Waters Of Lebanon, The - 2-Star Rehab Facility in Lebanon, IN | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 17.89%Falls causing major injury 3.42%Pressure ulcers (high-risk) 1.87%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jul 2025 (314 days ago)β Overall
2/5
β
β
βββ
π Health Inspection
2/5
β
β
βββ
π©ββοΈ Staffing
2/5
β
β
βββ
π Quality Measures
3/5
β
β
β
ββ
Private Pay
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 40 min Β· US avg: 41 min
Total Nurse / Resident / Day
3h 15m
State avg: 3h 43m Β· US avg: 3h 53m
3 min
State avg: 4 min Β· US avg: 4 min
51 per 100
State avg: 47 per 100 Β· US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Total Nurse Weekend
1h 47m
Federal Penalties
No federal penalties in the past 3 years.
β
No penalty records on file
Inspection Citations
Survey: July 31, 2025(3 citations)
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: September 12, 2024(21 citations)
π‘ Potential for HarmResident Rights Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmNutrition and Dietary Deficiencies
π‘ Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: March 7, 2024(3 citations)
π‘ Potential for HarmResident Rights DeficienciesComplaint
π‘ Potential for HarmResident Rights DeficienciesComplaint
π‘ Potential for HarmResident Rights DeficienciesComplaint
Survey: July 14, 2023(39 citations)
π‘ Potential for HarmResident Rights Deficiencies
π‘ Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
Survey: April 14, 2023(6 citations)
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmEnvironmental DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmEnvironmental DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
+ 1 more survey(s) not shown in snapshot
N/A
State avg: 22.4 Β· US avg: 23.9
N/A
State avg: 10.5 Β· US avg: 12.0
3.4 per 100
State avg: 3.8 Β· US avg: 3.3
1.9 per 100
State avg: 4.1 Β· US avg: 5.1
13.9 per 100
State avg: 1.3 Β· US avg: 1.6
N/A
State avg: 79.0 Β· US avg: 79.7
Rates shown per 100 patients Β· Green = better than average Β· Amber = average Β· Red = below average
VBP Performance Score
31/100
Incentive Payment
-1.37% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
41.1 days
Avg Payment / Stay
$18,477.86
Patient Complexity
2.39 Γ avg
Avg LOS 15-30 days is typical for short-term rehab Β· Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
π‘ Potential for Harm
Quality of Life and Care Deficiencies
Complaint
π‘ Potential for HarmResident Rights Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmNutrition and Dietary Deficiencies
π‘ Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmResident Rights Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmNutrition and Dietary Deficiencies
π‘ Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmQuality of Life and Care DeficienciesComplaint
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmNutrition and Dietary Deficiencies
π‘ Potential for HarmInfection Control Deficiencies
π‘ Potential for HarmEnvironmental DeficienciesComplaint
π‘ Potential for HarmResident Rights Deficiencies
π‘ Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmNutrition and Dietary Deficiencies
π‘ Potential for HarmInfection Control Deficiencies
π‘ Potential for HarmEnvironmental DeficienciesComplaint
π‘ Potential for HarmResident Rights Deficiencies
π‘ Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmQuality of Life and Care Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmPharmacy Service Deficiencies
π‘ Potential for HarmNutrition and Dietary Deficiencies
π‘ Potential for HarmInfection Control Deficiencies
π‘ Potential for HarmEnvironmental DeficienciesComplaint
π‘ Potential for Harm
Environmental Deficiencies
Complaint
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