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Waters Of Fort Wayne Skilled Nursing Facility, The

5544 E State Blvd, Fort Wayne, IN 46815 · For profit - Corporation · 77 certified beds · (260) 749-9506 Medicare & Medicaid certified

Call the home — (260) 749-9506 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Feb 2024Behavioral-health or dementia-care citation — no harm found (F0744)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Feb 2024
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (60%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Urgent care / clinic
6505 E State Blvd · (260) 425-4960 · Call to confirm hours
Pharmacy
6279 E State Blvd · (260) 492-0951 · Call to confirm hours
Grocery
Kroger0.6 mi
6310 E State Blvd · (260) 749-5102 · Call to confirm hours
Park
Walden Park · Typically dawn to dusk
Place of worship
5927 E State Blvd · (260) 485-6112

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.7%11.0%15.4%better
Long-stay residents who lose too much weight13.5%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.8%1.1%2.0%better
Long-stay residents with depressive symptoms44.6%25.2%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.2%3.9%3.3%typical
Long-stay residents whose ability to walk worsened15.1%11.9%16.1%typical
Long-stay residents on antianxiety or hypnotic medication17.3%23.5%18.9%typical
Long-stay residents given the seasonal flu vaccine90.2%95.4%95.3%typical
Long-stay residents with pressure ulcers4.5%3.6%4.7%typical
Long-stay residents with worsening bladder/bowel control29.9%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table13.4%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine69.0%79.0%79.4%worse
Short-stay residents rehospitalized after admission22.7%22.2%22.6%typical
Short-stay residents with an outpatient ER visit14.0%10.8%12.0%worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

53.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.9%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
24.0%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 24.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.34 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF53.9%CMS range 39.3–64.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 7.4–15.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge24.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge32.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge28.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay3.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 3.3–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.821.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.47
RN hours/ resident / day
1.19
LPN hours/ resident / day
1.93
Aide hours/ resident / day
3.59
Total nurse hours/ resident / day
0.32
RN hoursweekends
59.5%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 77 beds and averages 48.5 residents a day — about 63% occupied, or roughly 28 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 3.32 hrs/resident/day on weekends vs 3.70 on weekdays — 10% thinner on weekends. RN hours go from 0.53 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 1 administrator has left in the past year.

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

4
deficiencies at the latest standard inspection (2025-07-02)
2
at the previous standard inspection (2024-09-04)

Deficiencies are more than at the previous inspection — worsening. 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.

ABCDEFGHIJKL

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.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · D2026-02-10 · tag F0550 — failed to protect resident dignity and rights — isolated
    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

    Based on interview and record review, the facility failed to ensure residents were treated with respect and dignity during verbal interactions for 2 of 4 residents reviewed for resident rights (Resident O and Resident P). Findings include:A report, dated 1/17/26, alleged a Certified Nurse Aid (CNA) spoke harshly to residents, was mean, and loud. It was alleged the CNA yelled and screamed in the hallways and used curse words when speaking with Resident O. 1. On 2/10/26 at 10:09 A.M., Resident O, identified as interviewable, was interviewed in her room. She indicated CNA 6 had repeatedly come to her room and barked out orders at her. The resident indicated CNA 6 yelled at her and would tell her to get up, get dressed, go to the bathroom and go down to eat. CNA 6 always spoke to her in a raised voice, with a harsh tone, and attitude. At times, the resident alleged, CNA 6 would curse at her and her roommate and could be heard cursing out in the hallway. She indicated she had reported CNA 6 to the charge nurse and had told CNA 6 not to come into her room again. When asked, she indicated…

