300 Fairgrounds Rd, Tipton, IN 46072 · Tipton County · (765) 675-8791
150 certified beds, about 93 residents a day · For profit - Individual · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155556 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 26, 2026, inspectors cited 12 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 46 health citations since October 2023, 6 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $20,494 in the last three years; the largest was $10,247, and the latest is dated March 26, 2026.
Nurses and nurse aides worked 3.46 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
36.8% 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.
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 46 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was transferred according to her plan of care, was free from an injury of unknown origin, and the investigation into the injury contained complete documentation for 1 of 2 residents reviewed for accidents. (Resident B) This deficient practice resulted in Resident B receiving a mildly impacted and displaced fracture of the proximal right humerus (the ball-shaped upper portion of the arm bone which forms the shoulder joint).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure neurological assessments were completed and documented after an unwitnessed fall for 1 of 2 residents reviewed for quality of care. (Resident B)
Inspectors wroteBased on interview and record review, the facility failed to ensure the privacy and confidentiality of a resident's medical record was maintained for 1 of 3 residents reviewed for resident rights. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were administered the correct medications for 2 of 4 residents reviewed for significant medication errors. (Resident B and C) The deficient practice was corrected on 5/11/26, prior to the start of the survey, and was therefore past noncompliance.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident remained safe from accident hazards during incontinence care provided by a staff member for 1 of 8 residents reviewed for accidents. This deficient practice resulted in Resident 63 hitting her head and receiving a head laceration which required six (6) staples.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's nutritional status was assessed, risk factors were identified and addressed, interventions were implemented, and the physician was notified of the need to assess a significant weight loss for 1 of 3 residents reviewed for nutrition. (Resident 7) This deficient practice resulted in Resident 7 experiencing an approximate 22% weight loss in approximately 4 months.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure puree foods were prepared with methods to conserve nutritive value and flavor and to maintain proper food holding temperatures to ensure safe and appetizing temperatures. This deficient practice had the potential to affect 93 of 93 residents who received food from the facility.
Inspectors wroteBased on interview and record review, the facility failed to ensure Preadmission Screening and Resident Reviews (PASARR) were resubmitted after psychotropic medications were initiated for newly identified behaviors, prior to the expiration for short term approvals, and for an increase in dosage of psychotropic medications for 4 of 6 residents reviewed for PASARR. (Resident 47, 3, 1 and 10)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medication carts were free from expired medications and medications were properly labeled with a pharmacy label for 2 of 3 medication carts reviewed for medication storage and labeling. (orchard cart and garden cart)
Inspectors wroteBased on interview and record review, the facility failed to ensure resident records were complete and accurate for 4 of 5 residents reviewed for resident records. (Resident 98, 7, 26 and 91)
Inspectors wroteBased on interview and record review, the facility failed to ensure an informed consent was obtained prior to initiating psychotropic medications for 1 of 5 residents reviewed for unnecessary medications. (Resident 47)
Inspectors wroteBased on interview and record review, the facility failed to ensure the physician was notified of a resident's significant weight loss for 1 of 3 residents reviewed for notification of change. (Resident 7)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a physician's order related to a medical condition was obtained for the use of a bed and chair alarm, an initial physical restraint assessment was completed, and an interdisciplinary team (IDT) note which discussed the least restrictive interventions implemented first had failed and to review the use of the devices at least quarterly for 1 of 2 residents reviewed for physical restraints. (Resident 81)
Inspectors wroteBased on interview and record review, the facility failed to ensure a bed hold policy was provided to the resident or resident's representative at the time of transfer for 1 of 2 residents reviewed for hospitalization. (Resident 78)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure mental health services were provided for a resident with several mental health disorders for 1 of 4 residents reviewed for mood and behavior. (Resident 12)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff followed enhanced barrier precautions and wore personal protective equipment which included a gown during catheter care for 1 of 1 resident randomly observed for infection control. (Resident 93)
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were treated with respect and dignity for 2 of 4 residents reviewed for dignity. (Resident B and C)
