Waters of Greencastle has a 3-star overall rating, with weaker health inspection and staffing scores at 2 stars each, but a 5-star quality measures rating. Reported nurse staffing is 3.23 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months.
Last inspection: December 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2289.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.62
Nurse aides
2.22
Weekend nursing
2.95
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.2%Steady
Residents with a fall causing major injury
5.3%Improving
Residents with pressure ulcers (bedsores)
6.9%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
1.7%Worsening
Residents whose ability to walk got worse
7.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
23.1%Improving
Residents with depressive symptoms
39.3%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.6%Improving
Short-stay residents given the seasonal flu vaccine
97.3%Steady
Short-stay residents given the pneumonia vaccine
96.4%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make sure residents fully understood their health status, care, and treatments. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 552 — 42 CFR §483.10 — S/S: E
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited December 2025 — isolated incident, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 9 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 3 health deficiencies.
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Operator & ownership
Ownership
Government - Hospital district
Chain
Part of INFINITY HEALTHCARE CONSULTING · 70 homes · 2 stars avg
Occupancy
71.3 residents on an average day (71% of 100 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.