    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 · D2026-02-10 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 a written notice with appeal rights and discharge planning was provided prior to an involuntary discharge for 1 of 3 residents reviewed for discharge (Resident L). Findings include:A report, dated 1/23/26, indicated Resident L was going to be discharged involuntarily. The resident required assistance with his activities of daily living (ADL's) and nursing care for assessment of unstable conditions and frequent hospitalizations. On 2/9/26 at 12:39 p.m., Resident L's record was reviewed. Diagnoses included persistent atrial fibrillation (abnormal heart rhythm), diabetes, and need for personal assistance. An admission Minimum Data Set Assessment (MDS), dated [DATE], indicated Resident L had no cognitive impairment. He was dependent on staff for toileting hygiene and putting on/off footwear. He required maximum assistance with showering, lower body dressing, and personal hygiene. Moderate assistance was required for upper body dressing, and bed…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2025-11-12 · 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

    Based on interview and record review, the facility failed to ensure physician orders for anticoagulant (blood thinning) medications were administered and blood test monitoring completed as ordered by the physician for 1 of 3 residents reviewed with anticoagulant therapy (Resident C).Findings include:A report, dated 11/7/25, alleged Resident C had not received Coumadin (blood thinner) as ordered by the physician. This resulted in the resident having fluctuating lab results.On 11/10/25 at 1:04 P.M., Resident C's record was reviewed. Diagnoses included dementia, heart failure, and prosthetic heart valve.A care plan, revised on 7/29/23, indicated Resident C was at risk for abnormal bleeding due to use of anticoagulants (blood thinner). The goal was for his PT/INR blood tests (clotting ability of blood) to remain within therapeutic range (INR between 2.0-3.0). Interventions included monitoring labs/blood tests as ordered, report critical results to physician immediately, and administer medication as ordered at the same time daily.A physician order, dated 5/24/25, indicated to give…

    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 before2025-11-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 thoroughly assess injuries following falls, determine root cause of falls, and develop effective interventions to prevent further falls from occurring for 1 of 3 residents reviewed for accidents (Resident H).Findings include:On 11/10/25 at 10:45 A.M., Resident H was observed seated at a table in the lounge, across from the nurse's station. She sat up straight in a Broda chair with her head down on the table. There was no pillow in the chair with her. Staff were across the hall at the nurses station. -At 12:16 P.M., Resident H was observed sitting up when her tray was placed in front of her. Resident H had a red scab across the bridge of her nose and purple/red bruising around her right eye. There was no pillow in the chair with the resident. Staff were walking by in the hall.-At 1:30 P.M., Resident H was seated upright in the Broda chair, in front of a table in the lounge area, with her head down on the table. There was no pillow in the chair with the resident. There were no staff in the area.On 11/12/25 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-12 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 complete and accurate documentation related to falls, hospice services, and anticoagulant therapy for 2 of 4 residents reviewed (Resident H and Resident C).Findings include:1. On 11/10/25 at 12:16 P.M., Resident H was observed with purple/red bruising around her right eye and a red scab across the bridge of her nose. Resident H's record was reviewed on 11/10/25 at 3:08 P.M. Diagnoses included Alzheimer's dementia. The resident was receiving hospice services for end-stage dementia.A care plan indicated Resident H had the potential for falls due to confusion and extensive history of falls. Interventions, revised on 6/26/25, included not leaving the resident unattended in common areas or in her room. A new intervention, dated 11/9/25, was to tilt back Resident H's Broda chair while up.A change in condition form, dated 11/9/25 at 8:00 a.m., indicated Resident H had fallen from her Broda chair. Her nose had been bleeding but was able to be stopped with applied pressure. Neurological (Neuro) checks were…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-02 · tag F0761 — failed to label and store drugs safely — pattern
    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 labeled with opened dates. For 1 of 2 medications carts observed. (Resident 2, Resident 10, Resident 9, Resident 3, Resident 1, and Resident 7) Findings include:, During an observation, on 6/27/25 at 1:30PM, on 200 hall medication cart with Registered Nurse 4 (RN) and Assistant Director of Nursing (ADON), the following was observed: At 1:33 PM in the top-drawer, Resident 2's Albuterol AER HFA had no open date. At 1:35 PM in the top drawer, Resident 10's Breo Ellipta INH 100-25 mcg was dated 5/21/25 with 0 puffs left. At 1:36 PM in the top drawer, Resident 9's Breo Ellipta INH 100-25 mcg was dated 5/21/25 with 1 puff left. In an interview, on 6/27/25 at 1:37 PM, the ADON indicated she thought inhalers are good for 30 days. The ADON was observed to be adding open dates to medications that had been pulled out of cart with no dates. During an observation on 6/27/25 at 1:39 PM, in the 3rd drawer down the middle, there 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-07-02 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 temperature logs for cooked foods, refrigerators, freezers, and the dishwasher throughout the month of June 2025. 38 of 39 residents residing in the facility ate food prepared in the facility kitchen. Findings include: During an observation, on 6/27/25 at 9:10AM, there was incomplete documentation on the food temperature logs and 2 of 3 refrigerators, no logs for 1 of 3 refrigerators, and no temperature monitoring logs for the freezer and the dishwasher. The food temperature logs were missing the following information: Food temperature logs were dated June 1, 2025, through June 10, 2025. There were no logs available for June 11, 2025-June 27, 2025, for any of the three meals served. In an interview, on 6/27/25 at 9:12AM, [NAME] 9 indicated the only temp logs for the refrigerators, freezers, and dishwasher were the ones on the manager's desk. [NAME] 9 indicated the food temp logs should have been on the desk as well. In an interview, on 6/27/25 at 1:36PM, the Regional Dietary Manager indicated there…

