Corrected October 30, 2024

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 16, 2024 · Complaint · F695 · Corrected October 4, 2024

  9. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 11, 2023 · Standard · F689 · Corrected September 8, 2023

  10. E

    Provide safe and appropriate respiratory care for a resident when needed.

    August 11, 2023 · Standard · F695 · Corrected September 8, 2023

  11. D

    Provide enough food/fluids to maintain a resident's health.

    August 11, 2023 · Standard · F692 · Corrected September 8, 2023

  12. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    August 11, 2023 · Standard · F744 · Corrected September 8, 2023

Resident Rights9E
  1. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    April 27, 2026 · Complaint · F627 · Corrected June 9, 2026

  2. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    April 27, 2026 · Complaint · F628 · Corrected June 9, 2026

  3. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    December 5, 2025 · Standard · F565 · Corrected January 19, 2026

  4. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    December 5, 2025 · Standard · F628 · Corrected January 19, 2026

  5. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    September 26, 2024 · Standard · F565 · Corrected October 30, 2024

  6. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 26, 2024 · Standard · F550 · Corrected October 30, 2024

  7. D

    Reasonably accommodate the needs and preferences of each resident.

    August 11, 2023 · Standard · F558 · Corrected September 8, 2023

  8. D

    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.

    August 11, 2023 · Standard · F578 · Corrected September 8, 2023

  9. D

    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.

    August 11, 2023 · Standard · F584 · Corrected September 8, 2023

Resident Assessment and Care Planning7E
  1. D

    Ensure each resident receives an accurate assessment.

    December 5, 2025 · Standard · F641 · Corrected January 19, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    December 5, 2025 · Standard · F645 · Corrected January 19, 2026

  3. E

    Ensure each resident receives an accurate assessment.

    September 26, 2024 · Standard · F641 · Corrected October 30, 2024

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 26, 2024 · Standard · F656 · Corrected October 30, 2024

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 26, 2024 · Standard · F657 · Corrected October 30, 2024

  6. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 11, 2023 · Standard · F657 · Corrected September 8, 2023

  7. B

    Ensure each resident receives an accurate assessment.

    August 11, 2023 · Standard · F641 · Corrected September 8, 2023

Pharmacy Service4E
  1. D

    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.

    May 28, 2025 · Complaint · F761 · Corrected June 20, 2025

  2. E

    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.

    September 26, 2024 · Standard · F761 · Corrected October 30, 2024

  3. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 26, 2024 · Standard · F757 · Corrected October 30, 2024

  4. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    September 26, 2024 · Standard · F758 · Corrected October 30, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    December 5, 2025 · Standard · F604 · Corrected January 19, 2026

  2. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    January 31, 2024 · Complaint · F602 · Corrected September 28, 2023

Administration2D
  1. D

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

    December 5, 2025 · Standard · F772 · Corrected January 19, 2026

  2. D

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    September 26, 2024 · Standard · F776 · Corrected October 30, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    September 26, 2024 · Standard · F880 · Corrected October 30, 2024

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 26, 2024 · Standard · F883 · Corrected October 30, 2024

Nutrition and Dietary1D
  1. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    August 11, 2023 · Standard · F805 · Corrected September 8, 2023

Inspection history

  1. 2025-12-05

    12 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-09-26

    17 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2023-08-11

    12 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 11 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

3 h 11 min

Indiana average

3 h 44 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 29% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$22,386 in federal fines on record over the past three years.

