Waters Of Columbia City Skilled Nursing Facility

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 84 beds and averages 41.2 residents a day — about 49% occupied, or roughly 43 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.09 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.16 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.75 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.73 hrs/resident/day on weekends vs 3.23 on weekdays — 16% thinner on weekends. RN hours go from 1.26 to 0.91 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-02-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure respiratory status was effectively assessed after a medication error for 1 of 3 residents reviewed for change of condition. See F760 for additional information regarding Resident Q. This deficient practice resulted in a change in the resident's condition and subsequent death (Resident Q). The Immediate Jeopardy began on 2/16/24 when Resident Q was administered MS Contin 30 mg (extended-release morphine tablet) (an opioid pain medication) that was not prescribed for her. The facility failed to adequately assess and monitor the resident for respiratory depression after identifying the medication error. This resulted in a change of condition and death of the resident. The Administrator, Director of Nursing and Regional Nurse Consultant were notified of the Immediate Jeopardy on February 21, 2024 at 12:48 P.M. The Immediate Jeopardy was removed on February 22, 2024. Findings include: A complaint reported to the Indiana Department of Health dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-02-22 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure Resident Q did not receive an opioid medication that was ordered for another resident and failed to ensure Resident Q was effectively monitored for signs and symptoms of adverse reaction for 1 of 3 residents reviewed for significant medication errors. This deficient practice resulted in Resident Q becoming unresponsive and the resident expired (Resident Q). The Immediate Jeopardy began on [DATE] when Resident Q was administered a MS Contin 30 mg (extended release morphine) (an opioid medication for pain) tablet not prescribed for her. The facility failed to adequately assess and monitor the resident's condition after identifying the medication error. This resulted in a change of condition and death of the resident. The Administrator, Director of Nursing and Regional Nurse Consultant were notified of the Immediate Jeopardy on February 21, 2024 at 12:48 P.M. The Immediate Jeopardy was removed on February 22, 2024. Findings include: A report to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-12-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to maintain safe food distribution, the storage, monitoring, and sanitation of tableware for 45 of 45 residents residing in the facility who eat meals prepared in the kitchen. Findings include:During an observation, on 12/7/2025 at 9:45 AM, the dishwasher rinse cycle, the thermometer indicated the temperature was 173 degrees Fahrenheit (F). The Dietary Manager was notified, and the dishes were run through the dishwashing cycle a second time with a rinse temperature of 172 degrees F, and 175 degrees F for a third cycle. The Dietary Manager indicated staff would use the three-sink sanitizer until the dishwasher was fixed.On 12/7/2025 at 10:02 AM, Dietary Aid 12 picked up a bowl off the floor, placed it in the dirty dishes area, then touched sanitized dishes without hand hygiene.During a continuous observation, on 12/7/2025 at 11:56 AM-12:15 PM, Dietary Aid 12 leaned her forearms on the clean work surface where meal trays were placed and assembled for meals. After Dietary Aid 12 stood up, she rested her bent elbow…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-12 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure dignity was provided during meal service for 6 of 14 residents seated together in the main dining room (Resident 49, Resident 3, Resident 31, Resident 1, and Resident 36).Findings include:During a continuous observation of dining service in the main dining room, between 12/07/2025 11:37 AM and 12:43 PM, 3 staff members passed drinks to residents seated in the dining room and then left the room. 14 residents were present in the dining room. On 12/07/2025 11:52 AM Resident 1 began yelling asking for her lunch and requesting more to drink.On 12/07/2025 12:03 PM Resident 3 began yelling, calling for staff to wipe Resident 36's face. No staff were in the room to respond.On 12/07/2025 12:07 PM Resident 1 yelled several times requesting her lunch and then requesting to return to her room, indicating she was bored.On 12/07/2025 12:08 PM, Resident 3 responded to Resident 1 verbally, indicating she should just deal with it because all of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to follow physician orders for 1 of 12 residents reviewed. (Resident 37) Findings include:A record review for Resident 37 began on 12/8/25 at 2:20 PM. Diagnoses included coronary artery disease, atrial fibrillation, chronic heart failure with mildly reduced ejection fraction measuring 41-49%, enlarged heart, high blood pressure, progressive neurological conditions, dementia, psychotic disorder, metabolic encephalopathy, and asthma. A review of Resident 37's current quarterly, MDS, dated [DATE], indicated their BIMS (Basic Interview for Mental Status) score was 5 (cognitively impaired).A review of physician orders, dated 9/22/25 at 3:15 PM, indicated to give Bumex 2 mg, every 24 hours as needed for weight gain of 2-3 pounds, shortness of breath, and or edema. A review of physician orders, dated 9/23/25 at 7:15 AM, indicated daily weights were to be completed, recorded, and an additional Bumex administered if needed. A review of the Medication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure oxygen orders were in place for 1 of 2 residents reviewed (Resident 47).Findings include:During an observation on 12/07/2025 10:25 AM, Resident 47 was lying in bed with a nasal cannula in place with an oxygen concentrator running at a rate of 4 liters per minute. In an interview on 12/07/2025 10:25 AM, Resident 47 indicated she had been using oxygen for a long time, for long term respiratory illnesses. Resident 47's record was reviewed on 12/7/2025 10:26 AM. Diagnoses included chronic respiratory failure with hypoxia, chronic diastolic heart failure, and chronic obstructive pulmonary disease. A review of Resident 47's current admission Minimum Data Set assessment (MDS), dated [DATE], included a Basic Interview for Mental Status (BIMS) score of 15 (cognitively intact). Current