WATERS OF CASTLETON SKILLED NURSING FACILITY, THE
WATERS OF CASTLETON SKILLED NURSING FACILITY, THE is a 114-bed nursing home in INDIANAPOLIS, Indiana. CMS has certified it for Medicare and Medicaid since 1985-11-12. It averages 51.6 residents a day.
What harm was found in the violations cited at WATERS OF CASTLETON SKILLED NURSING FACILITY, THE?
CMS lists 60 health-inspection deficiencies for WATERS OF CASTLETON SKILLED NURSING FACILITY, THE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-03.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-03 | F0557, F0689, F0690, F0842 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-04-22 | F0725, F0755 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2026-04-22 | F0600, F0602 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2026-03-11 | F0554, F0600, F0610, F0690, F0740 | Allow residents to self-administer drugs if determined clinically appropriate. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-12-16 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-12-16 | F0605, F0628, F0657, F0685, F0697, F0755, F0756, F0805, F0842, F0880 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Assist a resident in gaining access to vision and hearing services. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-10-28 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-04-16 | F0689, F0755, F0758 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2025-04-02 | F0550, F0580, F0656, F0677, F0692, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-10-08 | F0727, F0812 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-10-08 | F0684, F0887 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E |
| 2024-10-08 | F0550, F0565 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. | D |
| 2024-10-08 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
| 2024-10-08 | F0641 | Ensure each resident receives an accurate assessment. | B |
| 2024-01-25 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2023-08-11 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-08-11 | F0565, F0585 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E |
| 2023-08-11 | F0609, F0655, F0656, F0657, F0660, F0661, F0677, F0684, F0689, F0695, F0740, F0759, F0761, F0867 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure medication error rates are not 5 percent or greater. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
How is WATERS OF CASTLETON SKILLED NURSING FACILITY, THE staffed relative to the IN average?
| Measure | This facility | IN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.33161 | 3.67961 |
| Total nursing staff turnover (%) | 61.0 | 45.9 |
| Average number of residents per day | 51.6 | 72.5 |
Who owns WATERS OF CASTLETON SKILLED NURSING FACILITY, THE, and what chain is it in?
WATERS OF CASTLETON SKILLED NURSING FACILITY, THE is registered with CMS as For profit - Limited Liability company, operates under the legal business name JOHNSON MEMORIAL HOSPITAL and belongs to the INFINITY HEALTHCARE CONSULTING chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | JOHNSON MEMORIAL HOSPITAL | since 03/01/2013 |
| CONTRACTED MANAGING EMPLOYEE | CRAWLEY, LASHELLE, PETERSON, JANCE | since 07/01/2016 |
| W-2 MANAGING EMPLOYEE | DECOLA, ROBERT | since 02/16/2019 |
| CORPORATE DIRECTOR | BERKHOUSE, STEVEN, DUNKLE, DAVID | since 03/01/2019 |
| CORPORATE OFFICER | BERKHOUSE, STEVEN, DUNKLE, DAVID | since 03/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | MILLER'S HEALTH SYSTEMS INC, THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLC, DUNKLE, DAVID | since 03/01/2013 |
Were you or a family member harmed at WATERS OF CASTLETON SKILLED NURSING FACILITY, THE?