Rising Sun, IN

Waters Of Rising Sun, The

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

405 Rio Vista Ln, Rising Sun, IN

(812) 438-2219

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1993-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.63

Registered nurse staffing

LPN hours / resident day

0.77

Licensed practical nurse staffing

Aide hours / resident day

1.92

Nurse aide staffing

Weekend hours

3.03

Weekend nurse staffing

RN turnover

14%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
1.6
1.3 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
1.5
0.8 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.6%
6.4 pts better
93.4%
6.6 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 7.8%
3.8%
4 pts worse
3.3%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 22.1%
24.6%
2.5 pts better
11.4%
10.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.1%
5.6%
2.5 pts worse
5.4%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.4%
23.5%
10.9 pts worse
19.6%
14.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.7%
14.8%
4.1 pts better
16.7%
6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 2.4%
0.0%
2.4 pts worse
0.1%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 15.5%
13.3%
2.2 pts worse
16.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.2%
11.7%
4.5 pts better
14.9%
7.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
0.4%
1.1 pts worse
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.0%
1.2%
1.8 pts worse
1.7%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.0%
24.2%
5.8 pts worse
19.8%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.9%
4.1%
2.8 pts worse
5.1%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.8%
81.6%
0.8 pts worse
81.7%
0.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 5.5%
10.5%
5 pts better
12.0%
6.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.4%
1.3%
0.1 pts worse
1.6%
0.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86.1%
79.0%
7.1 pts better
79.7%
6.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 40.3%
22.4%
17.9 pts worse
23.9%
16.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

7 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-22 · Fire 2024-02-22

10 health deficiencies

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

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-01-18 · Fire 2023-01-18

12 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-02-17

F · Potential for more than minimal harm 2025-01-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-09

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-17

F · Potential for more than minimal harm 2024-02-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-28

E · Potential for more than minimal harm 2024-02-22

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-02-22

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-19

C · Minimal harm 2024-02-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-01-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-22

D · Potential for more than minimal harm 2025-01-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-22

D · Potential for more than minimal harm 2025-01-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-01-22

D · Potential for more than minimal harm 2025-01-09

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-01-22

D · Potential for more than minimal harm 2025-01-09

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 2025-01-22

D · Potential for more than minimal harm 2025-01-09

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-01-22

E · Potential for more than minimal harm 2024-02-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-22

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-03-15

D · Potential for more than minimal harm 2023-09-26

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 2023-10-10

D · Potential for more than minimal harm 2023-08-01

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-08-22

D · Potential for more than minimal harm 2023-08-01

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-08-22

D · Potential for more than minimal harm 2023-01-18

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

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 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-02-02

D · Potential for more than minimal harm 2023-01-18

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-02-02

Penalties and ownership

What sits behind the stars

Ownership

Major Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 39 facilities 2014-05-19
Beaty, Jeff

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
Caldwell, Dana

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
Carter, Douglas

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
Coffin, John

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
County Hospital Manager LLC

Operational/Managerial Control · Organization

0% 5 facilities 2014-05-19
Horner, John

Corporate Officer · Individual

0% 24 facilities 2014-05-19
Jones, Curtis

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
Sandman, Jan

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01
Schoenefeld, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2014-05-19
Schoenefeld, Robert

Contracted Managing Employee · Individual

0% 1 facilities 2014-05-19
Tandy, Sherri

Operational/Managerial Control · Individual

0% 4 facilities 2014-05-01

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2-star overall rating with 2-star inspections with abuse icon flag with $13,800 in total fines with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
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Fines
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Waters Of Dillsboro-Ross Manor, The

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1-star overall rating with 2-star inspections with 15 recent health deficiencies

Overall
1 / 5
Health
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Staffing
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Fines
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