Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Waters Of Rising Sun, The during CMS and state inspections, most recent first.
A resident with multiple health conditions experienced several falls due to the facility's failure to implement a care-planned intervention of placing non-skid strips on the floor. Despite the resident's care plan and facility policy requiring such measures, observations confirmed the absence of these strips, contributing to repeated falls.
A resident with limited mobility developed unstageable pressure ulcers on her elbow and thigh due to the facility's failure to identify and manage the wounds in a timely manner. The wounds, attributed to friction from a wheelchair, were not assessed until they had progressed significantly, despite the facility's policy on pressure injury prevention.
A resident with a history of UTIs experienced a delay in treatment due to late initiation of antibiotics, despite positive lab results for Escherichia coli and ESBL. The urine sample was collected and results were reported, but antibiotics were not started until eight days later, contrary to facility policy requiring prompt medication initiation.
The facility failed to follow physician's orders for medication administration parameters for two residents. One resident received midodrine despite blood pressure readings exceeding prescribed limits, while another received Metoprolol despite a heart rate below the specified threshold. The facility's medication administration policy was not adhered to, resulting in these deficiencies.
The facility failed to ensure proper use of hairnets in the kitchen, as observed with two dietary aides who had portions of their hair exposed while in food preparation and serving areas. Despite the facility's policy requiring full hair coverage, the aides were seen with uncovered hair during food-related activities.
The facility did not meet the required minimum square footage per resident in two rooms. One room measured 217 sq ft for three beds, providing 79.3 sq ft per resident, and another room measured 224 sq ft for three beds, providing 74.6 sq ft per resident. Despite this, residents had adequate space to move and store belongings. The Administrator confirmed the room sizes and expressed a desire to continue the room waiver.
Failure to Implement Fall Prevention Measures for a Resident
Penalty
Summary
The facility failed to ensure a care-planned fall intervention was in place for a resident who was reviewed for Quality of Care. The resident, who was cognitively intact and had diagnoses including anemia, cirrhosis, diabetes, hypotension, and hypertensive heart disease, experienced multiple falls. Despite a care plan intervention initiated on 12/06/24 to place non-skid strips on the floor beside the resident's bed, these strips were not present during observations on 01/02/25 and 01/09/25. The resident had experienced falls on 12/06/24, 12/13/24, and 01/05/25, with interventions such as placing fluorescent tape on the call light and ensuring the bed was in the lowest position being implemented, but the non-skid strips were not addressed. During interviews, a CNA indicated the resident had not had any recent falls that she was aware of, and noted the resident's reluctance to use a cane or non-skid socks. The Assistant Director of Nursing confirmed the absence of non-skid strips, acknowledging that they were supposed to be in place as per the care plan. The facility's policy on incidents, accidents, and falls required a site investigation and new care plan interventions for each fall, but the lack of non-skid strips suggests a failure to fully implement the planned interventions to prevent further falls.
Failure to Timely Identify and Manage Pressure Ulcers
Penalty
Summary
The facility failed to identify pressure ulcers in a timely manner for a resident, leading to the development of unstageable pressure ulcers. The resident, who had limited mobility in her right arm, reported having a wound on her right elbow and another on her right thigh, which were not covered and had defined edges. The resident indicated that the thigh wound was caused by rubbing against the wheelchair armrest. The facility's Assistant Director of Nursing (ADON) confirmed that the elbow wound was first observed on December 24, 2024, and was unstageable with necrotic tissue. The thigh wound was discovered later and was attributed to friction from the wheelchair. Interviews with staff revealed that the Certified Nurse Aides (CNAs) were responsible for reporting any skin integrity issues, but the wounds were not identified until they had progressed significantly. The ADON noted that the wounds should have been noticed before becoming unstageable, and the resident's care plan included interventions like a pressure redistribution mattress and a wheelchair cushion. However, the resident's Braden Scale score categorized her as low risk for pressure sores, which may have contributed to the oversight. The facility's policy on pressure injury prevention emphasized the importance of timely identification and intervention for at-risk residents. Despite this, the resident's wounds were not assessed and documented promptly, leading to their progression. The facility's failure to adhere to its guidelines and the lack of timely wound assessments contributed to the deficiency in care for the resident.