DatePenaltyAmount
2025-05-28Fine$22,386

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts worse92.3%93.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts worse94.8%95.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better2.4%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms22.5 pts worse48.0%25.5%13.5%
Percentage of long-stay residents who lose too much weight3.6 pts better1.7%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts worse27.1%23.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication13 pts worse26.7%13.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.3 pts worse12.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts better9.8%10.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.0%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse23.4%22.4%18.3%
Percentage of long-stay residents with pressure ulcers1.5 pts worse5.0%3.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.4 pts worse66.5%81.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication5 pts worse6.1%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14 pts worse65.2%79.2%80.1%

·

Who owns and runs it

26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Henry County Memorial Hospital5% Or Greater Direct Ownership Interest · Organization100%31 facilities
2640 Cold Spring Road, LLCAdp Of The SNF · Organization0%1 facilities
Alpha Home - A Waters CommunityOperational/Managerial Control · Organization0%1 facilities
Alpha Home - A Waters CommunityAdp Of The SNF · Organization0%1 facilities
Aperion Care Fort Wayne LLCOperational/Managerial Control · Organization0%1 facilities
Blisko Enterprises Limited PartnershipIndirect Ownership Interest · Organization0%1 facilities
Blisko, MichaelDirect Ownership Interest · Individual0%4 facilities
Brammer, DuaneCorporate Director · Individual0%1 facilities
Brammer, DuaneCorporate Officer · Individual0%1 facilities
Gilman, ErikaManaging Control - Governing Body · Individual0%22 facilities
Gilman, ErikaTrustee Of The SNF · Individual0%22 facilities
Gubin Enterprises Limited PartnershipIndirect Ownership Interest · Organization0%3 facilities
Mustaklem, MarwanOperational/Managerial Control · Individual0%19 facilities
Mustaklem, MarwanAdp Of The SNF · Individual0%19 facilities
Pidgeon, JohnCorporate Director · Individual0%31 facilities
Pidgeon, JohnCorporate Officer · Individual0%31 facilities
Pidgeon, JohnTrustee Of The SNF · Individual0%31 facilities
Reed, DavidOperational/Managerial Control · Individual0%5 facilities
Reed, DavidAdp Of The SNF · Individual0%5 facilities
Ring, BrianOperational/Managerial Control · Individual0%30 facilities
Ring, BrianTrustee Of The SNF · Individual0%30 facilities
Shore, MarionCorporate Director · Individual0%31 facilities
Shore, MarionTrustee Of The SNF · Individual0%31 facilities
Strawberry Fields Reit LtdDirect Ownership Interest · Organization0%5 facilities
Strawberry Fields Reit LtdAdp Of The SNF · Organization0%5 facilities
Ware, DeborahTrustee Of The SNF · Individual0%30 facilities

·

Fire safety

16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous4F
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    September 26, 2024 · K741 · Corrected October 22, 2024

  2. F

    Have simulated fire drills held at unexpected times.

    August 11, 2023 · K712 · Corrected September 21, 2023

  3. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 11, 2023 · K741 · Corrected September 21, 2023

  4. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 11, 2023 · K761 · Corrected September 21, 2023

Emergency Preparedness3F
  1. F

    Implement emergency and standby power systems.

    December 5, 2025 · E41 · Corrected January 6, 2026

  2. F

    Implement emergency and standby power systems.

    August 11, 2023 · E41 · Corrected September 21, 2023

  3. C

    Conduct testing and exercise requirements.

    August 11, 2023 · E39 · Corrected September 21, 2023

Services3F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 5, 2025 · K521 · Corrected January 8, 2026

  2. E

    Have properly installed electrical wiring and gas equipment.

    December 5, 2025 · K511 · Corrected January 6, 2026

  3. D

    Have properly installed electrical wiring and gas equipment.

    September 26, 2024 · K511 · Corrected December 11, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 5, 2025 · K918 · Corrected January 6, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 11, 2023 · K918 · Corrected September 21, 2023

  3. E

    Have proper medical gas storage and administration areas.

    August 11, 2023 · K923 · Corrected September 21, 2023

Smoke2E
  1. E

    Install an approved automatic sprinkler system.

    December 5, 2025 · K351 · Corrected January 6, 2026

  2. E

    Install corridor and hallway doors that block smoke.

    September 26, 2024 · K363 · Corrected December 11, 2024

Egress1E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 11, 2023 · K211 · Corrected September 21, 2023

·

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