    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 · D2025-07-02 · 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

    Based on observation, interviews, and record review the facility failed to ensure facial hair was trimmed for 2 of 2 residents reviewed. (Resident 2 and Resident 11) Findings include: 1)During an observation, on 06/27/25 at 10:10 AM, Resident 2 had 3 chin hairs over an inch long, greyish white in color. During an observation, on 06/30/25 at 11:44 AM, Resident 2 had not been shaved and the chin hairs were still seen. During an observation, on 7/1/25 at 8:38 AM, Resident 2 had not been shaved and the chin hairs were still seen. Resident 2's record review, on 6/30/25 at 1:16PM, indicated diagnoses included macular degeneration, osteoporosis, and weakness. Resident 2's care plan had a focus on Activities of Daily Living (ADL) need for assistance. An intervention was Resident 2 would have all ADLs met by staff. In the care plan under skin at risk for breakdown an intervention was that her skin would be monitored daily during care. The care plan did not specifically address female facial hair. 2) During an observation. on 06/27/25 at 10:09 AM, Resident 11 had a full beard on her chin…

    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 · D2025-07-02 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the tacitly failed to ensure a resident maintained their weight for 1 of 4 residents reviewed. (Resident 2). Findings include: Resident 2's record review was on 06/30/25 at 08:48 AM. Resident 2's diagnoses included Anxiety, osteoarthritis, depression, glaucoma, anemia, cataracts, macular degeneration, neuropathy, and pacemaker. Resident 2's height was 5 ft 5 inches. Resident 2's weights were as follows December 141 January 2025 130 February 2025 130 March 2025 125 April 2025 123.4 May 2025 124 June 2025 123 a 6 month loss of 12.77% Nurtition at Risk notes indicated the facility had Resident 2 on weight monitoring and Nutrition at Risk between January 10, 2025 through March 18, 2025 because she had a wound. In March, the facility stopped Nutrition at risk because the note indicated there was no change in monthly weights between February and January therefore weights were stabilized. Resident 2's physician orders showed an order for Boost twice a day started on 2/28/25. Resident 2's weight on 7/1/25 was 121.5 lbs. Resident 2 lost a…

    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 before2024-09-04 · 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

