505 W Wolfe St., Sullivan, IN 47882 · Sullivan County · (812) 268-6361
93 certified beds, about 47 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155262 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 1, 2025, inspectors cited 15 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 37 health citations since May 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 3.39 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
32.6% 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.
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.
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 37 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure facial hair was covered with beard restraints in the kitchen area for 6 of 6 observations of the kitchen; the facility failed to ensure food met the minimal holding temperature for 1 of 1 test trays reviewed; and the facility failed to ensure the hall tray food delivery carts were maintained clean and free of dried debris for 2 or 2 food carts reviewed. These concerns had the potential to affect 47 of 48 residents who eat food served from the kitchen.
Inspectors wroteBased on interview and record review, the facility failed to ensure the likes and dislikes of meal choices were indicated on the resident's record for 1 of 1 residents reviewed for meal food preferences (Resident B).
Inspectors wroteBased on record review and interview, the facility failed to administer insulin as ordered by the physician and failed to receive physician orders to hold insulin for low blood sugars for 1 of 3 residents reviewed for quality of care (Resident B).
Inspectors wroteBased on interview and record review, the facility had failed to ensure enough nursing staff to provide resident care while covering laundry services since the end of October. This deficient practice had the potential to affect 48 of 48 residents who resided in the facility.
Inspectors wroteBased on record review and interview, the Administrator failed to manage the facility in a manner that provided quality of life related to bug infestation, lack of available direct care staff, and a safe living condition of the facility environment. This deficient practice had the potential to affect 48 of 48 residents who resided in the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to control a gnat infestation of multiple areas throughout the facility for 4 of 4 residents reviewed for environment (Residents E, G, H, and J). This deficient practice had the potential to affect 48 of 48 residents who resided in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide meals that were palatable during 2 of 2 mealtime observations. This deficient practice had the potential to affect 52 of 52 residents receiving food served from the kitchen.
Inspectors wroteA. Based on observation, interview, and record review, the facility failed to ensure a male cook with a full beard was wearing a beard restraint during food preparation and that the high temperature dish machine reached the proper temperature for the rinse cycle for 1 of 2 kitchen observations. This deficient practice had the potential to affect 52 of 52 residents receiving food served from the kitchen. B. Based on observation, interview, and record review, the facility failed to ensure proper handling of food during 1 of 1 lunchtime hall tray observations.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident's call light was kept within reach for 1 of 24 residents reviewed for call lights (Resident 7).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure prompt response regarding resident council grievances for 3 of 3 resident council meetings reviewed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's representative was notified of a new order for 1 of 4 resident representative interviews (Resident 7).
Inspectors wroteBased on record review and interview, the facility failed to ensure an Advance Beneficiary Notice (ABN) (written notice to inform a Medicare beneficiary when they can expect Medicare to deny payment for services) form as required for 2 of 3 residents reviewed for beneficiary notices (Residents 62 and 19).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff immediately reported an abuse allegation to the Administrator for 1 of 1 reportable incidents reviewed (Resident 23).
Inspectors wroteBased on record review and interview, the facility failed to ensure a Minimum Data Set (MDS) assessment had been coded correctly for 1 of 19 resident MDS assessments reviewed (Resident 46).
Inspectors wroteBased on interview and record review the facility failed to ensure residents were invited to attend quarterly care plan meetings for 2 of 3 residents reviewed for care plan meetings (Residents 19 and 8), and failed to ensure code status care plans were consistent with the resident's advanced directive for 1 of 19 residents' care plans reviewed (Resident 7).
Inspectors wroteBased on record review and interview, the facility failed to ensure urinary tract infections (UTIs) were treated in a timely manner after receiving urinary culture results for 2 of 2 residents reviewed for UTI (Residents 3 and 7).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper storage of respiratory equipment for 2 of 3 reviewed for respiratory care (Residents 51 & 46).
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's dialysis (medical treatment that helps remove waste products and excess fluid from the blood when a person's kidneys are not functioning properly) access site was accurately assessed for 1 of 1 residents reviewed for dialysis (Resident 42).
Inspectors wroteBased on record review and interview, the facility failed to ensure behavior monitoring was completed for 1 of 5 residents reviewed for unnecessary medications (Resident 22).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication was labeled properly for 1 of 2 medication storage rooms reviewed for medication storage.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the required staff hours posting was posted for Saturday, Sunday, and Monday during 1 of 5 staff posting observations.
Inspectors wroteBased on record review and interview, the facility failed to ensure medications were obtained and administered in a timely manner after a resident was admitted to the facility for 1 of 3 residents reviewed for pharmaceutical services (Resident D).
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure food was served at a safe and appetizing temperature for 3 of 3 resident's reviewed for dietary services (Residents C, B, and G).
