Muncie, IN

Waters Edge Village

5-star overall rating with 4-star inspections with 5 recent health deficiencies

2200 West White River Blvd, Muncie, IN

(765) 289-3341

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

74

Certified beds

Average residents

62

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing

LPN hours / resident day

0.45

Licensed practical nurse staffing

Aide hours / resident day

2.37

Nurse aide staffing

Weekend hours

2.96

Weekend nurse staffing

RN turnover

30%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.6
0.5 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.5
0.9 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
93.6%
6 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.4%
4.6 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
3.8%
1.2 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 40.7%
24.6%
16.1 pts worse
11.4%
29.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.5%
5.6%
3.1 pts better
5.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.4%
23.5%
2.9 pts worse
19.6%
6.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.9%
14.8%
0.1 pts worse
16.7%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 4.2%
13.3%
9.1 pts better
16.3%
12.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 2.9%
11.7%
8.8 pts better
14.9%
12 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.2%
1.2 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.3%
24.2%
0.1 pts worse
19.8%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.9%
4.1%
1.2 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.6%
81.6%
9 pts better
81.7%
8.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.9%
10.5%
5.6 pts better
12.0%
7.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
1.3%
0.5 pts worse
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.3%
79.0%
17.3 pts better
79.7%
16.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 43.5%
22.4%
21.1 pts worse
23.9%
19.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-31 · Fire 2025-01-31

5 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-01-08 · Fire 2024-01-08

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-11-02 · Fire 2022-11-02

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-01-08

K222 · Egress Deficiencies

Fire Safety

Add 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.

Corrected 2024-02-27

D · Potential for more than minimal harm 2024-01-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-26

F · Potential for more than minimal harm 2022-11-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-12

D · Potential for more than minimal harm 2022-11-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-01-31

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-31

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-31

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-31

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-24

D · Potential for more than minimal harm 2024-12-10

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-12-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-12-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-01-03

E · Potential for more than minimal harm 2024-10-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-26

D · Potential for more than minimal harm 2024-01-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-29

D · Potential for more than minimal harm 2024-01-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-29

D · Potential for more than minimal harm 2024-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-29

E · Potential for more than minimal harm 2022-11-02

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-11-23

Penalties and ownership

What sits behind the stars

Ownership

The Health And Hospital Corporation Of Marion County

5% Or Greater Direct Ownership Interest · Organization

100% 70 facilities 2015-07-01
American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2003-01-01
Babcock, Paul

Corporate Officer · Individual

0% 72 facilities 2020-09-30
Caine, Virginia

Corporate Officer · Individual

0% 52 facilities 1994-01-10
Drummer, Carl

Corporate Director · Individual

0% 52 facilities 2017-01-01
Fehribach, Gregory

Corporate Director · Individual

0% 21 facilities 2004-12-14
Hanify, Thomas

Corporate Director · Individual

0% 52 facilities 2022-01-01
Harris, Lisa

Corporate Officer · Individual

0% 52 facilities 2003-12-22
Kelsey, Donna

Contracted Managing Employee · Individual

0% 23 facilities 2019-06-01
Lawson, Laura

Operational/Managerial Control · Individual

0% 1 facilities 2012-12-31
Lazard, Robert

Corporate Director · Individual

0% 52 facilities 2021-01-29
Mantravadi, Geeta

Corporate Director · Individual

0% 48 facilities 2021-07-21
Mukes-Gaither, Beverly

Corporate Director · Individual

0% 22 facilities 2022-01-01
Payne, Monica

Corporate Director · Individual

0% 48 facilities 2021-08-09
Thomas, James

Operational/Managerial Control · Individual

0% 1 facilities 2015-02-09
Van Camp, Steven

Contracted Managing Employee · Individual

0% 86 facilities 2019-09-06

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Staffing
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Muncie, IN

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Overall
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Health
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Staffing
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Fines
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Muncie, IN

2-star overall rating with 2-star inspections with $22,360 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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