    Based on interview and record review, the facility failed to follow physician orders regarding weight monitoring for 2 of 16 residents reviewed (Resident 10 and Resident 6). Findings include: 1) Resident 10's record was reviewed 8/29/24 at 12:28 PM. Her diagnoses included cellulitis of left lower limb, diabetes, speech difficulties, dementia, acquired absence of left toes, acquired absence of right great toe, and heart failure. Resident 10's MDS (Minimum Data Set) Section C -Cognitive Patterns indicated a score on the Brief Interview of Mental Status (BIMS ) of 10. A score of 10 indicated moderate cognitive decline. Resident 10's current care plan indicated a focus on nutrition with a goal of not having signs or symptoms of dehydration through next review. An intervention was monitoring weights and intakes dated 7/1/2021. Resident 10's physician orders, dated 5/20/22, included an order specific for heart failure; to obtian a daily weight after voiding and before breakfast/medications with same clothes each day. The order indicated to notify the doctor any of 2 lb weight gain within…

    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
Show the remaining 8 citations
  • Potential for harm · D2024-09-04 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to monitor side effects of antipsychotic medication for 1 of 5 residents reviewed. (Resident 20). Findings include: A Record review began on 8/29/2024 at 12:30 PM. Resident 20's diagnosis included, unspecified dementia, bipolar disorder and anxiety. A review of the physician orders indicated to give a medication of Abilify (aripiprazole) tablet 5 milligrams (mg), 5 mg by mouth one time a day for bipolar disorder with a start date of 5/21/2024. There were no physician orders to monitor side effects for this medication. A review of care plans indicated the following: A focus dated 6/23/2024, indicated Resident 20 had depression related to bipolar depression, anxiety and had orders for psychotropic medications to treat mental illness. The interventions dated 6/23/2024 indicated to administered medications as ordered, monitor for adverse side effects and effectiveness A review of the Medication Administration Record (MAR ), dated August 2024, indicated Resident 20 received the medication Abilify tablet 5 mg, one time a day each…

    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 · Dcited before2024-04-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure identification, assessment and follow up for acute changes in resident's condition following 2 falls for 1 resident reviewed (Resident B). Findings include: On 4/18/24 at 10:38 A.M., Resident B's record was reviewed. Diagnoses included congestive heart failure, dementia, diabetes, and repeated falls. The resident had recently been hospitalized following a fall resulting in fractured ribs and large hemothorax (condition where blood collects in the space between the lungs and rib cage usually as a result of injury/trauma to the chest). A hospital note, dated 3/31/24 at 11:51 a.m. by a hospital trauma doctor, indicated the resident had been sent to the hospital from the nursing home due to shortness of breath and concern for acute medical problem. Initially, there had been no report of history/mechanism of trauma however, trauma staff were concerned when the resident was found to have fractured ribs and large hemothorax which required insertion of a chest tube to drain the blood. The resident had a small area of…

    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 · D2024-04-19 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    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 triggers were identified and resident specific approaches initiated in providing trauma informed care for 1 of 1 resident reviewed (Resident C). Findings include: On 4/18/24 at 2:15 P.M., Resident C was interviewed. She was observed sitting in a wheelchair covered by several blankets with only her head and hands visible. She indicated she was tired of talking about her issues with the facility staff and felt helpless. She indicated she'd had some trauma with abuse in her past and was very modest. She hadn't wanted staff to completely uncover her when assisting her with personal care and dressing which she alleged, staff did often on the first shift. She alleged an incident had occurred on 4/10/24 where 2 CNA's (Certified Nurse Aide) had come into her room to assist her up from bed. The CNA's threw back her covers and removed her gown, exposing her. She told them to cover her up but alleged the CNA's just laughed at her and told her it wasn't a big deal and they were all girls. Resident C indicated 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 residents were free from abuse for 1 of 3 residents reviewed. (Residents B). Findings include: 1. An Indiana report, dated 1/16/24, provided by the facility indicated a staff member had spoken to Resident B in inappropriate words and tone. Resident B's record was reviewed on 2/6/24 at 10:05 AM. Diagnoses included cognitive communication deficit, assault by unspecified means, contracture right knee, contracture left knee, generalized muscle weakness, and other reduced mobility. Resident B's current quarterly Minimum Data Set (MDS), dated [DATE], indicated their Basic Interview for Mental Status (BIMS) score was 14 (cognitively intact). The MDS indicated Resident B had adequate hearing and does not wear hearing aids. The MDS indicated the resident understood others and made himself understood. The MDS indicated the resident used a wheelchair, required supervision to light touch assistance to transfer from a chair/bed, and required partial to…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-27 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    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 develop and implement individualized interventions for dementia care to support psychosocial well-being and address aggressive behaviors for 2 of 3 residents reviewed (Resident B and Resident C). Findings include: 1. On 9/26/23 at 11:49 A.M., Resident B's family member was interviewed. They indicated several concerns with the resident's care and condition including multiple falls, bruising, lack of activities, multiple medication changes, swelling in legs, and an alleged physical altercation with another resident who had been aggressive towards her. They believed the facility thought Resident B had been the aggressor, but the other resident had been the one to strike her. The family member indicated they had offered suggestions to the facility on how to care for the resident, including information about her favorite activities and likes/dislikes, but believed the facility hadn't tried to incorporate any of these suggestions into her plan of care. When family visited, the resident was alleged to usually be…