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to discard expired items, failed to maintain completed temperature logs, failed to maintain and monitor sanitizer concentration levels, failed to label and date food items that were received without a manufacturer's expiration date, and failed to store food at a minimum of six inches from the floor for 1 of 2 kitchen observations.
Inspectors wroteBased on interview and record review, the facility failed to ensure care plan meetings were conducted quarterly for 2 of 24 residents reviewed for care plan meetings (Residents 19 and 30).
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure that a physician was notified of a resident's change in condition related to edema for 1 of 1 resident's reviewed (Resident 46).
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was supervised while administering her medications for 1 of 1 residents reviewed for accidents (Resident 104).
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure respiratory equipment was stored in a plastic bag, and failed to ensure a physician order for continuous positive airway pressure (CPAP) settings was obtained for 1 of 1 resident reviewed for respiratory (Resident 22).
Inspectors wroteBased on record review and interview, the facility failed to ensure physician documentation to justify a declination of a pharmacy recommendation for 1 of 5 residents reviewed for unnecessary medications (Resident 8).
Inspectors wroteBased on record review and interview, the facility failed to ensure physician ordered lab tests had been completed for 1 of 5 residents reviewed for unnecessary medications (Resident 42).
Inspectors wroteBased on observation, record review, and interview the facility failed to maintain infection prevention measures during meal service administration for 2 of 2 meal service observations, failed to maintain infection prevention measures for 2 of 2 residents observed during medication administration (Residents 16 and 49), and failed to ensure staff washed hands for at least 20 seconds for 3 of 3 random observations of staff hand hygiene.
Inspectors wroteBased on interview and record review, the facility failed to ensure the representative of the Office of the State Long-Term Care Ombudsman was notified of the hospital transfer and/or discharge for 1 of 3 residents reviewed for hospitalization (Residents 39).
Inspectors wroteBased on observation, record review, and interview the facility failed to revise a care plan for 1 of 12 residents reviewed for care plans (Resident 26).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a suprapubic urinary catheter (a type of indwelling catheter inserted directly into the bladder) drainage bag was prevented from contact with the floor for 1of 2 residents reviewed for urinary catheter/urinary tract infection (Resident 8).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's supplemental oxygen concentrator machine was turned on, the oxygen tubing connected to the machine and resident was dated, and the portable supplemental oxygen tubing was not outdated for 1 of 1 resident reviewed for respiratory care (Resident 21).
Inspectors wroteBased on record review and interview, the facility failed to monitor side effects/behaviors and failed to develop a care plan for the use of anti-psychotic medication (medication primarily used to manage psychosis) for 1 of 5 residents reviewed for unnecessary medications (Resident 14).
Inspectors wroteBased on record review and interview, the facility failed to ensure the pharmacy recommendation was addressed by a physician and the facility failed to ensure the physician's responses to pharmacy recommendations were implemented for 2 of 5 residents reviewed for unnecessary psychotropic medications (Residents 21 and 6).
7 fire safety citations on file: 4 on August 1, 2025, 1 on June 21, 2024, 2 on May 12, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.39 | 3.69 | 3.86 |
| Registered nurses | 0.60 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.99 | 3.25 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 32.6% | 45.9% | 45.8% |
| Registered nurse turnover | 50.0% | 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.
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 3.56 on weekdays and 2.99 on weekends, 16% 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 3.31 in April to June 2025 to 3.39 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 | 3.39 | 0.60 | 3.56 | 2.99 | 0.0% | 0 of 90 | 47 |
| Oct to Dec 2025 | 3.31 | 0.53 | 3.43 | 3.02 | 0.0% | 0 of 92 | 46 |
| Jul to Sep 2025 | 3.28 | 0.46 | 3.39 | 3.00 | 0.0% | 3 of 92 | 48 |
| Apr to Jun 2025 | 3.31 | 0.55 | 3.42 | 3.03 | 0.1% | 0 of 91 | 48 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 11.7 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 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 | 16.4 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.1 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.6 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 10.8 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Waters of Sullivan Nursing Facility, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
64.2% this home
Better than the national rate
US median of homes 51.5% · Indiana: 111 better, 7 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 46 eligible stays.
10.8% this home
No different from the national rate
US median of homes 10.7% · Indiana: 0 better, 17 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 57 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Indiana: 0 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.
16.1% this home
Median of homes: Indiana60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
2.2% this home
Median of homes: Indiana0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 46 residents counted.
2.4% this home
Median of homes: Indiana1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 46 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Indiana100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
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 |
| Abbott, Alexa | Contracted managing employee | Individual | 06/01/2021 | |
| 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 | 03/01/2019 | |
| Miller's Health Systems Inc | Operational/managerial control | Organization | 03/01/2013 | |
| The Waters of Sullivan Nursing Facility LLC | Operational/managerial control | Organization | 11/01/2022 | |
| Berkhouse, Steven | Operational/managerial control | Individual | 10/18/2021 | |
| 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.
Chosen from this home's own inspection record.
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