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Waters of Wakarusa Skilled Nursing Facility, the

300 N Washington St., Wakarusa, IN 46573 · Elkhart County · (574) 862-4511

133 certified beds, about 82 residents a day · For profit - Partnership · Medicare and Medicaid since 1995

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155582 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 14, 2025, inspectors cited 10 health deficiencies (the Indiana average is 7.2, the national average 9.2).

Of 32 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $14,661 in the last three years; the largest was $14,661, and the latest is dated January 8, 2025.

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 0.60 of those hours.

57.1% 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 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
24D
4E
2F
Potential for minimal harm
0A
0B
1C
March 16, 2026Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 27, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure showers were provided to 1 of 2 residents requiring assistance from facility staff. (Resident F).
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 27, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure timely assessments following a change in condition were completed for 1 of 3 residents reviewed (Resident D).
March 14, 2025Standard inspection, Complaint inspection · 11 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to store food under sanitary conditions related to foods not tightly sealed and outdated foods, for 1 of 1 kitchen observed. This issue had the potential to affect 83 of 83 residents who received food from this kitchen.
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to follow a Physicians order to hold a hypotensive medication (Resident 24), failed to keep a complete hospice binder (Resident 55), failed to follow physician's orders regarding hypertensive medication (Resident 6), failed to provide recommended emollient for skin (Resident 39), and failed to provide sliding scale insulin for 2 day for a resident with diabetes mellitus (Resident 331).
  3. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure recipes were followed when preparing pureed meals. This deficient practice had the opportunity to affect 4 of 4 residents who received pureed meals from the kitchen.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff members followed general infection control practices regarding enhanced barrier precautions (EBP) (CNA 10 & DON) and failed to ensure an infection prevention and control program was established and maintained.
  5. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's choice of Advance Directive was documented consistently in the medical record and staff were aware of the resident's choice for 1 of 1 residents reviewed for Advance Directives (Resident 31).
  6. 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) April 14, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide non-invasive mechanical ventilation equipment for 1 of 3 residents and failed to properly store respiratory treatment for 1 of 3 residents reviewed for respiratory services. (Resident 333 & 16)
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review and interview the facility failed to assess a dialysis fistula for 1 of 2 residents reviewed for dialysis. (Resident 24)
  8. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to attempt a gradual dose reduction (GDR) for a resident's whose last GDR was completed on 11/17/2023, for 1 of 5 residents reviewed for unnecessary medications. (Resident 22)
  9. 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) April 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were stored appropriately, had resident labels, and medication carts were were free of loose pills for 2 of 3 medication carts observed. (Peach Pod & Maple Pod)
  10. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to obtain a physician ordered lab for 1 of 1 residents reviewed for laboratory services. (Resident 61)
  11. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide urostomy care and required urostomy supplies for 1 of 3 residents reviewed for urinary devices. (Resident B)
January 8, 2025Complaint inspection · 7 citations
  1. J
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a notice of discharge was provided in writing, discharge planning was completed, and a resident's discharge was safe with continuity of care ensured for 1 of 3 residents reviewed for discharge. (Resident E) This deficient practice resulted in an unsafe discharge when the resident was transferred to a hospital waiting area without admission arrangements and no way to obtain nutrition through enteral feedings. The resident voiced feeling of hopelessness and felt others wanted him to die. The immediate jeopardy began on 12/24/24 when the facility discharged Resident E to a hospital waiting area. The Administrator and Regional Administrator were notified of the immediate jeopardy at 3:58 P.M. on 1/6/25. [...]
  2. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure hot food and cold liquids were served and maintained in a sanitary and safe manner related to staff touching food and other items both with the same gloved hands during meal service and not keeping room tray meal cart food at the proper serving temperature during two random food service observations. (Main Kitchen and ICF/Maple Unit) This had the potential to affect all residents who received food and drinks from the kitchen.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a notice of discharge was provided, in writing, prior to a facility-initiated discharge for 1 of 3 residents reviewed for discharge. (Resident E)