    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 · Ecited before2023-08-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observations, and interview, the facility failed to ensure kitchen sanitation was maintained for 40 of 41 residents who resided at the facility and ate their meals prepared in the kitchen. Findings included: On 8/10/2023 at 9:06 AM an observation of kitchen with [NAME] 2 was completed. The steam table had a white residue located on the lids. The steamer had a white residue coming down from the bottom of the door. Behind the steam table, the panel on the wall had multiple brown specks all over. The panel was coming down off the wall, behind the panel could be observed. In front of the coffee machine there were sticky brown substances all over. The oven toaster had build up layers of black flaky particles on top and inside. The oven had discolored particles located on the front. The stove had burnt layers, black substances located all over and food particles inside of the burner. During an interview at that time, [NAME] 2 indicated she was the only employee in the kitchen on 8/10/23. They had about 40 residents to eat out of the kitchen, and she would prep for everyone.…

    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 · E2023-08-16 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a process was in place to identify and correct quality deficiencies for 41 of 41 residents currently residing in the facility. Findings include: A QAPI (Quality Assurance Performance Improvement) committee list was provided by the Administrator on 08/14/23 at 10:00 AM. The member list included the Administrator, Director of Nursing, Infection Preventionist, Medical Director, Business Office Manager, Maintenance, Activities, Dietary, Pharmacy, and Medical Records. There was no policy and procedure provided prior to exit regarding QAPI. In an interview on 08/16/23 at 10:51 AM the Administrator indicated the QA committee met monthly. Issues in the facility were tracked and trended through the committee monthly. She indicated the QAPI process was utilized to improve processes within the facility. The facility had a schedule of processes to review each month to ensure improvement of operations. The Administrator indicated the performance improvement plan for Advanced Directives had begun 08/14/23. The facility annual…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-16 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor 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.
    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 communication of code status for 1 of 3 residents reviewed. (Resident 37) Findings include: Resident 37's record review, began on [DATE] at 1:55PM, diagnoses included Alzheimer's disease, epilepsy, and weakness. Resident 37 had an active order of full code (to have Cardiopulmonary Resuscitation) dated [DATE]. The current quarterly comprehensive assessment indicated a BIMS (Brief Interview Mental Status) score of 99. The score of 99 indicated severe cognitive impairment. Resident 37's comprehensive care plan indicated she was a full code. Resident 37's face sheet indicated she was a full code. During an interview on [DATE] at 7:13 AM RN 6 indicated she relied on information from shift change report and electronic medical record to include: face sheet, orders, and care plan to provide person centered care to residents. During an interview, on [DATE] at 9:32 AM, the DON (Director of Nursing) indicated resident should have an order and care plan…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

