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Waters of Peru Skilled Nursing Facility, the

317 Blair Pike, Peru, IN 46970 · Miami County · (765) 473-4426

130 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 1972

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155039 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 27, 2025, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 16 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 3.40 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.

35.9% 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.

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 16 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
1E
0F
Potential for minimal harm
0A
0B
0C
June 27, 2025Standard inspection · 3 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2025
    Inspectors wroteBased on record review, observation and interview, the facility failed to ensure a resident who required thickened liquids was not given thin liquids for 1 of 1 residents reviewed for professional standards of care. (Resident 7)
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2025
    Inspectors wroteBased on observation and interview, the facility failed to properly label over the counter medications for 1 of 2 medication carts observed for medication storage. (Memory Care unit)
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a urinary drainage bag was positioned in a sanitary manner for 1 of 1 resident reviewed for urinary catheter. (Resident 7)
July 24, 2024Standard inspection · 10 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure physician ordered snacks were provided for 1 of 1 pantry areas observed and failed to ensure staff did not thumb the eating surface of dinner plates when serving in 1 of 2 dining rooms observed. This had the potential to affect all 34 residents who reside in the facility and who receive food from the kitchen.
  2. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide written bed hold information to the resident and/or patient representative upon transfer to a hospital for 1 of 3 residents reviewed for hospitalization (Resident 5).
  3. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review and interview, the facility failed to complete the resident Care Area Assessment in a timely manner for 1 of 13 residents reviewed for comprehensive assessments. (Resident 30)
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive person centered plan of care was created for a resident with behaviors (Resident 5) and for a resident receiving hospice care (Resident 24) for 2 of 17 residents reviewed for comprehensive care plans.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review an interview, the facility failed to revise and updat care plans for activities, residing on the memory care unit, an eye infection, a pressure ulcer, for 1 of 17 residents whose care plans were reviewed (Resident 18)
  6. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to implement an activities program that incorporated the resident's interest and hobbies for 1 of 3 resident reviewed for activities. (Resident 18)
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review and interview, the facility failed to properly use a mechanical lift for 1 of 1 resident reviewed for a facility reported incident, which resulted in a laceration to the scalp. (Resident 9)
  8. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide interventions to prevent significant weight loss for 1 of 3 residents reviewed for nutrition, and failed to provide adequate fluids for 1 of 2 residents reviewed for hydration. (Residents 24 & 18)
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow physician's orders for oxygen use, and store oxygen tubing appropriately for 1 of 2 residents reviewed for oxygen therapy. (Resident 24)
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff changes gloves and completed hand hygiene when providing peri care for 1 of 1 resident reviewed for peri care. (Resident 14)
August 25, 2023Standard inspection · 3 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to follow Physician orders for administration of a pain medication and the use of palm protectors and offloading boots for 2 of 19 residents whose physician orders were reviewed. (Resident 5 & 11)
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure oxygen concentrators were clean and free from dust for 2 of 2 residents who were reviewed for oxygen use. (Resident 11 & 13)
  3. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for 5 of 18 rooms toured and 1 of 2 lounge areas reviewed for environment, related to wainscoting falling off the wall, peeling paint, unpainted spackle in resident's rooms, and an unattached electrical outlet in lounge area. (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], Boulevard Unit)

Fire safety inspections

11 fire safety citations on file: 4 on June 27, 2025, 3 on July 24, 2024, 4 on August 25, 2023.

Every fire safety citation11 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 27, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · June 27, 2025 · Corrected (the home has a date of correction)
  3. E
    Provide properly protected cooking facilities.
    K 324 · June 27, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 27, 2025 · Corrected (the home has a date of correction)
  5. F
    Meet other general requirements that are deficient.
    K 300 · July 24, 2024 · Corrected (the home has a date of correction)
  6. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 24, 2024 · Corrected (the home has a date of correction)
  7. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 24, 2024 · Corrected (the home has a date of correction)
  8. E
    Meet other general requirements.
    K 100 · August 25, 2023 · Corrected (the home has a date of correction)
  9. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 25, 2023 · Corrected (the home has a date of correction)
  10. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 25, 2023 · Corrected (the home has a date of correction)
  11. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 25, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.403.693.86
Registered nurses0.750.670.69
All nursing staff on weekends2.973.253.42
Nurse aides1.80
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)35.9%45.9%45.8%
Registered nurse turnover33.3%40.3%42.9%
Administrators who left1

CMS expects 4.99 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 3.58 on weekdays and 2.97 on weekends, 17% 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 3.47 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.753.582.97 0.0%0 of 9046
Oct to Dec 20253.440.673.573.09 0.0%0 of 9246
Jul to Sep 20253.420.723.553.09 0.1%0 of 9246
Apr to Jun 20253.470.693.623.08 0.0%0 of 9142
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%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.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.211.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.13.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.11.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.311.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.43.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.013.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.810.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.41.8

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.

NameRoleTypeShareSince
Johnson Memorial Hospital5% or greater direct ownership interestOrganization100%03/01/2013
Coppernoll, DebraContracted managing employeeIndividual05/05/2018
Decola, RobertW-2 managing employeeIndividual02/16/2019
Berkhouse, StevenCorporate directorIndividual10/18/2021
Dunkle, DavidCorporate directorIndividual06/01/2019
Berkhouse, StevenCorporate officerIndividual10/18/2021
Dunkle, DavidCorporate officerIndividual06/01/2019
Miller's Health Systems IncOperational/managerial controlOrganization03/01/2013
The Waters of Peru Skilled Nursing Facility LLCOperational/managerial controlOrganization11/01/2022
Dunkle, DavidOperational/managerial controlIndividual06/01/2019

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on July 24, 2024: "Provide activities to meet all resident's needs."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 27, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 27, 2025: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 27, 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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Indiana average of 3.25.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Waters of Peru Skilled Nursing Facility, the's Medicare star rating?
CMS rates Waters of Peru Skilled Nursing Facility, the 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waters of Peru Skilled Nursing Facility, the get at its last inspection?
3 health deficiencies at the standard inspection on June 27, 2025. The Indiana average is 7.2.
Has Waters of Peru Skilled Nursing Facility, the been fined?
CMS lists no fines in the last three years.
Does Waters of Peru 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 Peru Skilled Nursing Facility, the?
CMS lists 10 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: JOHNSON MEMORIAL HOSPITAL.

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