Waterford Place Health Campus
800 St. Joseph Dr, Kokomo, IN 46901 · Howard County · (765) 236-1239
103 certified beds, about 76 residents a day · Non profit - Other · Medicare and Medicaid since 2000
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155678 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 2, 2026, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 11 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 3.99 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
41.9% 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.
401/24
302/25
402/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
0F
Potential for minimal harm
0A
0B
0C
February 2, 2026Standard inspection · 4 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to ensure daily weights were obtained as ordered by the physician, admission weights were obtained in a timely matter, and the physician was notified according to the physician's order for 4 of 4 residents reviewed for quality of care. (Resident 3, 93, 10 and 94)
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to ensure a PASARR (Preadmission Screening and Resident Review) was completed when the resident had a new mental health diagnosis and was prescribed an antipsychotic medication for 1 of 3 residents reviewed for PASARR. (Resident 4)
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a catheter bag and tubing were maintained in a sanitary manner for 1 of 2 residents reviewed for catheters. (Resident 11)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection control practices were followed for 1 of 1 randomly observed resident reviewed for infection control. (Resident 11)
February 17, 2025Standard inspection, Complaint inspection · 3 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen was administered at the physician's ordered level and to obtain an order to administer oxygen for 4 of 4 residents reviewed for oxygen. (Resident 118, 51, 9 and 58)
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident rooms and hallways were maintained and kept in clean and sanitary condition for 3 of 8 rooms (room [ROOM NUMBER], 106 and 107) and 3 of 3 hallways (hallway 100, 200 and 300) reviewed for environment.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wrote2. The clinical record for Resident 54 was reviewed on 2/12/25 at 2:26 p.m. The diagnoses included, but were not limited to, dementia, psychotic disturbance, mood disturbance, and anxiety. A care plan, dated 11/29/23, indicated the resident had the potential for cardiovascular distress related to a diagnosis of hypertension. Interventions included, but were not limited to, administer medications as ordered and obtain vital signs as ordered. A physician's order, dated 10/24/24, indicated to give metoprolol tartrate (a medication used to treat high blood pressure) 12.5 milligrams (mg) twice a day with special instructions to hold the medication for a systolic blood pressure less than 110. A Medication Administration Record (MAR), dated 11/1/24 through 11/30/24, indicated metoprolol tartrate 12.5 mg was given with a recorded systolic blood pressure of less than 110 on the following dates: [...]
January 9, 2024Standard inspection · 4 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was documentation to show the resident or resident's representative made the choice about the Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) for 2 of 3 residents reviewed for beneficiary notification. (Resident 27 and 315)
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a cognitively impaired resident who resided on the memory care unit was provided with preferred activities while in isolation for Covid-19 for 1 of 4 residents reviewed for activities. (Resident 45)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to follow the physician's order to call the provider and complete a re-check for low blood sugars for 1 of 1 resident reviewed for quality of care related to insulin. (Resident 1)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to identify a weight loss, notify the physician, and implement interventions for 1 of 3 residents reviewed for nutrition. (Resident 12)
Fire safety inspections
26 fire safety citations on file: 7 on February 2, 2026, 11 on February 17, 2025, 8 on January 9, 2024.
Every fire safety citation26 citations
- F Have exits that are accessible at all times.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have properly located and lighted "Exit" signs.
- E Install an approved automatic sprinkler system.
- C Provide a written emergency evacuation plan.
- 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 Have simulated fire drills held at unexpected times.
- F Meet requirements for the installation and maintenance of electrical systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E Install proper backup exit lighting.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- D Conform to length requirements for dead end corridors.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install an approved automatic sprinkler system.