Inspectors wroteBased on interview and record review, the facility failed to ensure a person-centered care plan was developed with individualized interventions and reviewed and revised to accommodate the resident's care needs prior to initiating a medication to control behaviors for 1 of 1 resident reviewed for dementia care. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed to ensure an assessment which included prior interventions, risks and benefits, and the clinical rationale for the initiation of a medication to control behaviors was completed and documented for 1 of 3 residents reviewed for unnecessary medications. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's behaviors were documented in the electronic medical record for 1 of 3 residents reviewed for a complete and accurate clinical record. (Resident C)
Inspectors wroteBased on interview and record review, the facility failed to notify the physician when a resident sustained an injury during a transfer for 1 of 3 residents reviewed for notification of change. (Resident B)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident was kept safe during a transfer for 1 of 1 resident reviewed for accidents. (Resident B)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a sufficient number of staff were available to provide residents nursing care and other related services to the residents. (Resident 187, 56, 34, 20, 73, 30 and 66) This deficient practice had the potential to affect 88 of 88 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff used adequate testing equipment, such as a working thermometer, to ensure adequate washing of the dishware in the high temperature dishwasher. This deficient practice had the potential to affect 88 of 88 residents who received food from the kitchen.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Office of the State Long-Term Care Ombudsman was given notification of the resident's transfer and discharge to the hospital for 4 of 4 residents reviewed for transfer and discharge. (Resident 2, 12, 74 and 237)
Inspectors wroteA current facility policy, titled Catheters, undated and received from the Clinical Support Nurse on 3/14/25 at 1:30 p.m., indicated .Insertion, ongoing care and catheter removal protocols that adhere to professional standards of practice and facility protocol and procedure with adherence to infection prevention and control techniques A current facility policy, titled Hand Hygiene, undated and received from Corporate Support Nurse on 3/17/25 at 10:40 a.m., indicated .If hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands in all other clinical situations. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the need for a bed and chair alarm was re-evaluated and on-going monitoring was documented for 1 of 1 resident reviewed for physical restraints. (Resident 49)
Inspectors wroteBased on interview and record review, the facility failed to ensure care plan meetings were held quarterly and timely upon admission for 2 of 2 residents reviewed for care plan meetings. (Resident 12 and 30)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) care were assisted to the bathroom timely, and staff followed a physician's order related to footwear during a transfer for 2 of 2 dependent residents reviewed for ADL care. (Resident 187)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents with catheters had physician's orders in place for 3 of 4 residents reviewed for catheters. (Resident 59, 56 and 10)
Inspectors wroteBased on observation, interview and record review, the facility failed to label an oxygen line with the date it was put into use, to store an oxygen line in a bag when not in use, to ensure oxygen orders were in place, and to discard a nebulizer mask and tubing which was no longer in use for 3 of 3 residents reviewed for respiratory care. (Resident 59, 140 and 71)
Inspectors wroteBased on interview and record review, the facility failed to ensure Registered Nurse coverage was provided for at least 8 consecutive hours in a 24-hour day for 1 of 14 days reviewed for RN coverage. (3/2/25)
Inspectors wroteBased on interview and record review, the facility failed to ensure the pharmacy received a medication authorization and a resident did not have to provide their personal home supply until the medication was authorized for 1 of 1 resident reviewed for pharmacy services (Resident 71) and failed to ensure narcotic count sheets were signed by the in-coming and out-going staff for 4 of 4 narcotic log books reviewed.
Inspectors wroteBased on interview and record review, the facility failed to ensure monitoring for potential side effects of psychotropic medications were in place for 1 of 5 residents reviewed for unnecessary medications. (Resident 73)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was served at palatable and appetizing temperatures for 1 of 1 room tray observed. (the terrace unit)
Inspectors wroteBased on interview and record review, the facility failed to ensure unlicensed staff notified a licensed staff member when a resident was found to have discolored areas located on both shoulders for 1 of 1 resident reviewed for an injury of unknown origin. (Resident 2)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who was severely cognitively impaired and had memory problems, had assistive devices in place to prevent a fall from her moving wheelchair for 1 of 3 residents reviewed for accidents. (Resident B) This deficient practice resulted in Resident B falling forward from her wheelchair and sustaining a subarachnoid hemorrhage with facial, neck, and shoulder bruising which required hospitalization.
