Nursing homeActive
Alpha Home - A Waters Community
2640 Cold Spring Rd, Indianapolis, IN 46222317923151886 certified beds · 59 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
41
● 1● 38● 2
Penalties · 3 yrs
$22,386
1 fine
Last survey
2026-04-27
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Indiana Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-27 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-05 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2025-05-28 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Standard | 0131 | CMS-2567 (Care Compare) | — |
| 2024-09-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-11 | Standard | 190 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Indiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-09Record 155717-20260427-F627
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-09Record 155717-20260427-F628
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F565
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F604
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F679
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F698
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F744
F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 155717-20251205-F772
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-20Record 155717-20250528-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-20Record 155717-20250528-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-20Record 155717-20250528-F761
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-18Record 155717-20240926-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F550
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F565
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F688
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F761
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F776
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 155717-20240926-F883
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 155717-20240916-F695
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 155717-20240131-F602
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F558
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F578
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F584
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F695
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F744
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 155717-20230811-F805
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-09-08Record 155717-20230811-F641
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-28 | Civil money penalty | $22,386 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
Indiana
National
Indiana 0.67 · National 0.69
Total nurse hours per resident day3.24
Facility
Indiana
National
Indiana 3.68 · National 3.86
Weekend total nurse hours3.03
Facility
Indiana
National
Indiana 3.24 · National 3.42
Total nursing staff turnover35%
Facility
Indiana
National
Indiana 46% · National 46%
Registered nurse turnover29%
Facility
Indiana
National
Indiana 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Indiana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 3.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.3% | 13.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.8% | 11.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.7% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.7% | 23.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Henry County Memorial Hospital Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Alpha Home - A Waters Community Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aperion Care Fort Wayne LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mustaklem, Marwan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Reed, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ring, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 2640 Cold Spring Road, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alpha Home - A Waters Community Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Blisko Enterprises Limited Partnership Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Blisko, Michael Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brammer, Duane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brammer, Duane Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Dynes, Sheldon Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dynes, Sheldon Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Dynes, Sheldon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gubin Enterprises Limited Partnership Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mustaklem, Marwan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pidgeon, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pidgeon, John Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Pidgeon, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Reed, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ring, Brian Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Shore, Marion Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shore, Marion Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Strawberry Fields Reit Ltd Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Strawberry Fields Reit Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ware, Deborah Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Infinity Healthcare Consulting — 69 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Indiana.
No county cost figures on file for Marion.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Westpark A Waters Community Indianapolis | 1.5 mi | 2025-10-10 | 0200 |
| North Capitol Nursing & Rehabilitation Center Indianapolis | 2.3 mi | 2026-05-08 | 0240 |
| Evergreen Crossing And The Lofts Indianapolis | 3.8 mi | 2026-04-17 | 0321 |
| Northwest Manor Health Care Center Indianapolis | 3.8 mi | 2026-05-13 | 0151 |
| Envive Of Indianapolis Indianapolis | 4.2 mi | 2026-03-27 | 1483 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |