Waters of Fort Wayne Skilled Nursing Facility, the
5544 E State Blvd, Fort Wayne, IN 46815 · Allen County · (260) 749-9506
77 certified beds, about 49 residents a day · For profit - Corporation · Medicare and Medicaid since 1988
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155321 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2025, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 18 health citations since August 2023 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 3.59 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
59.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Infinity Healthcare Consulting, an affiliated group of 70 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.
308/23
109/23
102/24
204/24
209/24
407/25
311/25
202/26
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 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
4E
0F
Potential for minimal harm
0A
0B
0C
February 10, 2026Complaint inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased 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).
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased 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).
November 12, 2025Complaint inspection · 3 citations
- 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 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).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased 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).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased 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).
July 2, 2025Standard inspection · 4 citations
- E 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 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)
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased 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)
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review the tacitly failed to ensure a resident maintained their weight for 1 of 4 residents reviewed. (Resident 2).
September 4, 2024Standard inspection · 2 citations
- 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 physician orders regarding weight monitoring for 2 of 16 residents reviewed (Resident 10 and Resident 6).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to monitor side effects of antipsychotic medication for 1 of 5 residents reviewed. (Resident 20).
April 19, 2024Complaint inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased 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).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased 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).
February 6, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from abuse for 1 of 3 residents reviewed. (Residents B).
September 27, 2023Complaint inspection · 1 citation
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased 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).
August 16, 2023Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased 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.
- D 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.
Inspectors wroteBased on interview and record review the facility failed to ensure communication of code status for 1 of 3 residents reviewed. (Resident 37)
Fire safety inspections
30 fire safety citations on file: 5 on June 17, 2026, 6 on July 2, 2025, 15 on September 4, 2024, 4 on August 16, 2023.
Every fire safety citation30 citations
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E 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.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide properly protected cooking facilities.
- E Install a fire alarm system that can be heard throughout the facility.
- E Ensure proper usage of power strips and extension cords.
- F Conduct testing and exercise requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Conform to length requirements for dead end corridors.
- E Have properly located and lighted "Exit" signs.
- E Provide properly protected cooking facilities.
- E Construct fire resistant interior walls.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- C Implement emergency and standby power systems.
- C To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Establish staff and initial training requirements.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have proper medical gas storage and administration areas.
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) | 3.59 | 3.69 | 3.86 |
| Registered nurses | 0.47 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.25 | 3.42 |
| Nurse aides | 1.93 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 59.5% | 45.9% | 45.8% |
| Registered nurse turnover | 33.3% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.10 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 3.70 on weekdays and 3.32 on weekends, 10% 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 3.77 in April to June 2025 to 3.59 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 | 3.59 | 0.47 | 3.70 | 3.32 | 0.0% | 0 of 90 | 49 |
| Oct to Dec 2025 | 4.47 | 0.87 | 4.65 | 4.02 | 0.0% | 0 of 92 | 37 |
| Jul to Sep 2025 | 3.98 | 0.69 | 4.13 | 3.59 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.77 | 0.56 | 3.93 | 3.36 | 0.0% | 0 of 91 | 41 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Indiana
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Indiana, all employers | |||
| CNAs (nursing assistants) | $18.43 | $17.80 to $21.36 | 33,640 |
| LPNs and LVNs | $31.60 | $29.35 to $35.30 | 14,480 |
| Registered nurses | $40.14 | $37.86 to $48.28 | 68,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 13.7 | 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 | 0.8 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 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 | 15.1 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.7 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.0 | 10.8 | 12.0 |
Owners and operators
Legal business name: JOHNSON MEMORIAL HOSPITAL. CMS links this home to Infinity Healthcare Consulting, a group of 70 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Johnson Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 03/01/2013 |
| Duggan, Amanda | Contracted managing employee | Individual | 06/16/2016 | |
| Decola, Robert | W-2 managing employee | Individual | 02/16/2019 | |
| Berkhouse, Steven | Corporate director | Individual | 10/18/2021 | |
| Dunkle, David | Corporate director | Individual | 03/01/2019 | |
| Berkhouse, Steven | Corporate officer | Individual | 10/18/2021 | |
| Dunkle, David | Corporate officer | Individual | 06/01/2019 | |
| The Waters of Fort Wayne Skilled Nursing Facility LLC | Operational/managerial control | Organization | 11/01/2022 | |
| Dunkle, David | Operational/managerial control | Individual | 03/01/2019 |
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 8 problems in this area, most recently on November 12, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 10, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 2, 2025: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 2, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Chateau Rehabilitation and Healthcare Center Fort Wayne, 0.5 mi · 1 of 5 stars · 37 citations
- Celebrate Senior Living of Fort Wayne Fort Wayne, 1.4 mi · 3 of 5 stars · 14 citations
- Heritage Park Fort Wayne, 1.5 mi · 5 of 5 stars · 7 citations
- Byron Health Center Fort Wayne, 1.8 mi · 1 of 5 stars · 15 citations
- Golden Years Homestead Fort Wayne, 1.8 mi · 3 of 5 stars · 21 citations
- Saint Anne Home Fort Wayne, 2.1 mi · 4 of 5 stars · 6 citations
- Canterbury Nursing and Rehabilitation Center Fort Wayne, 2.8 mi · 5 of 5 stars · 10 citations
- Bethlehem Woods Nursing and Rehabilitation Fort Wayne, 2.9 mi · 5 of 5 stars · 4 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 Waters of Fort Wayne Skilled Nursing Facility, the's Medicare star rating?
- CMS rates Waters of Fort Wayne Skilled Nursing Facility, the 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waters of Fort Wayne Skilled Nursing Facility, the get at its last inspection?
- 4 health deficiencies at the standard inspection on July 2, 2025. The Indiana average is 7.2.
- Has Waters of Fort Wayne Skilled Nursing Facility, the been fined?
- CMS lists no fines in the last three years.
- Does Waters of Fort Wayne Skilled Nursing Facility, the 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 Waters of Fort Wayne Skilled Nursing Facility, the?
- CMS lists 9 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: JOHNSON 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.