Delayed Treatment of UTI in Resident
Penalty
Summary
The facility failed to treat a resident for a urinary tract infection (UTI) in a timely manner. Resident B, who was severely cognitively impaired and had a history of UTIs, was not started on antibiotics until eight days after a urine sample tested positive for Escherichia coli and Extended-spectrum beta-lactamase (ESBL). The urine sample was collected on December 8th, received by the lab on December 9th, and the results were reported on December 13th. However, the resident was not started on an antibiotic until December 16th, despite the facility's policy that residents should be started on medication within six hours of receiving lab results. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) revealed that there were issues with the lab taking a long time to process the results, and there was a delay in contacting the doctor for orders. The ADON indicated that the resident should have been started on an antibiotic sooner, and the DON expressed that it was not best practice to wait so long to treat the resident. The facility's policy requires notifying the attending physician of any diagnostic test results outside normal parameters and obtaining orders promptly, which was not adhered to in this case.
Failure to Follow Medication Administration Parameters
Penalty
Summary
The facility failed to adhere to physician's orders regarding medication administration parameters for two residents. Resident 12, who was cognitively intact and diagnosed with conditions including anemia, cirrhosis, diabetes, hypotension, and hypertensive heart disease, was prescribed midodrine to be held if systolic blood pressure exceeded 130 or diastolic blood pressure exceeded 90. However, the medication was administered on multiple occasions when the resident's blood pressure readings were above these parameters, as documented in the Electronic Medication Administration Record (EMAR) for November and December 2024, and January 2025. An LPN confirmed that medication orders sometimes included parameters and that she would hold medication if vital signs were out of range, but this was not consistently followed in Resident 12's case. Similarly, Resident 29, who was moderately cognitively impaired and diagnosed with dementia, depression, and hypertension, was prescribed Metoprolol to be held if the heart rate was less than 60. Despite this, the medication was administered on several occasions when the resident's heart rate was below 60, as recorded in the EMAR for October, November, and December 2024. The facility's medication administration policy, which requires reviewing orders and following special instructions, was not adhered to, leading to the administration of medication against the specified parameters for both residents.
Improper Use of Hairnets in Kitchen
Penalty
Summary
The facility failed to adhere to appropriate guidelines regarding the use of hairnets in the kitchen, as observed during a survey. Specifically, two dietary aides were noted to have improperly worn hairnets, with portions of their hair exposed while in food preparation and serving areas. Dietary Aide 4 was observed on multiple occasions with three inches of her bangs uncovered by her hairnet, both while preparing food and while pushing a food cart. Similarly, Dietary Aide 5 was seen with two inches of hair around her face not covered by her hairnet. During an interview, Dietary Aide 4 acknowledged that hairnets should cover the entire head and all hair. The facility's Hair Restraints policy, dated 2017, mandates that staff wear hair restraints in all food preparation, dishwashing, and serving areas.
Deficiency in Room Size Requirements
Penalty
Summary
The facility failed to provide the required minimum square footage per resident in two of its rooms, leading to a deficiency. Specifically, room [ROOM NUMBER] in the Skilled Nursing Facility/Nursing Facility (SNF/NF) was measured at 217 square feet, accommodating three beds, which equates to 79.3 square feet per resident, falling short of the 80 square feet requirement. Similarly, room [ROOM NUMBER] was 224 square feet with a capacity for three beds, providing only 74.6 square feet per resident. Despite the deficiency, observations noted that each resident had adequate space to move and store belongings. The room sizes were confirmed by the Administrator, who indicated that these beds would only be used as a last option and expressed a desire to continue the room waiver.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Rising Sun
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Boonespring Transitional Care Center, Llc | 7.8 mi | — | 0 | 0 |
| Gallatin Nursing And Rehab | 11.4 mi | — | 3 | 0 |
| Waters Of Dillsboro-ross Manor, The | 11.7 mi | — | 11 | 0 |
| Ridgewood Health Campus | 11.8 mi | — | 0 | 0 |
| Envive Of Lawrenceburg | 12 mi | — | 15 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.