  4. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure preparation and orientation for a resident's discharge was completed to minimize anxiety and ensure a safe and orderly discharge from the facility for 1 of 3 residents reviewed for discharge planning. (Resident E)
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure dependent residents had received bathing opportunities according to their twice a week preferences for 2 of 3 residents reviewed for bathing. (Resident R and Resident X)
  6. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure tube feedings were documented as ordered by the physician for 2 of 3 residents reviewed for tube feeding. (Resident E and Resident S)
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure nurse staffing information was posted for the residents and their families to review. This had the ability to affect all of the residents and their family members.
April 3, 2024Standard inspection · 4 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to notify the Physician of weight gain per the parameters in the physician orders, for 1 of 1 reviewed for edema. (Resident 60)
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide necessary ADL (activities of daily living) services related to nail care, facial hair removal, and showers, for 2 of 3 residents reviewed for ADL care. (Residents 1 & 82)
  3. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review, the facility failed to supervise a resident with severe cognitive deficits and wandering behaviors to prevent the resident from exiting the facility door and falling for 1 of 1 resident reviewed for elopement. (Resident 86) The deficient practice was corrected by 3/22/2024, prior to the start of the survey, and was therefore past noncompliance. The facility thoroughly investigated the incident and implemented immediate corrective action including reeducation of staff regarding safety checks, the wanderguard system and key pad locks, having the company check the alarm system and turn the volume up on the system, and ensuring the frequency of checks on all key pad door locks and alarms were increased.
  4. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on record review and interview, the facility failed to provide medical doctor visits every 60 days as required, for 1 of 2 residents reviewed for nutrition. (Resident 21)
February 21, 2024Complaint inspection · 1 citation
  1. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024
    Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive discharge care plan for 2 of 3 residents reviewed for discharge. (Residents C & B)
February 6, 2023Standard inspection · 7 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) February 25, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop person-centered care plans for 4 of 28 residents whose care plans were reviewed (Residents 40, 60, 87, and 37.)
  2. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were completed in the required time frame for 2 of 2 residents reviewed. (Residents 14 & 30)
  3. 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) February 25, 2023
    Inspectors wroteBased on observations, interviews, and clinical record review the facility failed to revise a care plan following a fall for 1 out of 28 care plans that were reviewed (Resident 40.)
  4. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2023
    Inspectors wroteBased on record review and interview, the facility failed to provide a restorative therapy program for 2 of 2 residents reviewed for rehabilitation. (Resident 35)
  5. 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) February 25, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide individualized activities for a severely cognitively impaired resident for 1 of 3 residents reviewed for activities. (Resident 33)
  6. 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) February 25, 2023
    Inspectors wroteBased on observations, interviews, and clinical record review, the facility failed to obtain orders for respiratory care for 1 out of 3 residents reviewed (Resident 87) During an observation and interview with Resident 87, on 2/1/2023 at 1:57 P.M., a CPAP (continuous positive airway pressure) machine was noted on the nightstand. Resident 87 indicated he had been using the CPAP machine for awhile now but could not recall exactly how long. A clinical record review was completed, on 2/3/2023 at 11:14 A.M., indicated diagnoses for Resident 87 included, but were not limited to, chronic obstructive pulmonary disease and obstructive sleep apnea. The Quarterly MDS (Minimum Data Set) Assessment, dated 11/12/2022, indicated Resident 87 had a BIMS (Brief Interview for Mental Status) score of 13, which indicated intact cognition; and trouble breathing. [...]
  7. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2023
    Inspectors wroteBased on record review, observation and interview, the facility failed to ensure side effects were monitored, behaviors were documented, new behavior assessments and follow up assessments were completed for 1 of 5 residents reviewed for unnecessary medications. (Resident 37)