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) | 3.99 | 3.69 | 3.86 |
| Registered nurses | 0.80 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.57 | 3.25 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 41.9% | 45.9% | 45.8% |
| Registered nurse turnover | 9.1% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.79 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 4.16 on weekdays and 3.57 on weekends, 14% 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 3.86 in April to June 2025 to 3.99 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 | 3.99 | 0.80 | 4.16 | 3.57 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.30 | 0.82 | 4.49 | 3.82 | 0.0% | 0 of 92 | 71 |
| Jul to Sep 2025 | 4.04 | 0.62 | 4.24 | 3.52 | 0.0% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.86 | 0.63 | 4.07 | 3.32 | 0.0% | 0 of 91 | 77 |
| 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 | 5.0 | 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 | 0.9 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.7 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.4 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.4 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.4 | 1.8 |
Owners and operators
Legal business name: WITHAM MEMORIAL 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 |
|---|---|---|---|---|
| Witham Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 11/01/2014 |
| Lument Real Estate Capital LLC | 5% or greater mortgage interest | Organization | 01/01/2023 | |
| Bayston, Brett | Corporate director | Individual | 01/01/2023 | |
| Brand, John | Corporate director | Individual | 01/01/2015 | |
| Castetter, Andrea | Corporate director | Individual | 01/01/2023 | |
| Hawkins, Claude | Corporate director | Individual | 09/09/2013 | |
| Hornbecker, Michael | Corporate director | Individual | 01/01/2024 | |
| Reagan, Julie | Corporate director | Individual | 09/25/2024 | |
| Bardoczi, Stephen | Corporate officer | Individual | 09/03/2013 | |
| Braverman, Kelly | Corporate officer | Individual | 12/01/2021 | |
| Sellers, Daniel | Corporate officer | Individual | 06/20/2024 | |
| Trilogy Healthcare of Kokomo LLC | Operational/managerial control | Organization | 11/01/2014 | |
| Nieves, Alma | Operational/managerial control | Individual | 06/01/2025 | |
| Ravindra, Baikadi | Operational/managerial control | Individual | 07/15/2025 | |
| Barney, Leigh | Limited partnership interest | Individual | 12/01/2015 | |
| Davis, David | Limited partnership interest | Individual | 12/31/2019 | |
| American Healthcare Reit Holdings LP | Adp of the SNF | Organization | 12/01/2015 | |
| American Healthcare Reit Inc | Adp of the SNF | Organization | 10/01/2018 | |
| Continental Merger Sub LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Gahc3 Trilogy Jv LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Gahc4 Trilogy Jv LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Lument Real Estate Capital LLC | Adp of the SNF | Organization | 10/30/2025 | |
| Paragon Outpatient Rehabilitation Services LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Healthcare Master Tenant V, LLC | Adp of the SNF | Organization | 07/09/2025 | |
| Trilogy Investors LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Management Services LLC | Adp of the SNF | Organization | 07/09/2025 | |
| Trilogy Propco II Finance B, LLC | Adp of the SNF | Organization | 08/01/2000 | |
| Trilogy Propco II LLC | Adp of the SNF | Organization | 08/01/2000 | |
| Trilogy Property Holdings LLC | Adp of the SNF | Organization | 08/01/2000 | |
| Trilogy Real Estate Investment Trust | Adp of the SNF | Organization | 12/01/2015 | |
| Trilogy Real Estate Kokomo, LLC | Adp of the SNF | Organization | 08/01/2000 | |
| Trilogy Reit Holdings LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Nieves, Alma | Adp of the SNF | Individual | 07/09/2025 | |
| Ravindra, Baikadi | Adp of the SNF | Individual | 07/15/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on February 2, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 2, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 2, 2026: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on February 17, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- North Woods Village Kokomo, 0.3 mi · 4 of 5 stars · 13 citations
- Brickyard Healthcare -Sycamore Village Care Center Kokomo, 0.7 mi · 3 of 5 stars · 28 citations
- Wellbrooke of Kokomo Kokomo, 2.3 mi · 5 of 5 stars · 18 citations
- Kokomo Healthcare Center Kokomo, 3 mi · 4 of 5 stars · 14 citations
- Aperion Care Kokomo Kokomo, 3.8 mi · 1 of 5 stars · 33 citations
- Century Villa Health Care Greentown, 10.3 mi · 4 of 5 stars · 16 citations
- Aperion Care Peru Peru, 12.3 mi · 2 of 5 stars · 28 citations
- Waters of Tipton Skilled Nursing Facility, the Tipton, 16.7 mi · 1 of 5 stars · 46 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 Place Health Campus's Medicare star rating?
- CMS rates Waterford Place Health Campus 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waterford Place Health Campus get at its last inspection?
- 4 health deficiencies at the standard inspection on February 2, 2026. The Indiana average is 7.2.
- Has Waterford Place Health Campus been fined?
- CMS lists no fines in the last three years.
- Does Waterford Place Health Campus 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 Place Health Campus?
- CMS lists 34 owners and managers, and links the home to Trilogy Health Services. Legal business name: WITHAM MEMORIAL 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.