Inspectors wroteThe facility failed to ensure dietary employees had competency and skills in the operation of the dishwasher. This deficient practice had the potential to impact 93 of 93 residents who consumed meals prepared by the facility kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a physician's order, complete assessments, document care plans, and complete daily function testing for residents wearing personal body alarms. (Residents 20 and 43)
Inspectors wroteBased on interview and record review, the facility failed notify a resident's responsible party of an allegation of abuse, in accordance with facility policy, for 1 of 3 residents reviewed for the implementation of the abuse protocol (Resident B).
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess a resident for pain, address her concerns and distress, and notify the physician of resident pain and distress for 1 of 2 resident's reviewed for pain management. (Resident 197)
Inspectors wroteBased on observation and interview, the facility failed to discard an expired insulin pen and to indicate a date opened on another insulin pen, and label over-the-counter medications with resident identifiers for 2 of 3 medication carts observed for medication storage. (Orchard Hall and Garden Hall medication carts)
Inspectors wroteBased on interview and record review, the facility failed to ensure an unlicensed staff notified a licensed staff member that a dependent resident experienced a fall before transferring the resident from the floor to a wheelchair. This deficient practice resulted in the resident not being immediately assessed for injury by a licensed nurse and the resident experienced bilateral femur fractures. (Resident 2)
Inspectors wroteBased on interview and record review, the facility failed to ensure adequate supervision and staff assistance to prevent falls was provided to a resident who required the use of a mechanical lift and the assistance of two staff during transfers. This deficient practice resulted in Resident 2 experiencing an unwitnessed fall and bilateral femur fractures. (Resident 2)
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were treated with respect and dignity for 2 of 4 residents being reviewed for respect and dignity. (Residents B and F)
Inspectors wroteBased on interview and record review, the facility failed to ensure a chest X-ray was completed for 1 of 3 residents being reviewed for diagnostic services. (Resident E)
16 fire safety citations on file: 2 on March 26, 2026, 8 on March 18, 2025, 6 on March 8, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| March 26, 2026 | Payment Denial | 33 days from April 25, 2026 |
| January 9, 2024 | Fine | $10,247 |
| January 9, 2024 | Fine | $10,247 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.46 | 3.69 | 3.86 |
| Registered nurses | 0.48 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.06 | 3.25 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 36.8% | 45.9% | 45.8% |
| Registered nurse turnover | 25.0% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.48 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 3.62 on weekdays and 3.06 on weekends, 15% 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 3.27 in April to June 2025 to 3.46 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 | 3.46 | 0.48 | 3.62 | 3.06 | 0.0% | 0 of 90 | 93 |
| Oct to Dec 2025 | 3.20 | 0.53 | 3.31 | 2.91 | 0.0% | 0 of 92 | 95 |
| Jul to Sep 2025 | 3.17 | 0.43 | 3.26 | 2.96 | 0.0% | 0 of 92 | 88 |
| Apr to Jun 2025 | 3.27 | 0.42 | 3.38 | 2.98 | 0.1% | 0 of 91 | 90 |
| 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.
| 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 | 4.2 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.4 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.2 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.4 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.5 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Waters of Tipton Skilled Nursing Facility, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.2% this home
No different from 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. 119 eligible stays.
11.2% 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. 140 eligible stays.
12.2% this home
Worse than 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. 88 eligible stays.
16.3% 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. 43 residents counted.
3.5% 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. 58 residents counted.
6.3% 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. 58 residents counted.
100.0% this home
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. 29 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 |
| Juday, Paula | Contracted managing employee | Individual | 06/01/2015 | |
| 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 Tipton 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.
Chosen from this home's own inspection record.
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.