Waterford Crossing
1332 Waterford Cir, Goshen, IN 46526 · Elkhart County · (574) 534-3920
87 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 2006
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155760 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 23, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 12 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.44 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.16 of those hours.
27.4% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
March 23, 2026Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interview, the facility failed to keep documentation of the facilities infection control surveillance records. This deficient practice had the potential to affect 73 of the 73 residents who resided in the facility.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to provide pneumococcal immunizations for 2 of 5 residents whose immunizations were reviewed. (Residents 39 & 40)
December 18, 2024Standard inspection · 5 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review, the facility failed to honor a resident's shower preference for 1 of 1 resident reviewed for choices. (Resident 13)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to ensure a care plan for vision needs was in place for 1 of 2 residents reviewed for communication and sensory needs. (Resident 8)
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 1 of 7 nursing staff administering medications maintained professional standards of quality. (QMA 4)
- D 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure over the counter medications were labeled appropriately for 1 of 2 medication storage carts. (300 hall- back medication cart).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to follow infection control practices regarding enhanced barrier precautions for 1 of 1 resident reviewed for dialysis care. (Resident 13)
January 29, 2024Standard inspection · 5 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteDuring observation, interview, and record review, the facility failed to develop and implement a personalized care plan for 1 of 22 residents whose care plans were reviewed. (Resident 49)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and observation, the facility failed to provide treatment for a skin tear and dry skin for 1 of 3 residents reviewed for non-pressure related skin conditions. (Resident 43)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wrote3. During observations on 1/22/204 at 9:38 A.M., 1/23/2024 at 10:44 A.M., and 1/24/2024 at 3:12 P.M., Resident 50's CPAP (continuous positive airway pressure) mask was observed lying on the bedside table, and a gallon of distilled water was on the floor undated. A record review was completed on 1/25/2024 at 10:26 A.M. Diagnoses included, but were not limited to: pulmonary fibrosis, sleep apnea, and unspecified dementia. A Quarterly Minimum Data Set (MDS) assessment, dated 12/13/2023, indicated Resident 50 had a non-invasive mechanical ventilation device. A Physician's Order, dated 5/11/2022, indicated to wear the CPAP at night and as need during the day. A Care Plan, dated 5/26/2022, indicated Resident 50 had the potential for complications of functional and cognitive status decline related to respiratory disease, due to pulmonary fibrosis and sleep apnea with the use of a CPAP. [...]
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a Physician reviewed a Medication Regimen Review (MRR) provided by the Pharmacist following a monthly MRR, for 1 out of 5 residants selected for unnecessary medication review. (Resident 225)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure 1 of 4 nursing staff (QMA 4) administering medications followed infection control policies regarding hand washing.
Fire safety inspections
10 fire safety citations on file: 4 on March 23, 2026, 4 on December 18, 2024, 2 on January 29, 2024.
Every fire safety citation10 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- F Have proper medical gas storage and administration areas.
- E Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- E Install a fire alarm system that can be heard throughout the facility.
- E Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.44 | 3.69 | 3.86 |
| Registered nurses | 1.16 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.80 | 3.25 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 27.4% | 45.9% | 45.8% |
| Registered nurse turnover | 16.7% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.71 on weekdays and 3.80 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.25 in April to June 2025 to 4.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.44 | 1.16 | 4.71 | 3.80 | 0.0% | 0 of 90 | 73 |
| Oct to Dec 2025 | 4.33 | 1.13 | 4.54 | 3.81 | 0.0% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.30 | 1.06 | 4.49 | 3.81 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.25 | 1.00 | 4.50 | 3.62 | 0.0% | 0 of 91 | 74 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.7 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.1 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.7 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.4 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.4 | 1.8 |
Owners and operators
Legal business name: HANCOCK REGIONAL HOSPITAL. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hancock Regional Hospital | 5% or greater direct ownership interest | Organization | 100% | 05/01/2015 |
| Trilogy Healthcare of Goshen, LLC | Operational/managerial control | Organization | 05/01/2015 | |
| Long, Steven | Operational/managerial control | Individual | 06/13/2022 | |
| Offerle, Andrew | Operational/managerial control | Individual | 04/15/2025 | |
| Plantinga, Judy | Operational/managerial control | Individual | 05/01/2023 | |
| Barney, Leigh | Limited partnership interest | Individual | 12/01/2015 | |
| Davis, David | Limited partnership interest | Individual | 12/31/2019 | |
| Bond, Maria | Trustee of the SNF | Individual | 07/01/2021 | |
| Clark, Timothy | Trustee of the SNF | Individual | 05/01/2015 | |
| Daugherty, Joshua | Trustee of the SNF | Individual | 01/01/2020 | |
| Felker, Dean | Trustee of the SNF | Individual | 05/01/2015 | |
| Joyner, Sara | Trustee of the SNF | Individual | 01/01/2022 | |
| Willard, Lacey | Trustee of the SNF | Individual | 07/01/2022 | |
| Wilson, Roy | Trustee of the SNF | Individual | 05/15/2015 | |
| Trilogy Healthcare Holdings Inc | Adp of the SNF | Organization | 07/24/2025 | |
| Offerle, Andrew | Adp of the SNF | Individual | 04/15/2025 | |
| Plantinga, Judy | Adp of the SNF | Individual | 05/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on March 23, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 18, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 18, 2024: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 29, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Other nursing homes nearby
- Greencroft Healthcare Goshen, 1.2 mi · 2 of 5 stars · 38 citations
- Majestic Care of Goshen Goshen, 1.8 mi · 1 of 5 stars · 84 citations
- Restoracy of Goshen, the Goshen, 2.8 mi · 4 of 5 stars · 29 citations
- Waters of Syracuse Skilled Nursing Facility, the Syracuse, 9.6 mi · 1 of 5 stars · 34 citations
- Waters of Wakarusa Skilled Nursing Facility, the Wakarusa, 10.8 mi · 1 of 5 stars · 32 citations
- Elkhart Meadows Elkhart, 11.1 mi · 5 of 5 stars · 6 citations
- Valley View Healthcare Center Elkhart, 11.1 mi · 1 of 5 stars · 48 citations
- Brickyard Healthcare - Elkhart Care Center Elkhart, 11.7 mi · 1 of 5 stars · 39 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Waterford Crossing's Medicare star rating?
- CMS rates Waterford Crossing 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waterford Crossing get at its last inspection?
- 2 health deficiencies at the standard inspection on March 23, 2026. The Indiana average is 7.2.
- Has Waterford Crossing been fined?
- CMS lists no fines in the last three years.
- Does Waterford Crossing accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Waterford Crossing?
- CMS lists 17 owners and managers, and links the home to Trilogy Health Services. Legal business name: HANCOCK REGIONAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.