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 →

RatingThis homeChain avg
Overall 3 of 52.0+1.0 vs chain
Health inspection 3 of 52.1+0.9 vs chain
Staffing 2 of 51.5+0.5 vs chain
Quality measures 4 of 53.7+0.3 vs chain
The other 68 homes this chain runs (chain average 2.0★, per CMS)
1 of 5Alpha Home - A Waters CommunityIndianapolis, IN 1 of 5Belhaven Nursing & Rehab CenterChicago, IL 1 of 5Continental Nursing & Rehab CenterChicago, IL 1 of 5Heritage Place Care & Rehabilitation LLCWinchester, TN 1 of 5Hope Creek Nursing & RehabEast Moline, IL 1 of 5Landmark Of Richton Park Rehab & Nsg CtrRichton Park, IL 1 of 5Landmark at 95th Rehabilitation and Nursing CenterChicago, IL 1 of 5Landmark of Hyde Park Rehabilitation and Nursing CChicago, IL 1 of 5Landmark of Itasca Rehabilitation and Nursing CentItasca, IL 1 of 5Landmark of Lincoln Park Rehabilitation and NursinChicago, IL 1 of 5Landmark of Oak Lawn Rehabilitation and Nursing CeOak Lawn, IL 1 of 5Momence Meadows Nursing & RehabMomence, IL 1 of 5Parker Nursing & Rehab CenterStreator, IL 1 of 5The Waters Of Smyrna, LLCSmyrna, TN 1 of 5The Waters Of Springfield LLCSpringfield, TN 1 of 5Waters Of Clifty Falls, TheMadison, IN 1 of 5Waters Of Covington, TheCovington, IN 1 of 5Waters Of Dillsboro-Ross Manor, TheDillsboro, IN 1 of 5Waters Of Georgetown, TheGeorgetown, IN 1 of 5Waters Of Hobart Skilled Nursing Facility, TheHobart, IN 1 of 5Waters Of Lebanon, TheLebanon, IN 1 of 5Waters Of Martinsville, TheMartinsville, IN 1 of 5Waters Of Memphis A Rehabilitation & Nursing CtrMemphis, TN 1 of 5Waters Of Princeton, ThePrinceton, IN 1 of 5Waters Of Rockport Skilled Nursing Facility, TheRockport, IN 1 of 5Waters Of Scottsburg, TheScottsburg, IN 1 of 5Waters Of Sullivan Nursing Facility, TheSullivan, IN 1 of 5Waters Of Syracuse Skilled Nursing Facility, TheSyracuse, IN 1 of 5Waters Of Tipton Skilled Nursing Facility, TheTipton, IN 1 of 5Waters Of Wabash Skilled Nursing Facility East TheWabash, IN 1 of 5Waters Of Wakarusa Skilled Nursing Facility, TheWakarusa, IN 1 of 5Westpark A Waters CommunityIndianapolis, IN 2 of 5Ambassador Nursing & Rehab CenterChicago, IL 2 of 5Midway Neurological / Rehab CenterBridgeview, IL 2 of 5The Waters Of Cheatham, LLCAshland City, TN 2 of 5The Waters Of GallatinGallatin, TN 2 of 5The Waters Of Johnson City, LLCJohnson City, TN 2 of 5Waters Of Batesville, TheBatesville, IN 2 of 5Waters Of Castleton Skilled Nursing Facility, TheIndianapolis, IN 2 of 5Waters Of Dunkirk Skilled Nursing Facility, TheDunkirk, IN

Showing 40 of 68; lowest-rated first.

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

Owner / managerTypeRoleShareSince
JOHNSON MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 03/01/2013
DUGGAN, AMANDAIndividualCONTRACTED MANAGING EMPLOYEEsince 06/16/2016
DECOLA, ROBERTIndividualW-2 MANAGING EMPLOYEEsince 02/16/2019
BERKHOUSE, STEVENIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 10/18/2021
DUNKLE, DAVIDIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 03/01/2019
THE WATERS OF FORT WAYNE SKILLED NURSING FACILITY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 11/01/2022

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.

$5.3M
Net patient revenuemost recent cost report
-3.6%
Operating marginrevenue minus expenses
$438K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 80%Medicare 1%Other / private 18%

About 80% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $438K 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

$366per resident / day
operating cost
$11,115per month
≈ monthly operating cost
$353per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155321. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-02, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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