Waters of Middletown Skilled Nursing Facility, the
981 Beechwood Ave, Middletown, IN 47356 · Henry County · (765) 354-2278
60 certified beds, about 27 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155573 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 29, 2026, inspectors cited 2 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 18 health citations since September 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 3.65 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
52.8% 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.
409/23
210/23
404/24
612/24
201/26
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
15D
2E
1F
Potential for minimal harm
0A
0B
0C
January 29, 2026Standard inspection · 2 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 wroteBased on observation, interview and record review, the facility failed to ensure a comprehensive plan of care was completed to address limited range of motion for 1 of 1 resident reviewed. (Resident 26)
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview and record review, the facility failed to ensure behaviors were accurately recorded and managed for 1 of 3 residents reviewed (Resident B).
December 9, 2024Standard inspection, Complaint inspection · 6 citations
- F 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 ensure food items were closed to air and contaminants, expired food was disposed of timely, and label food containers with the date opened and discard dates with the potential to affect 19 of 19 residents residing at the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control was maintained during medication administrations by not utilizing hand hygiene, glove usage, and touching pill medication with bare hands for 5 of 5 residents reviewed for medication administrations. (Residents' 8, 11, 12, D, and 19)
- 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 a resident was treated with dignity and respect for 1 of 1 resident reviewed for dignity. (Resident 11)
- 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 orthostatic blood pressures were properly obtained and to obtain blood pressure and pulse, as ordered by the physician, prior to administering medication for 1 of 1 resident reviewed for death and 1 of 1 resident reviewed for behaviors. (Resident 17 and Resident 20)
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to timely inform the physician of changes in a resident's pain for 1 of 2 residents reviewed for pain. (Resident 13)
- D 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 a homelike environment with residents' rooms that were not in good repair for 3 of 20 residents' rooms observed. (Residents' F, C and B)
April 26, 2024Complaint inspection · 4 citations
- E Post nurse staffing information every day.
Inspectors wroteBased on observation, interview and record review, the facility failed to post the facility's nursing staffing for five (5) consecutive dates. This deficient practice has the potential to adversely affect all residents.
- 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 protect the resident's right to be free from verbal and physical abuse of a staff member towards a resident for 1 of 3 residents reviewed for abuse. (Resident D, CNA 6)
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview and record review, the facility failed to implement policies and procedures protecting the resident's right to be free from verbal and physical abuse of a staff member towards a resident for 1 of 3 residents reviewed for abuse. (Resident D, CNA 6)
- D Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure adequate nursing staff coverage for the long-term care portion of the facility, as well as for the secured dementia care unit of the facility for 1 of 1 night shift and for the 17 residents of the long-term care portion of the building and for 7 residents of the facility's secured dementia care unit of the facility.
October 12, 2023Complaint inspection · 2 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an odor-free room environment for 1 of 3 residents reviewed for a home-like and clean environment. (Resident B)
- 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 observation, interview and record review, the facility failed to develop a care plan for 1 of 3 residents reviewed for incontinence care related to urinating in inappropriate locations of the facility. (Resident B)
September 1, 2023Standard inspection · 4 citations
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a foley catheter drainage bag was covered, to provide dignity, for a resident with a foley catheter for 1 of 1 residents reviewed for catheters. (Resident 75)
- 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 assess and document bruising on a cognitively impaired resident for 1 of 2 residents reviewed. (Resident 74)
- 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 resident had a physician's order for a foley catheter for 1 of 1 residents reviewed for foley catheter use. (Resident 75)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure oxygen tubing was dated for 1 of 1 residents reviewed for oxygen therapy. (Resident 7)
Fire safety inspections
18 fire safety citations on file: 8 on January 29, 2026, 4 on December 9, 2024, 6 on September 1, 2023.
Every fire safety citation18 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- 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.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet other general requirements that are deficient.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- D 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.
- E Provide properly protected cooking facilities.
- D Meet other general requirements.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed electrical wiring and gas equipment.
- E Meet requirements for the installation and maintenance of electrical 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) | 3.65 | 3.69 | 3.86 |
| Registered nurses | 0.34 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.25 | 3.42 |
| Nurse aides | 2.08 | ||
| Licensed practical nurses | 1.23 | ||
| Nursing staff turnover (share who left in a year) | 52.8% | 45.9% | 45.8% |
| Registered nurse turnover | not reported | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.83 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 3.77 on weekdays and 3.36 on weekends, 11% 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 3.76 in April to June 2025 to 3.65 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 | 3.65 | 0.34 | 3.77 | 3.36 | 0.0% | 0 of 90 | 27 |
| Oct to Dec 2025 | 3.84 | 0.45 | 3.96 | 3.54 | 0.1% | 0 of 92 | 27 |
| Jul to Sep 2025 | 3.81 | 0.37 | 3.95 | 3.43 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.76 | 0.44 | 3.99 | 3.18 | 0.0% | 0 of 91 | 27 |
| 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 | 0.0 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 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 | 0.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.9 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.8 | 13.6 | 15.4 |
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 |
| Jackman, Sarah | Contracted managing employee | Individual | 07/01/2021 | |
| 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 Middletown 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 7 problems in this area, most recently on January 29, 2026: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
- 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 December 9, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 29, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 26, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Other nursing homes nearby
- Middletown Nursing and Rehabilitation Center Middletown, 0.7 mi · 4 of 5 stars · 9 citations
- Waters of Chesterfield Skilled Nursing Facility Chesterfield, 4.6 mi · 4 of 5 stars · 14 citations
- Envive of Anderson Anderson, 7.3 mi · 2 of 5 stars · 18 citations
- Bethany Pointe Health Campus Anderson, 7.5 mi · 4 of 5 stars · 13 citations
- Countryside Manor Health & Living Community Anderson, 7.7 mi · 5 of 5 stars · 14 citations
- Yorktown Manor Yorktown, 8.4 mi · 4 of 5 stars · 15 citations
- Beaumont Rehabilitation and Healthcare Center Anderson, 9.2 mi · 2 of 5 stars · 41 citations
- Edgewater Woods Anderson, 9.3 mi · 4 of 5 stars · 14 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 Middletown Skilled Nursing Facility, the's Medicare star rating?
- CMS rates Waters of Middletown Skilled Nursing Facility, the 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Waters of Middletown Skilled Nursing Facility, the get at its last inspection?
- 2 health deficiencies at the standard inspection on January 29, 2026. The Indiana average is 7.2.
- Has Waters of Middletown Skilled Nursing Facility, the been fined?
- CMS lists no fines in the last three years.
- Does Waters of Middletown 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 Middletown 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.