Fire safety inspections

35 fire safety citations on file: 14 on March 14, 2025, 8 on April 3, 2024, 13 on February 6, 2023.

Every fire safety citation35 citations
  1. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · March 14, 2025 · Corrected (the home has a date of correction)
  2. F
    Provide emergency officials' contact information.
    E 31 · March 14, 2025 · Corrected (the home has a date of correction)
  3. F
    Conduct testing and exercise requirements.
    E 39 · March 14, 2025 · Corrected (the home has a date of correction)
  4. F
    Implement emergency and standby power systems.
    E 41 · March 14, 2025 · Corrected (the home has a date of correction)
  5. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · March 14, 2025 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 14, 2025 · Corrected (the home has a date of correction)
  7. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · March 14, 2025 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 14, 2025 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 14, 2025 · Corrected (the home has a date of correction)
  10. F
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · March 14, 2025 · Corrected (the home has a date of correction)
  11. E
    Provide properly protected cooking facilities.
    K 324 · March 14, 2025 · Corrected (the home has a date of correction)
  12. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 14, 2025 · Corrected (the home has a date of correction)
  13. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 14, 2025 · Corrected (the home has a date of correction)
  14. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 14, 2025 · Corrected (the home has a date of correction)
  15. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · April 3, 2024 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 3, 2024 · Corrected (the home has a date of correction)
  17. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · April 3, 2024 · Corrected (the home has a date of correction)
  18. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 3, 2024 · Corrected (the home has a date of correction)
  19. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · April 3, 2024 · Corrected (the home has a date of correction)
  20. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · April 3, 2024 · Corrected (the home has a date of correction)
  21. C
    Provide emergency officials' contact information.
    E 31 · April 3, 2024 · Corrected (the home has a date of correction)
  22. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 3, 2024 · Corrected (the home has a date of correction)
  23. F
    Meet other general requirements that are deficient.
    K 300 · February 6, 2023 · Corrected (the home has a date of correction)
  24. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 6, 2023 · Corrected (the home has a date of correction)
  25. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 6, 2023 · Corrected (the home has a date of correction)
  26. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 6, 2023 · Corrected (the home has a date of correction)
  27. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 6, 2023 · Corrected (the home has a date of correction)
  28. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 6, 2023 · Corrected (the home has a date of correction)
  29. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 6, 2023 · Corrected (the home has a date of correction)
  30. 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 · February 6, 2023 · Corrected (the home has a date of correction)
  31. E
    Provide properly protected cooking facilities.
    K 324 · February 6, 2023 · Corrected (the home has a date of correction)
  32. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 6, 2023 · Corrected (the home has a date of correction)
  33. D
    Have properly located and lighted "Exit" signs.
    K 293 · February 6, 2023 · Corrected (the home has a date of correction)
  34. D
    Have an externally vented heating system.
    K 522 · February 6, 2023 · Corrected (the home has a date of correction)
  35. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 8, 2025Fine $14,661

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.463.693.86
Registered nurses0.600.670.69
All nursing staff on weekends3.143.253.42
Nurse aides2.28
Licensed practical nurses0.57
Nursing staff turnover (share who left in a year)57.1%45.9%45.8%
Registered nurse turnover23.1%40.3%42.9%
Administrators who left1

CMS expects 4.40 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 3.59 on weekdays and 3.14 on weekends, 13% 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 3.55 in April to June 2025 to 3.46 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.460.603.593.14 0.0%0 of 9082
Oct to Dec 20253.340.743.453.07 0.0%0 of 9284
Jul to Sep 20253.460.653.593.12 0.0%0 of 9285
Apr to Jun 20253.550.743.733.09 0.0%0 of 9180
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
7.011.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.51.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.83.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.211.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.03.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.413.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.922.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.910.812.0

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.

NameRoleTypeShareSince
Johnson Memorial Hospital5% or greater direct ownership interestOrganization100%03/01/2013
Schmidt, JamesContracted managing employeeIndividual02/04/2019
Decola, RobertW-2 managing employeeIndividual02/16/2019
Berkhouse, StevenCorporate directorIndividual10/18/2021
Dunkle, DavidCorporate directorIndividual03/01/2019
Berkhouse, StevenCorporate officerIndividual10/18/2021
Dunkle, DavidCorporate officerIndividual03/01/2019
Miller's Health Systems IncOperational/managerial controlOrganization07/01/2012
The Waters of Wakarusa Skilled Nursing Facility, LLCOperational/managerial controlOrganization11/01/2022
Dunkle, DavidOperational/managerial controlIndividual03/01/2019

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 13 problems in this area, most recently on March 16, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on March 14, 2025: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 21, 2024: "Plan the resident's discharge to meet the resident's goals and needs."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 14, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 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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Common questions

What is Waters of Wakarusa Skilled Nursing Facility, the's Medicare star rating?
CMS rates Waters of Wakarusa Skilled Nursing Facility, the 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waters of Wakarusa Skilled Nursing Facility, the get at its last inspection?
10 health deficiencies at the standard inspection on March 14, 2025. The Indiana average is 7.2.
Has Waters of Wakarusa Skilled Nursing Facility, the been fined?
Yes. CMS lists 1 fine totaling $14,661 in the last three years.
Does Waters of Wakarusa 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 Wakarusa Skilled Nursing Facility, the?
CMS lists 10 owners and managers, and links the home to Infinity Healthcare Consulting. Legal business name: JOHNSON MEMORIAL HOSPITAL.

Sources

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