physician orders did not include any orders for administration of oxygen. A progress note, dated 12/5/2025 at 1:19 AM, indicated Resident 47 received oxygen…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-12 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were secured in the medication cart for 3 of 22 residents reviewed (Resident 53, Resident 40, and Resident 7).Findings include:In an observation on 12/10/2025 9:59 AM the medication cart, positioned next to the conference room, was unlocked with 3 cups of pills on top of the medication cart. Each cup contained several pills. No staff were present in the hallway or in the vicinity of the cart. Residents were present in the hallway and in the nearby dining room. In an interview, on 12/10/2025 at 10:01 AM, Registered Nurse (RN) 5 indicated she should not have left pills unattended on top of the cart. She indicated the cups of medication belonged to Resident 53, Resident 40, and Resident 7. She indicated she should prepare medicine for each resident individually, but had to prepare more than one at a time because at 10:00 AM the medications would be considered late. She indicated she felt rushed in the mornings because she…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary food storage practices for facility prepared leftovers. Food prepared in the facility kitchen was consumed by 27 of 27 residents who lived in the facility. Findings include: On 10/16/24 at 9:05 AM, a tour of the kitchen was guided by the [NAME] 7. Five plastic containers were observed on the counter next to the sink. The dates on the containers ranged from 10/9/24 through 10/12/24. During an interview, on10/16/24 at 9:07 AM, [NAME] 7 indicated the containers held leftovers that were going to be thrown away. [NAME] 7 indicated they were unaware of how long leftovers should be kept, but thought leftovers should be thrown away after about 1 week. On 10/18/24 at 11:35 AM, a tour of the kitchen was guided by the Certified Dietary Manager in training (CDM 8). A pan covered with clear plastic wrap containing approximately 3 servings of meatloaf was observed in a walk-in cooler. The pan of meatloaf was dated 10/13/24. A half full, 1-gallon sized plastic container, labeled as meat sauce, was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure safe and comfortable temperatures between 71 and 81 degrees were maintained in resident areas for 4 of 27 residents reviewed (Resident 4, Resident 11, Resident 14 and Resident 128). Findings include: During an observationon, on 10/16/24 at 9:08 AM, the ambietn temperature of the building felt cold. During an interview, on 10/16/24 at 9:10 AM, the Administrator indicated she understood the building was cold and a Heating Ventilation and Air Conditioning (HVAC) technician was scheduled to come to the facility the following day to activate the boiler heating system. During an interview on 10/16/24 at 11:40 AM, Resident 4 indicated they were very cold. She was able to answer questions appropriately. 1) During an observation, on 10/16/24 at 11:42 AM, Resident 4 was observed transferring from a wheelchair to a recliner. Resident 4 sat in the wheelchair and covered up with a blanket. Resident 4 had been rubbing their hands together. At…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-21 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure hand hygiene was correctly performed and blood glucose monitors were properly cleaned during care for 4 of 8 residents reviewed (Resident 11, Resident 13, Resident 14, and Resident 128). Findings include: 1) During a medication pass observation, beginning 10/18/24 at 8:44 AM, Licensed Practical Nurse (LPN) 6 prepared medications for Resident 128, handed her the cup of medications and water and received the items back from the resident when she was finished. LPN 6 then washed her hands, scrubbing them for 9 seconds. Resident 128's record was reviewed on 10/18/24 at 11:24 AM. Diagnoses included cerebral infarction, emphysema and hydronephrosis with urethral stricture. A current Minimum Data Set (MDS) was not available for review due to Resident 128's recent admission to the facility. A Document titled Brief Interview for Mental Status (BIMS) dated 10/17/24, provided by the Director of Nursing on 10/18/24 at 12:48 PM indicated Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure personal hygiene of fingernails was met for 1 of 6 residents reviewed (Resident 22). Findings include: On 1017/24 at 2:40 PM, Resident 22's fingernails were observed to be long and uneven. A dark brown substance was observed under Resident 22's fingernails. In an interview on 10/17/24 at 2:53 PM, Resident 22 indicated they had a rash on their perianal area. Resident 22 indicated it was difficult for them to cleanse the area themself. Resident 22 indicated the staff had repeatedly failed to cleanse their perianal region adequately. Resident 22 indicated the staff had never offered to assist with them with trimming their fingernails. On 10/18/24 at 12:02 PM, Resident 22 was observed in the hallway ambulating with their walker. Resident 22's fingernails were long and uneven. There was a dark brown substance under Resident 22's fingernails. Resident 22's record was reviewed on 10/18/24 at 12:50 PM. Diagnoses included diabetes, heart…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-21 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure safe storage of treatment supplies for 1 of 27 residents reviewed (Resident 11). Findings include: During an observation, on 10/16/24 at 10:57 AM, a bottle of wound cleanser, a tube of medi-honey (medical grade honey used for skin ulcer treatment), nystatin powder (medicated powder for treatment of fungal infections of the skin, Calmoseptine cream (a medicated skin protectant cream) and an open bag of cough drops. During an interview, on 10/16/24 at 10:58 AM, Resident 11 indicated these items were normally kept in the room to make it easier for the staff, so they didn't have to go to the desk to get them. During an observation, on 10/16/24 at 11:12 AM, treatment supplies were observed on top of a table in the bathroom about 2 feet from the toilet including nystatin powder, medi-honey and Preparation H cream. During an interview, on 10/16/24 at 11:14 AM, Qualified Medicine Aide (QMA) 2 indicated should not be stored in the bathroom.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$60,590 in federal fines across 1 penalty.

• $60,590 — penalty dated 2024-02-22

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to INFINITY HEALTHCARE CONSULTING — 69 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $396K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN